여성건강간호학회지 (Women's Health Nursing)
- 제9권4호
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- Pages.379-389
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- 2003
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- 3022-7666(pISSN)
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- 3022-8247(eISSN)
유방 절제술 후의 질병관련 스트레스 : Q-방법
Disease Related Stress Experienced by women with Mastectomy : Q Methodology
- Kim, Nam-Choi (College of Nursing, The Catholic University) ;
- Kim, Hee-Seung (College of Nursing, The Catholic University) ;
- Yoo, Yang-Sook (College of Nursing, The Catholic University) ;
- Yong, Jin-Sun (College of Nursing, The Catholic University) ;
- Song, Mi-Sun (St. Vincent Hospital)
- 발행 : 2003.12.20
초록
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.