乳房切除与未做乳房成形术的女性与自愿做乳房成形术患者在性活动中的身体形象、身体暴露和性自信的比较

IF 0.4 Q4 ONCOLOGY
S. Vaziri, F. Lotfi Kashani, Masoumeh Karimian, A. Vaziri, Laya Nobakht, Y. Vaziri, R. Masoumi
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引用次数: 0

摘要

背景:乳房切除术可以改变身体形象,影响患者的性行为。乳房重建是一种减少乳房切除术造成的性损伤的方法。目的:本研究的目的是比较乳房切除和未做乳房成形术的女性和自愿做乳房成形术的癌症患者在性活动中的身体形象和身体暴露以及性自信。方法:本研究对2018年伊朗德黑兰25 - 55岁范围内进行了乳房切除术的女性和自愿进行乳房成形术的患者的统计人群进行了因果比较研究。样本包括37名接受乳房切除术的女性,28名自愿接受乳房成形术的女性,以及31名在乳房切除术后接受乳房成形术的女性。研究对象在德黑兰通过方便抽样选择。所有被试均被要求完成“身体形象认知扭曲评估问卷”、“性活动中身体暴露问卷”和“赫尔伯特性自信指数”。采用SPSS软件第20版进行方差分析。结果:在身体形象认知扭曲方面,三组间无显著差异。接受乳房成形术的女性在性活动中的身体暴露量少于自愿接受乳房成形术的女性(P < 0.01);然而,在切除乳房的患者和接受乳房成形术的患者之间没有差异。据报道,在性活动中,乳房切除术妇女暴露于身体或焦虑的注意力集中在身体上的频率低于乳房成形术志愿者(P < 0.01)。接受重建手术的女性的性自信高于乳房切除和自愿接受重建手术的女性(P < 0.01)。乳房切除组的性自信程度高于自愿隆胸组(P < 0.01)。结论:研究结果支持了身体形象问题及其与性功能不同方面的关系是复杂的,需要考虑不同的人格特质和因素作为调节因素。女性把乳房作为女性气质和性欲的象征,这是上述因素之一。在进行乳房成形术之前,从患者的角度来看重建的目的和女性对自己外表的重要性是应该考虑的其他因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Body Image and Body Exposure During Sexual Activity and Sexual Assertiveness Among Mastectomized Women with/Without Mammaplasty and Mammaplasty Volunteer Patients
Background: Mastectomy can change body image and affect the sexual activities of patients. Breast reconstruction is a way to reduce the sexual damage caused by mastectomy. Objectives: The present study aimed to compare body image and body exposure during sexual activity and sexual assertiveness among mastectomized women with/without mammaplasty and patients with cancer who volunteered for mammoplasty. Methods: This causal-comparative study was performed on the statistical population of mastectomized women with/without mammaplasty and patients who volunteered for mammoplasty within the age range of 25 - 55 years in Tehran, Iran, in 2018. The sample consisted of 37 women with mastectomy, 28 mastectomized women who volunteered for mammoplasty, and 31 women who underwent mammaplasty after mastectomy. The subjects were selected through convenience sampling in Tehran. All participants were asked to complete the Assessment of Body-Image Cognitive Distortions Questionnaire, the Body Exposure during Sexual Activities Questionnaire, and the Hurlbert Index of Sexual Assertiveness. The data were analyzed by analysis of variance using version 20th of SPSS software. Results: In terms of body-image cognitive distortions, there was no difference between the three groups. The women who underwent mammaplasty had less body exposure during sexual activity than patients who volunteered for mammoplasty (P < 0.01); however, there was no difference between the mastectomized patients and patients who underwent mammaplasty. Exposure to the body or anxious attentional focus on the body during sexual activity was reported frequently less in mastectomized women than in mammaplasty volunteers (P < 0.01). The sexual assertiveness of women who underwent reconstructive surgery was more than mastectomized women and volunteer patients for reconstructive surgery (P < 0.01). The mastectomized group had more sexual assertiveness than patients who volunteered for mammoplasty (P < 0.01). Conclusions: The results support the hypothesis that the issue of body image and its relationship with different aspects of sexual function is complex and requires considering different personality traits and factors as moderators. The importance that a woman places on the breast as a symbol of femininity and sexuality is one of the aforementioned factors. The purpose of reconstruction from the patient’s point of view and the importance that a woman gives to her appearance are other components that should be considered before proceeding with mammoplasty.
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
67
期刊介绍: International Journal of Cancer Management (IJCM) publishes peer-reviewed original studies and reviews on cancer etiology, epidemiology and risk factors, novel approach to cancer management including prevention, diagnosis, surgery, radiotherapy, medical oncology, and issues regarding cancer survivorship and palliative care. The scope spans the spectrum of cancer research from the laboratory to the clinic, with special emphasis on translational cancer research that bridge the laboratory and clinic. We also consider original case reports that expand clinical cancer knowledge and convey important best practice messages.
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