Coleman E A, Coon S K, Thompson P J, Lemon S J, Depuy R S
College of Nursing, University of Arkansas for Medical Sciences (UAMS), Little Rock, USA.
Oncol Nurs Forum. 1995 Nov-Dec;22(10):1493-500.
PURPOSE/OBJECTIVES: To describe the impact of silicone implants on the lives of women with breast cancer.
Qualitative analysis of telephone interview data.
120 women from across the United States who have reported to the Food and Drug Administration problems with breast implants following mastectomies.
Telephone interviews were used to gather responses to 110 questions. Qualitative analysis of narrative data was linked with quantitative data.
Concerns and feelings about breast implants; potential problems with silicone implants; source of information about problems; how they coped with the silicone implant controversy; problems related to their breast implants; the effect of health problems on day-to-day activities, relationships with significant others, work, and any other important aspects of their lives; and advice they would give other women regarding breast implant surgery. By linking the qualitative analysis of narrative data with quantitative data, the investigators sought to answer the following research question: Do the patterns of responses differ based on specific systemic physical problems, reported localized breast problems, or implant problems?
The women reported poorer quality of life and feelings of worry and anger because of health problems. They perceived they had received incomplete information and often had complaints dismissed by their healthcare providers. Most of them would not recommend silicone implants for patients undergoing mastectomy. The women's levels of satisfaction were directly associated with their feelings of being informed and the type of health problems they experienced.
Women need reconstruction options following mastectomy, however, use of silicone implants can result in additional health problems and decreased quality of life as a result of those problems.
Nurses can assume the role of breast health educator, which includes counseling women with breast cancer about breast implants and other reconstructive options. Study results will help health providers care both for those patients considering treatment options and those coping with the problems and concerns related to their breast implants. Women should be told the inherent risks and complications associated with breast implants and also told when "we don't know."
目的/目标：描述硅胶植入物对乳腺癌女性生活的影响。
对电话访谈数据进行定性分析。
来自美国各地的120名女性，她们向美国食品药品监督管理局报告了乳房切除术后乳房植入物出现的问题。
通过电话访谈收集对110个问题的回答。对叙述性数据进行定性分析，并与定量数据相结合。
对乳房植入物的担忧和感受；硅胶植入物的潜在问题；问题信息来源；她们如何应对硅胶植入物争议；与乳房植入物相关的问题；健康问题对日常活动、与重要他人的关系、工作以及生活中其他重要方面的影响；以及她们会就乳房植入手术给其他女性的建议。通过将叙述性数据的定性分析与定量数据相结合，研究人员试图回答以下研究问题：根据特定的全身性身体问题、报告的局部乳房问题或植入物问题，回答模式是否存在差异？
这些女性报告称，由于健康问题，生活质量较差，感到担忧和愤怒。她们认为自己得到的信息不完整，且医疗服务提供者常常对她们的投诉不予理会。她们中的大多数人不会向接受乳房切除术的患者推荐硅胶植入物。这些女性的满意度水平与她们的知情感受以及所经历的健康问题类型直接相关。
乳房切除术后女性需要重建选择，然而，使用硅胶植入物可能会导致额外的健康问题，并因这些问题而降低生活质量。
护士可以承担乳房健康教育者的角色，包括为患有乳腺癌的女性提供有关乳房植入物和其他重建选择的咨询。研究结果将有助于医疗服务提供者照顾那些正在考虑治疗方案的患者，以及那些应对与乳房植入物相关问题和担忧的患者。应该告知女性乳房植入物的固有风险和并发症，同时也应告知她们哪些情况是“我们不知道的”。
