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Yıl:2013; Cilt: 51; Sayı: 2>> Özet
TAM METİN
Yeni Symposium; 2013;51(2):91-100
Meme Cerrahisi Geçirmiş Kadınların Ruhsal Durumları ve Algıladıkları Sosyal Destek Düzeyleri
M Yıldırım, M Batmaz
Halic Universitesi, İstanbul 
Amaç: Bu çalışma meme cerrahisi geçirmiş kadınların ruhsal durumlarını ve algıladıkları sosyal destek düzeylerini incelemektedir. Yöntem: Meme kanseri tanısı konarak cerrahi tedavi geçiren ve kemoterapi ve radyoterapi almakta olan 100 hasta araştırmanın örneklemini oluşturdu. Verilerin toplanmasında araştırmacılar tarafından hazırlanan Sosyo-Demografik Veri Formu, Kısa Semptom Envanteri ve Çok Boyutlu Algılanan Sosyal Destek Ölçeği kullanıldı. Veriler, non-parametrik testler; Mann Whitney-U ve Kruskall Wallis ile değerlendirildi. Bulgular: Kadınların %63’ü meme kanseri hakkında fazla bilgi sahibi olmadıklarını belirtirken dörtte üçü meme kanseri tanısı konmadan önce düzenli meme muayenesi yapmadığını ifade etti. Total mastektomi ile me-me koruyucu cerrahi arasında ruhsal durum ve algılanan sosyal destek bakımından anlamlı bir fark bulunmadı. Kemoterapi ve radyoterapinin yan etkilerinin ruhsal durum ve algılanan sosyal destek ile ilişkili olduğu görüldü. Meme cerrahisinden ruhsal olarak etkilendiği belirlenen kadınların cinsel yaşamlarında değişiklikler yaşadığı, giyim tarzlarını değiştirdikleri ve cerrahi girişimin görünümleri üzerindeki etkisini azaltmak için silikon meme protezi kullandıkları saptandı. Tartışma ve Sonuç: Meme kanseri sebebiyle geçirilen meme cerrahisi ve beraberinde yürütülen tedavi süreçleri psikolojik problemlere neden olabileceği gibi sosyal gereksinimleri de arttırmaktadır. Bu çalışma sonucunda; örneklemi oluşturan kadınlarda ruhsal durum ve algılanan sosyal desteğin belirgin oranda etkilendiği görüldü.
The Psychological Status and the Perceived Social Support of Women Who Have Undergone Breast Surgery
Objective: This study explores the psychological status and the perceived social support of women who have undergone breast surgery. Method: The sample includes 100 women who have diagnosed with breast cancer, have surgically treated and having chemotherapy or radiation therapy. Measures used were Socioemographic Information Form which is prepared by the researchers, Brief Symptom Inventory and Multidimensional Scale of Perceived Social Support. Non-parametric tests Mann Whitney U and Kruskal Wallis were used for statistical analysis. Findings: Sixty-three percent of the women stated that they haven’t heard much information about breast cancer and three quarters did not perform breast self-examination regularly before being diagnosed. There were no significant differences between total mastectomy and breast conserving surgery in terms of psychological status and perceived social support. The side effects of chemotherapy and radiation therapy are found to be associated with the changes in psychological status and perceived social support. The women who psychologically affected from the surgery have experienced changes in their sexual life, changed their clothing styles and put silicone breast prosthesis into their bras to decrease the effects of surgery on their appearance. Discussion and Conclusions: Breast surgery due to breast cancer and ongoing treatment process may cause psychological problems and increase social demands. In the sample of this study; psychological status and perceived social support were highly affected by breast surgery.

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