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Livskvalitet och kroppsuppfattning hos kvinnor som genomgått mastektomi: En kvantitativ tvärsnittsstudie
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2015 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Vanligaste behandlingsformen för bröstcancer är kirurgi, där ibland hela bröstet tas bort (mastektomi). Ibland görs bröstrekonstruktion efter mastektomi. Tidigare studier visar att mastektomi kan ha negativ inverkan på kvinnors livskvalitet och kroppsuppfattning. Syfte: Syftet var att undersöka hur kvinnor som genomgått mastektomi skattar sin livskvalitet och kroppsuppfattning, samt om samband kan ses mellan dessa. Syftet var även att beskriva om det finns skillnader i livskvalitet och kroppsuppfattning mellan kvinnor som genomgått mastektomi med eller utan bröstrekonstruktion. Metod: En kvantitativ tvärsnittsstudie använts. Enkäter skickades till samtliga (975) kvinnor som inom en treårsperiod genomgått mastektomi i Uppsala, Gävle eller Falun. Livskvalitet och kroppsuppfattning mättes med de standardiserade frågeformulären Life Satisfaction Questionnaire och Body Image Scale. Enkätdatan sammanställdes i statistikprogrammet SPSS och analyserades med deskriptiv statistik, Spearmans rangkorrelation och Mann-Witney U-test.

Resultat: Medianvärdet för kvinnornas livskvalitet var 76,5 på en skala 0 till 100, högre värde representerar mer positiv livskvalitet. Medianvärdet för kroppsuppfattning var 7 på en skala 0 till 30, lägre värde representerar mer positiv kroppsuppfattning. Ett moderat samband påvisades mellan skattningen av livskvalitet och kroppsuppfattning. Ju högre livskvalitet desto bättre kroppsuppfattning. Ingen signifikant skillnad kunde påvisas i livskvalitet eller kroppsuppfattning mellan kvinnor som genomgått och inte genomgått rekonstruktion.   Slutsats: Livkvalitet och kroppsuppfattning skattades högt och det fanns ett samband mellan bättre livskvalitet och mer positiv kroppsuppfattning. Rekonstruktion kunde inte visas spela någon avgörande roll i hur kvinnorna skattade sin livskvalitet och kroppsuppfattning. Mer forskning behövs för att identifiera eventuella andra faktorer som kan påverka detta.

Abstract [en]

Background: The most common treatment for breast cancer is surgery, sometimes the entire breast is removed (mastectomy) and sometimes reconstruction is done. Mastectomy can have negative impact on women´s quality of life and body image.

 

Objective: The aim was to explore how women that underwent mastectomy rate their quality of life and body image, and if a correlation exists between these. The aim was also to explore if differences exists in quality of life and body image, between women who underwent reconstruction after their mastectomy or not.

 

Methods: A quantitative cross-sectional study was used, surveys were sent out to 975 women in Uppsala, Gävle and Falun. The Life Satisfaction Questionnaire and Body Image Scale were used to measure quality of life and body image. Data were analyzed with descriptive statistics, Spearman’s rank correlation and Mann-Whitney U-test.

 

Results: Median value for women’s quality of life was 76.5 on a 0-100 scale, the higher value the higher quality of life. Median value for women’s body image was 7 on a 0-30 scale, the lower value showed more positive body image. A moderate correlation was found between quality of life and body image. No significant differences existed in quality of life and body image between women that underwent reconstruction or not.

 

Conclusions: Quality of life and body image were rated high and a correlation between better quality of life and body image was demonstrated. Reconstruction did not seem to have a crucial role in how the women rated their quality of life and body image, more studies are necessary to identify if there is other factors that affect this more.

Place, publisher, year, edition, pages
2015. , 25 p.
Keyword [en]
Breast cancer, quality of life, body image, mastectomy, reconstruction
Keyword [sv]
Bröstcancer, livskvalitet, kroppsuppfattning, mastektomi, rekonstruktion
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-241776OAI: oai:DiVA.org:uu-241776DiVA: diva2:781505
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2015-01-19 Created: 2015-01-16 Last updated: 2015-01-19Bibliographically approved

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