Yıl: 2018 Cilt: 14 Sayı: 4 Sayfa Aralığı: 205 - 210 Metin Dili: İngilizce DOI: 10.5152/ejbh.2018.3875 İndeks Tarihi: 23-07-2019

The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors

Öz:
Objective: The objective of the present study was to determine effect on quality of life (QoL) and body image level following mastectomy amongbreast cancer (BC) survivors.Materials and Methods: In this descriptive study was carried out between February 2015 and December 2016 with 57 women with modifiedradical mastectomy and who in stage II and stage III. Data were collected using the socio-demographic and body cathexis scale, Functional Assessment of Cancer Therapy-Breast (FACT-B) to determine QoL. The study was carried out in home environment in which women lived.Results: The average age of the women was 49.34 years (ranged 28-78 years). Most of the women had undergone mastectomy for more than 6months.. Most of the women also received adjuvant chemotherapy and radiotherapy. The study showed that the mean FACT-B total score of thewomen was 68.47 (SD=22.44), and the body image score was 121.61(SD=21.96). According to the results of linear regression analysis, except forthe social/family well-being of FACT-B, positive correlations were calculated among the other sub-dimensions of FACT-B and the FACT-B totalscore and the body image total score respectively (β=0.822, p=0.000). In the multiple linear regression model, there was medium correlation betweeneducation and work status with QoL, no correlation between QoL and other features of women. There was important positive relationship betweenbody image with time after mastectomy and chemotherapy and no correlation between body image and other features of women.Conclusion: The results of this study showed that the mastectomy has a negative impact on body image and QoL of women and there was a strongpositive correlation between body image and QoL.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • American Cancer Society. Cancer facts and figures 2015-2016. Breast Cancer, Atlanta 2016; Available from https://www.cancer.org/content/ dam/cancer-org/research/cancer-facts-and-statistics/breast-cancer-factsand-figures/breast-cancer-facts-and-figures-2015-2016.pdf (Accessibility date: 10 September 2017)
  • The Republic of Turkish Ministry of Health. Turkey cancer statistics 2015; Available from http://kanser.gov.tr/daire-faaliyetleri/kanseristatistikleri/2106-2014-y%C4%B1l%C4%B1-t%C3%BCrkiye-kanseristatistikleri.html (Accessibility date: 25 January 2018)
  • Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin 2011; 61: 69-90. (PMID: 21296855) [CrossRef]
  • Sheppard LA, Ely S. Breast cancer and sexuality. Breast J 2008; 14: 176- 181. (PMID: 18248559) [CrossRef]
  • Kunkel EJ, Chen EI, Okunlola TB. Psychosocial concerns of women with breast cancer. Prim Care Update Ob Gyns 2002; 9: 129-134. [CrossRef]
  • Härtl K, Janni W, Kästner R, Sommer H, Strobl B, Rack B, Stauber M. Impact of medical and demographic factors on long-term quality of life and body image of breast cancer patients. Ann Oncol 2003; 14: 1064- 1071. (PMID: 12853348) [CrossRef]
  • Fallbjörk U, Rasmussen BH, Karlsson S, Salander P. Aspects of body image after mastectomy due to breast cancer-A two-year follow-up study. Eur J Oncol Nurs 2013; 17: 340-345. (PMID: 23083641) [CrossRef]
  • Falk Dahl CA, Reinertsen KV, Nesvold IL, Fosså SD, Dahl AA. A study of body image in long‐term breast cancer survivors. Cancer 2010; 116: 3549-3557. (PMID: 20564138) [CrossRef]
  • Browall M, Gaston-Johansson F, Danielson E. Postmenopausal women with breast cancer: their experiences of the chemotherapy treatment period. Cancer Nurs 2006; 1: 34-42. (PMID: 16557119) [CrossRef]
  • Rooney M, Wald A. Interventions for the management of weight and body composition changes in women with breast cancer. Clin J Oncol Nurs 2007; 11; 41-52. (PMID: 17441396) [CrossRef]
  • Anagnostopoulos F, Myrgianni S. Body image of Greek breast cancer patients treated with mastectomy or breast conserving surgery. J Clin Psychol Med Settings 2009; 16: 311-321. (PMID: 19701698) [CrossRef]
  • Lyngholm CD, Christiansen PM, Damsgaard TE, Overgaard J. Longterm follow-up of late morbidity, cosmetic outcome and body image after breast conserving therapy. A study from the Danish Breast Cancer Cooperative Group (DBCG). Acta Oncol 2013; 52: 259-269. (PMID: 23215829) [CrossRef]
  • Bagheri M, Mazaheri M. Body image and quality of life in female patients with breast cancer and healthy women. Journal of Midwifery and Reproductive Health 2015; 3: 285-292.
  • Boquiren VM, Esplen MJ, Wong J, Toner B, Warner E. Exploring the influence of gender‐role socialization and objectified body consciousness on body image disturbance in breast cancer survivors. Psychooncology 2013; 22: 2177-2185. (PMID: 23512273) [CrossRef]
  • Krebs LU. Sexual assessment in cancer care: concepts, methods, and strategies for success. Semin Oncol Nurs 2008; 24: 80-90. (PMID: 18442671) [CrossRef]
  • Berterö C, Chamberlain Wilmoth M. Breast cancer diagnosis and its treatment affecting the self: a meta-synthesis. Cancer Nurs 2007; 30: 194- 202. (PMID: 17510582) [CrossRef]
  • Ussher JM, Perz J, Gilbert E. Information needs associated with changes to sexual well‐being after breast cancer. J Adv Nurs 2013; 69: 327-337. 209 (PMID: 22500731) [CrossRef]
  • Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, Silberman M, Yellen SB, Winicour P, Brannon J. The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol 1993; 11: 570-579. (PMID: 8445433) [CrossRef]
  • Brady MJ, Cella DF, Mo F, Bonomi AE, Tulsky DS, Lloyd SR, Deasy S, Cobleigh M, Shiomoto G. Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. J Clin Oncol 1997; 15: 974-986. (PMID: 9060536) [CrossRef]
  • Secord PF, Jourard SM. The appraisal of body-cathexis: body-cathexis and the self. J Consult Psychol 1953; 17: 343-347. (PMID: 13109086) [CrossRef]
  • Hovardaoğlu S. The study of reliability and validity of body cathexis scale. Bachelor’s degree thesis (unpublished) 1990; Institute of Social Sciences, Gazi University, Ankara.
  • Esmaili R, Saiidi JA, Majd HA, Esmaieli M. A Survey of the body image of mastectomies women referring to Imam Khomeini and Imam Hussein hospitals in Tehran, Iran. Indian J Psychol Med 2010; 32: 34-37. (PMID: 21799557) [CrossRef]
  • Bakhta S, Najafi S. Body image and sexual dysfunctions: comparison between breast cancer patients and healthy women. Procedia Soc Behav Sci 2010; 5: 1493-497. [CrossRef]
  • Koçan S, Gürsoy A. Body image of women with breast cancer after mastectomy: a qualitative research. J Breast Health 2016; 12: 145-150. (PMID: 28331752) [CrossRef]
  • Uçar T, Uzun Ö. Examination of effect on body image, self-esteem and marital adjustment of mastectomy in women with breast cancer. J Breast Health 2008; 4: 162-168.
  • Engel J, Kerr J, Schlesinger‐Raab A, Sauer H, Hölzel D. Quality of life following breast‐conserving therapy or mastectomy: Results of a 5‐year prospective study. Breast J 2004; 10: 223-231. (PMID: 15125749) [CrossRef]
  • Duggal CS, Metcalfe D, Sackeyfio R, Carlson GW, Losken A. Patient motivations for choosing postmastectomy breast reconstruction. Ann Plast Surg 2013; 70: 574-580. (PMID: 23542859) [CrossRef]
  • Wilmoth MC. The aftermath of breast cancer: An altered sexual self. Cancer Nurs 2001; 24: 278-286. (PMID: 11502036) [CrossRef]
  • Begovic-Juhant A, Chmielewski BA, Iwuagwu S, Chapman LA. Impact of body image on depression and quality of life among women with breast cancer. J Psychosoc Oncol 2012; 30: 446-460. (PMID: 22747107) [CrossRef]
  • Rabin EG, Heldt E, Hirakata VN, Fleck MP. Quality of life predictors in breast cancer women. Eur J Oncol Nurs 2008; 12: 53-57. (PMID: 17884731) [CrossRef]
  • Pandey M, Sarita GP, Devi N, Thomas BC, Hussain BM, Krishnan R. Distress, anxiety, and depression in cancer patients undergoing chemotherapy. World J Surg Oncol 2006; 4: 68. (PMID: 17002797) [CrossRef]
  • Abu-Helalah M, Al-Hanaqta M, Alshraideh H, Abdulbaqi N, Hijazeen J. Quality of life and psychological well-being of breast cancer survivors in Jordan. Asian Pac J Cancer Prev 2014; 15: 5927-5936. (PMID: 25081724) [CrossRef]
  • Gardikiotis I, Manole A, Azoicăi D. Quality of life with mastectomy for breast cancer, in terms of patients’ responses of SF-36 questionnaire. Rev Med Chir Soc Med Nat Iasi 2015; 119: 529-535. (PMID: 26204663)
  • Zhang Y, Xu H, Wang T, He J, Qiao Y, Wei J, Dong J. Psychosocial predictors and outcomes of delayed breast reconstruction in mastectomized women in mainland China: An observational study. Plos One 2015; 10: e0144410. (PMID: 26641252) [CrossRef]
  • Ganesh S, Lye MS, Lau FN. Quality of life among breast cancer patients In Malaysia. Asian Pac J Cancer Prev 2016; 17: 1677-1684. (PMID: 27221837) [CrossRef]
  • DeFrank TJ, Mehta BC, Stein DK, Baker F. Body image dissatisfaction in cancer survivors. Oncol Nurs Forum 2007; 34: 625. (PMID: 17573320) [CrossRef]
  • Chow R, Pulenzas N, Zhang L, Ecclestone C, Leahey A, Hamer J, DeAngelis C, Bedard G, McDonald R, Bhatia A, Ellis J, Rakovitch E, Vuong S, Chow E, Verma S. Quality of life and symptom burden in patients with breast cancer treated with mastectomy and lumpectomy. Support Care10.5152/ejbh.2018.3875 Cancer 2016; 24: 2191-2199. (PMID: 26563182) [CrossRef]
APA ERTURHAN TÜRK K, YILMAZ M (2018). The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors. , 205 - 210. 10.5152/ejbh.2018.3875
Chicago ERTURHAN TÜRK Kübra,YILMAZ MERYEM The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors. (2018): 205 - 210. 10.5152/ejbh.2018.3875
MLA ERTURHAN TÜRK Kübra,YILMAZ MERYEM The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors. , 2018, ss.205 - 210. 10.5152/ejbh.2018.3875
AMA ERTURHAN TÜRK K,YILMAZ M The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors. . 2018; 205 - 210. 10.5152/ejbh.2018.3875
Vancouver ERTURHAN TÜRK K,YILMAZ M The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors. . 2018; 205 - 210. 10.5152/ejbh.2018.3875
IEEE ERTURHAN TÜRK K,YILMAZ M "The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors." , ss.205 - 210, 2018. 10.5152/ejbh.2018.3875
ISNAD ERTURHAN TÜRK, Kübra - YILMAZ, MERYEM. "The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors". (2018), 205-210. https://doi.org/10.5152/ejbh.2018.3875
APA ERTURHAN TÜRK K, YILMAZ M (2018). The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors. European Journal of Breast Health, 14(4), 205 - 210. 10.5152/ejbh.2018.3875
Chicago ERTURHAN TÜRK Kübra,YILMAZ MERYEM The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors. European Journal of Breast Health 14, no.4 (2018): 205 - 210. 10.5152/ejbh.2018.3875
MLA ERTURHAN TÜRK Kübra,YILMAZ MERYEM The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors. European Journal of Breast Health, vol.14, no.4, 2018, ss.205 - 210. 10.5152/ejbh.2018.3875
AMA ERTURHAN TÜRK K,YILMAZ M The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors. European Journal of Breast Health. 2018; 14(4): 205 - 210. 10.5152/ejbh.2018.3875
Vancouver ERTURHAN TÜRK K,YILMAZ M The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors. European Journal of Breast Health. 2018; 14(4): 205 - 210. 10.5152/ejbh.2018.3875
IEEE ERTURHAN TÜRK K,YILMAZ M "The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors." European Journal of Breast Health, 14, ss.205 - 210, 2018. 10.5152/ejbh.2018.3875
ISNAD ERTURHAN TÜRK, Kübra - YILMAZ, MERYEM. "The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors". European Journal of Breast Health 14/4 (2018), 205-210. https://doi.org/10.5152/ejbh.2018.3875