| Summary: | 碩士 === 長庚大學 === 護理學系 === 99 === The purpose of this study was to investigate the effect of breast reconstruction upon anxiety, depression and body image in postmatectomy breast cancer patients. This is a longitudinal study design. It enrolled 71 sample; n=26, mastectomy only; n=22, immediate breast reconstruction; n=23, delayed reconstruction. All patients received evaluation preoperatively, one month and three months after operation. The questionnaires included personal clinical information, HADS and body image of Modified Breast-Q measures. Data was analyzed by SPSS statistical software. Results were:
1.The mastectomy group had worse body image score in post operation one and three months.There were no statistical significance in immediate reconstruction group during data collection. In the delayed reconstruction group, one month and three months after operation has better body image score than preoperative status.
2.The delayed reconstruction group has worse pre-operation body image than mastectomy group and immediate reconstruction group. Immediate and delayed reconstruction groups have better body image than mastectomy group at three months after operation.
3.The ratio of anxiety for the mastectomy group, immediate reconstruction and delayed reconstruction groups was 26.9%, 22.7% and 13% respectively. The depression ratio was 26.9%, 13.6% and 4.3% respectively.
4.The immediate reconstruction group has higher anxiety at pre-operation than three months after operation. The delayed reconstruction group higher anxiety at pre-operation than at one and three months after operation. The delayed reconstruction group had lower depression at three months after operation than at pre-operation.
5.The delayed reconstruction group had lower depression than mastectomy group at one month after operation.
6.The mastectomy group, had higher concerned about disease progress at pre-operation than one and three months after operation. The delayed group, had higher concerned about the anesthesia and pain problem at pre-operation than one and three months after operation.
7.In the mastectomy group, education was associated with the body image. In immediate reconstruction group, religion was associated with the body image. In the delayed reconstruction group, adjuvant therapy was associated with the body image.
8.In immediate reconstruction group, education and adjuvant therapy were associated with the anxiety. In the delayed reconstruction group, marital status and employment were associated with the anxiety.
9.Anxiety, depression and body image were negative correlated in there samples.
Overall, mastectomy had negative impact on body image and psychological effects. The immediate reconstruction could reduce the impact on body image and psychological reaction. The delayed reconstruction could regain self-confidence and improve negative emotions of the women after mastectomy. Therefore, more psychological support could be provided and to promote the level of body image for the mastectomy women.
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