摘要
目的 调查乳腺癌术后患者对于义乳佩戴的认知及生命质量情况。方法 选取2021年9月~2022年9月期间, 200例乳腺癌改良根治术后患者为研究对象,术后均佩戴义乳,分析患者对义乳佩戴的认知情况,生命质量和身体心像情况。结果 200例患者术后第1次佩戴义乳的时间为(4.39±2.30)个月,其中愿意佩戴文胸型义乳、接受≤1000元的义乳、除睡觉外一直佩戴义乳、认为义乳将自我形象提升、义乳对性生活改善、了解义乳的途径为病友和医护人员、只了解一点义乳、有必要通过医护人员得到义乳有关信息的占比均超过了50%。生命质量测定量表总分为(152.66±12.50)分,身体心像量表中一般身体心像、癌症治疗相关身体心像评分分别为(8.26±3.06)、(8.62±3.45)分。结论 乳腺癌术后应用义乳的患者其生命质量处于中等水平,身体心像处于中下等水平,且患者不够了解义乳。建议乳腺专科护士为患者讲解义乳相关信息指导患者选择适宜的义乳,了解患者佩戴感受并提供针对性的护理措施,从而有效减少其身体及心理的困扰。
Objective To analyze the investigation on the cognition of artificial breast and quality of life in postoperative patients with breast cancer.Methods A total of 200 cases of breast cancer patients who underwent modified radical mastectomy from September 2021 to September 2022 were selected as the study subjects.All patients wore artificial breast after surgery,and their cognition,quality of life and body image were analyzed.Results The time of first wearing artificial breast for 200 patients after surgery was(4.39±2.30)months.The cognitive survey showed that more than 50%of them were willing to wear bra-shaped artificial breast,accepted breast implants less than 1000 yuan's,wore artificial breast all the time except sleeping,thought artificial breast would improve their self-image,improved their sexual life,learned about artificial breast through patients and medical staff,knew artificial breast well,and needed to get information about artificial breast through medical staff.The total score of the quality of life scale was(152.66±12.50)points.In the total score of the Body Image Scale,the scores of general body image and body image related to cancer treatment were(8.26±3.06)and(8.62±3.45)points.Conclusion The quality of life of patients who use artificial breast is in the middle level,and their body image is in the lower-middle level,and patients don't know enough about artificial breast.It is recommended that breast specialist nurses provide patients with information about artificial breast to guide them in choosing the appropriate artificial breast,understand how they feel when they wear them and provide them with targeted nursing care measures,so as to effectively reduce their physical and psychological distress.
作者
江健梅
彭长英
JIANG Jian-mei;PENG Chang-ying(Longyan First Hospital,Longyan 364000,China)
出处
《中国现代药物应用》
2024年第2期160-163,共4页
Chinese Journal of Modern Drug Application
关键词
生命质量
人造乳房
乳腺癌
身心形象
Quality of life
Artificial breast
Breast cancer
Body and mind image
