Logothetis M L
College of Nursing, Valparaiso University, IN 46383, USA.
J Obstet Gynecol Neonatal Nurs. 1995 Sep;24(7):609-16. doi: 10.1111/j.1552-6909.1995.tb02543.x.
The safety of silicone breast implants recently has been questioned. Increasing numbers of women have reported a variety of health problems that they attribute to their implants. The purpose of this descriptive study was to explicate the phenomenon of silicone-related illness as reported by women who have had breast implants.
A qualitative design was grounded in the theoretical framework proposed by McBride and McBride (1981), the core of which is the first-person, lived experiences of women as interpreted and explained by the women themselves.
Participants were recruited through Command Trust Network, an international support group for women with breast implant problems. The sample consisted of 55 women from 19 states and Canada who experienced health problems they attributed to their implants. Eighteen percent labeled themselves as disabled.
Themes emerging from responses to 10 questions are discussed in terms of circumstances leading to initial implantation, understanding risks and benefits, health problems and symptoms, physician response, choices made about implant removal, and psychosocial and emotional consequences.
Findings included dissatisfaction with implants, similarity of health problems, and recurrent surgical and nonsurgical procedures. Dominant themes included lack of informed consent, physician denial of health problems, and the decision to remove implants. Further research should be directed at recipients of implants who report silicone-related illness to determine the number of women affected and the nature of their problems.
硅胶乳房植入物的安全性近来受到质疑。越来越多的女性报告了各种她们认为与植入物相关的健康问题。这项描述性研究的目的是阐明接受过乳房植入的女性所报告的与硅胶相关疾病的现象。
采用质性设计，其理论框架基于麦克布赖德和麦克布赖德（1981年）提出的理论，其核心是女性自身所诠释和解释的第一人称生活经历。
通过指挥信任网络招募参与者，这是一个针对有乳房植入问题女性的国际支持组织。样本包括来自19个州和加拿大的55名女性，她们经历了她们认为与植入物相关的健康问题。18%的人将自己标记为残疾。
针对10个问题的回答中出现的主题，从导致最初植入的情况、对风险和益处的理解、健康问题和症状、医生的反应、关于取出植入物的选择以及心理社会和情感后果等方面进行了讨论。
研究结果包括对植入物的不满、健康问题的相似性以及反复的手术和非手术程序。主要主题包括缺乏知情同意、医生对健康问题的否认以及取出植入物的决定。应针对报告与硅胶相关疾病的植入物接受者开展进一步研究，以确定受影响女性的数量及其问题的性质。
