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유방절제술 환자와 유방보존술 환자의 수술 후 삶의 질과 성생활의 변화

 A comparision of Quality of life and sexulity between the patients with Mastectomy and those with breast conservative operation

성인간호학회지 1996년 8권 1호 p.142 ~ 155
KMID : 0367019960080010142
전명희 (  ) - 대전대학교 한의과대학 간호학과

조은영 (  ) - 서울대학교 간호대학
김용옥 (  ) - 서울대학교병원 치료방사선과

Abstract

This study is to grasp the changes in the quality of fife and the sexuality of the patients who, had mastectomy or breast conservative operation. Also we observed these changes according to the type of surgery and period of the treatment.
Since February 1993, 18 mastectomy patients and 10 breast conservative patients were observed for 8 months from the begining of radiation therapy until 6 month after the completion of radiation therapy.
The results can be summarized as follows :
1. The score of quality of life was higher in the patients who received mastectomy than the patientswho received breast conservative operation but it was not significant. The change of the quality of life according to the period of treatment was also not significant.
2. In both groups, the score of sexual life and the frequency of sexual coitus were shown the lowest at the period of the completion of radiation therapy, and after that period those scores significantly increased.
3. The patients with breast conservative operation showed a somewhat better score than those with mastectomy in terms of the score of sexual life, frequency of sexual coitus and difficulties of sexual life.
These results imply that a close attention should be paid to whether the patients who have undergone breast cancer surgery have sexual and emotional difficulties. And the quality of life and the sexual life are not determined by the size of the remained breast but by other factors : the diagnosis of cancer and the em )tonal causes.
KeyWords
삶의 질, 성생활, 유방절제술, 유방보존술
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학술진흥재단(KCI) KoreaMed