| 黄丽瑾,裘佳佳.佩戴传统义乳乳腺癌患者对义乳认知和身心状态的调查研究[J].上海护理,2019,19(12): |
| 佩戴传统义乳乳腺癌患者对义乳认知和身心状态的调查研究 |
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| DOI： |
| 中文关键词: 乳腺癌 义乳 身心状态 |
| 英文关键词: |
| 基金项目:复旦大学附属肿瘤医院院级基金HL201503 |
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| 中文摘要: |
| 目的 描述佩戴传统义乳乳腺癌患者对义乳的认知状况、生命质量和身体心像,比较不同年龄和不同文化程度患者义乳认知、生命质量和身体心像的差别。方法 采用自行设计的义乳认知/舒适度和实用性问卷,乳腺癌患者生命质量测定量表和身体心像量表对30名佩戴传统义乳的乳腺癌患者进行问卷调查。结果 73.3%的患者在基线调查时愿意佩戴“文胸型”义乳,66.7%的患者接受小于1000元的义乳。56.7%的患者除睡觉外一直佩戴义乳,100%的患者认为义乳提升了自我形象,53.3%的患者认为义乳改善了性生活。70%的患者了解义乳的途径为医护人员和病友,但只有6.7%的患者对义乳很了解。86.7%的患者认为有必要通过医护人员得到有关义乳的信息。针对传统文胸型义乳,96.7%的患者认为该种义乳方便佩戴,70%的患者表示义乳能够足够遮挡伤口,50%的患者满意自己佩戴的传统型义乳。患者生命质量得分较高,身体心像得分稍高。年龄大的患者接受价位较低的义乳,文化程度较高的患者更容易不满意所佩戴的义乳。结论 使用传统义乳的患者生命质量尚可,身体心像稍差,年龄大的患者不接受价位较高的义乳,文化程度高的患者更容易对义乳不满意。患者对义乳的了解甚少,同时非常渴望得到医护人员提供的专业知识。乳腺专科护士可以为患者提供有关义乳的全面教育信息,协助患者选择合适的义乳,了解患者的佩戴体验,减少患者的身心困扰。 |
| 英文摘要: |
| Investigation of external breast prostheses cognition and quality of life among breast cancer patients who wore conventional breast prostheses
Jiajia Qiu1,2, Lijin Huang1,2
1 Department of Nursing Administration, Shanghai Cancer Center, Fudan University, Shanghai, China,
2 Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
Abstract
Objective: to describe the cognition, quality of life and body image among breast cancer patients who wore conventional breast prostheses.
Methods: 30 breast cancer patients who wore conventional breast prostheses were investigated by using questionnaires including self-designed survey of breast prosthesis knowledge and the comfort and practicality of breast prostheses, Quality of life instruments for cancer patients: breast cancer (QLICP-BR) and Body Image Scale from Nov 2016 to Feb 2017.
Results: Based on the baseline survey, 73.3% of the patients were willing to wear “bra-type” breast prostheses, and 66.7% of the patients preferred breast prostheses that cost less than 1,000 yuan. Additionally, 56.7% of the patients wore their breast prostheses all day until bed time and 100% of these patients believed that the breast prostheses enhanced their self-image. While 53.3% of them thought that their breast prostheses improved their sexuality, only 6.7% of them had thorough knowledge about their breast prostheses. In addition, 86.7% of the patients believed that it is necessary to obtain information about breast prostheses through their medical providers. For conventional bra-type breast prostheses, 96.7% of the patients believe that it is easy to wear their breast prosthesis, 70% of them said that the breast prosthesis was enough to cover the surgical scar and 50% of the patients were satisfied with their conventional breast prosthesis. The scores of QLICP-BR were from 36-180, with average scores of 23.83±3.67,49.80±7.75,33.80±4.54, 43.17±4.41,86.07±9.25 for 5 dimensions respectively. The scores of Body Image Scale were from 0-30. The score of normal body image was 8.27±3.07, while the score of cancer-related body image was 8.63±3.46.
Conclusion: Quality of life among breast cancer patients who wore conventional breast prostheses was relatively good. The knowledge of prosthesis was insufficient in patients and they were eager to obtain information about breast prostheses through their medical providers. Specialist breast nurses should provide comprehensive information about breast prostheses, assist patients in selecting suitable breast prostheses, collect feedback about the prostheses, and reduce each patient’s physical and mental discomfort.
Key words: breast cancer; external breast prostheses; cognition; physical and psychological status; investigation; quality of life; |
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