乳癌術後婦女身體心像與憂鬱傾向關係之研究

The Relationship Between Body Image and Depressed Tendency in Women With Postmastectomy Breast Cancer

陳紀伃(Chi-Yu Chen)

指導教授 ： 黃惠滿

長榮大學/健康科學學院/護理學系(所)/碩士(2016年)

摘要

背景：乳癌是女性最常見的癌症。隨醫療科技進步及篩檢防治推行，乳癌婦女的存活率大幅提升。乳癌婦女在接受手術後會因其身體結構改變而影響心理適應，因此需要護理人員加以關注。
目的：探討乳癌術後婦女的身體心像、憂鬱傾向及其關係。
方法：採橫斷式量性研究設計，以方便取樣方式，選取南臺灣某區域教學醫院90位接受乳癌手術後一個月之門診及住院婦女。以「身體心像量表」、「流行病學研究中心憂鬱量表」及「基本屬性問卷」收集資料。
結果：(1)有九成乳癌術後婦女出現負向的身體心像感受，約四成有憂鬱傾向。(2)不同經濟狀況的乳癌術後婦女在「私密的身體」層面的身體心像上有顯著差異；罹病年限2-5年較低於2年者在「社會的身體」層面的身體心像上有顯著負向感受。(3)不同經濟狀況的乳癌術後婦女在憂鬱傾向上有顯著差異。(4)「完整的身體」、「私密的身體」、「社會的身體」三層面的身體心像分別與憂鬱傾向呈顯著正相關。(5)身體心像、經濟狀況為憂鬱傾向的預測因子，可解釋總變異量17.9%，而身體心像為顯著預測因子。
結論/實務運用:結果可協助護理人員了解乳癌術後婦女的身體心像越負向時其憂鬱傾向越嚴重。護理人員應及早協助乳癌術後婦女適應其身體心像的改變以降低憂鬱情緒。

關鍵字

乳癌術後婦女 ； 身體心像 ； 憂鬱傾向

並列摘要

Background: breast cancer is the most common cancer in women. Advances in medical technology and increased screening prevention have resulted in a significant increase in the survival rate of women with breast cancer. However, post-surgical breast cancer patients often experience changes in their psychological adaption due to changes to their body structures, thus warranting increased care and attention from nursing personnel.
Purpose: to investigate the correlation between body image and depression tendencies in women with post-mastectomy breast cancer.
Method: a cross-sectional quantitative study design was employed to aid in sampling. 90 outpatient and inpatient women from a district teaching hospital in Southern Taiwan who have received breast cancer surgery a month prior were chosen as subjects. Data were collected with the body image scale, Center for Epidemiologic Studies-Depression scale (CES-D) and a basic information questionnaire.
Results: (1) 90% of the post-mastectomy women developed negative body image perception and about 40% had depression tendencies. (2) Post-mastectomy women from different economic status had significant differences on the “private body” level of body image. Patients with 2-5 years of disease progression had a significantly more negative perception on the “social body” level body image than patients with less than 2 years disease progression. (3) Post-mastectomy women with different economic status had significant differences in depression tendencies. (4) The depression tendency correlates positively with the following three body image levels: “complete body”, “private body” and “social body”. (5) Body image and economic status were predictors for depression tendencies, the total variance explained was 17.9%; body image was the significant predictor.
Conclusion/practical application: the results of our study may assist the nursing personnel in understanding that the more negative women with breast cancer felt about their body images, the more severe is the depression tendency. Nursing personnel should assist post-mastectomy women in adapting to changes in their body images and offer aids to reduce depression

並列關鍵字

post-mastectomy women ； body image ； depression

參考文獻

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