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유방 절제술 후의 질병관련 스트레스

 Disease Related Stress Experienced by women with Mastectomy : Q Methodology

여성건강간호학회지 2003년 9권 4호 p.379 ~ 389
KMID : 0606420030090040379
김남초 ( Kim Nam-Cho ) - 가톨릭대학교 간호대학

김희승 ( Kim Hee-Seung ) - 가톨릭대학교 간호대학
유양숙 ( Yoo Yang-Sook ) - 가톨릭대학교 간호대학
용진선 ( Yong Jin-Sun ) - 가톨릭대학교 간호대학
송민선 ( Song Min-Sun ) - 성빈센트병원

Abstract

PURPOSE: To identify the type of disease- related stress experienced by women who received mastectomy for breast cancer using Q methodology.

METHOD: Q sample included 30 statements obtained from literature and interviews with women with mastectomy. P sample consisted of 22 patients with mastectomy. The data were collected from November to December 2002 and analyzed using QUANL program.

RESULT: Four types of disease-related stress experienced by women with mastectomy were found. Type 1 was manifested for a short duration following surgery and characterized by lowered self-esteem, feelings of emptiness and depression because of impaired body image. Type 2 was characterized by declined physical strength, resulting in frequent fatigue in the daily life and less intimate relationship with spouse. Type 3 was manifested by perfectionists with strong sense of self-pride who received or considered breast reconstruction surgery. Type 4 was reported by those who had long period of post-surgery. This type reported a strong sense of discomfort for wearing an artificial breast but didn’t show any intention of trying breast reconstruction surgery.

CONCLUSION: Women with mastectomy were found to experience different type of disease-related distress. Therefore, nurses should assess the type of stress the patient experiences following a mastectomy to provide appropriate nursing care.
KeyWords
유방절제술, 스트레스, Q-방법
Post mastectomy, Stress, Q-method
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학술진흥재단(KCI) KoreaMed