Quality of Life and Emotional Impact after Immediate Breast Reconstruction

Marcus Vinícius Jardini Barbosa, Carolline Gabrielle Campos De Souza, Cecília Barbosa Oliveira, Heloísa Loureiro Costa, Frederico Alonso Sabino de Freitas
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Abstract

Background: Mastectomy is the main method of treating breast cancer and carries a mutilating stigma. Breast reconstruction restores body aesthetics, influencing psychosocial aspects and quality of life. Thus, the aim of the study was to analyze interpersonal and emotional relationships after immediate breast reconstruction. Methods: A qualitative, descriptive and prospective study, was performed through the application of a quality life questionnaire – Breast Evaluation Questionnaire (BEQ 55) in patients who had immediate breast reconstruction, between 2010 to 2019. Results: From the 89 (n=89) women registered in the clinic’s database during the study period, 15 (n=15) of them agreed to participate. The average age was 46 years. Physical domain showed high scores, regarding intimate and sexual activities, professional and work activities, as well as social and recreation activities. Patient’s comfort in front of men were progressive smaller regarding the body dressed, in a swimsuit and naked. The same pattern was observed intimate women and with health professionals. Considering sexual domain scores showed that the more covered, the greater the satisfaction, with an improvement regarding the breasts (73.3%) when compared to the whole body (60.0%). The same pattern was observed regarding the patients’ comfort when being alone, revealing an improvement in the valorization of the breasts in relation to the whole body in the sense of self-image. Conclusion: This study allowed a better understanding of the impact of immediate breast reconstruction showing that this experience can be less traumatic and gradually overcome if there is support from family and health professionals.
即刻乳房重建术后的生活质量和情绪影响
背景:乳房切除术是治疗乳腺癌的主要方法,并带有残缺的耻辱。乳房重建恢复身体美学,影响社会心理方面和生活质量。因此,本研究的目的是分析即时乳房重建后的人际关系和情感关系。方法:采用质量生活问卷-乳房评估问卷(BEQ 55)对2010年至2019年进行即时乳房重建的患者进行定性、描述性和前瞻性研究。结果:在研究期间在诊所数据库中登记的89名(n=89)女性中,有15名(n=15)同意参与。平均年龄为46岁。身体领域得分较高,包括亲密和性活动、专业和工作活动以及社交和娱乐活动。患者在男性面前的舒适感越来越小,无论是穿着泳衣还是裸体。在亲密的妇女和保健专业人员之间也观察到同样的模式。考虑到性领域的得分,覆盖的范围越广,对乳房的满意度(73.3%)高于全身(60.0%),满意度越高。在病人独处时的舒适度方面也观察到了同样的模式,这表明在自我形象的意义上,乳房与全身的关系得到了改善。结论:这项研究让我们更好地理解了立即乳房重建的影响,表明如果有家庭和卫生专业人员的支持,这种经历可以减少创伤并逐渐克服。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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