乳腺癌患者术后自我形象紊乱与重建需求调查及护理干预  

The Analysis of Self-image Disorder and Its Reconstructions after Mammary Cancer Surgery and Nursing Intervention

作　　者：林慧[1] 刘孟丽[1] 付斌[1] 

机构地区：[1]中国人民解放军广州军区武汉总医院中西医结合科,湖北武汉430070

出　　处：《护理学报》2007年第6期23-24,共2页Journal of Nursing（China）

摘　　要：目的了解乳腺癌患者手术后自我形象紊乱的发生率,探讨重建自我形象的有效护理对策。方法对90例乳腺癌术后患者进行资料收集和问卷调查患者术后自我形象紊乱的发生情况。把不同年龄、学历、职业、医疗付费方式、手术方式的患者发生自我形象紊乱和重建需求情况进行比较,针对不同患者的特点进行有效的护理干预。结果学历较高、年龄较小、职业是干部、公费付费方式的患者,自我形象紊乱发生率和重建需求率较高。结论自我形象紊乱和重建需求在乳房切除患者中发生率较高,应给予充分重视和相应的护理干预,使患者恢复自信心,重建自我形象。Objective To analyze the incidence rate of self-image disorder （SID） after mammary cancer surgery and find out effectual nursing intervention in order to reconstruct patient＇s self-image. Methods Data of ninety patients with mammary cancer were collected and investigation was done about the incidence rate after surgery with questionnaire. Different ages, education, occupation, methods of payment of pees and surgical methods of patients with SID were compared with their needs for reconstruction. Then nursing intervention was given aiming at the patient＇s features. Results Younger cadre well-educated patients having access to free medical fee had higher rate of SID and higher needs for reconstruction. Conclusion SID incidence rate and needs for reconstructions are higher among the patients with mammary cancer surgery, which deserves full attention and pertinent nursing intervention so that they resume to their confidence and reconstruct their self-image.

关 键 词：乳腺癌 乳房切除术 自我形象紊乱 自我形象重建 需求 

分 类 号：R737.9[医药卫生—肿瘤]