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研究生: 彭心怡
Peng, Hsin-Yi
論文名稱: 乳癌術後重建手術對患者身體心像與性生活滿意度之影響
Effects of Breast Reconstruction Surgery on Breast Cancer Patients’ Body Image and Sexuality Satisfaction
指導教授: 張鳳琴
Chang, Fong-Ching
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2017
畢業學年度: 105
語文別: 中文
論文頁數: 77
中文關鍵詞: 乳癌患者乳房重建手術身體心像性生活滿意度
英文關鍵詞: Breast cancer, patient, breast reconstruction surgery, body image, sexuality satisfaction
DOI URL: https://doi.org/10.6345/NTNU202202960
論文種類: 學術論文
相關次數: 點閱:172下載:18
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  • 摘要
    本研究採前、後測研究設計,針對乳癌患者探討乳房重建手術對乳癌術後患者身體心像與性生活滿意度之影響。研究對象為北區某醫學中心經醫師診斷為乳癌之患者,實驗組為乳房全切除術後有進行乳房重建手術之患者15位,對照組為乳房全切除術後未進行乳房重建手術患者15位參與研究。資料收集採自填問卷方式,研究對象於術前、術後兩個月進行身體心像與性生活滿意度調查。本研究結果發現乳房重建手術對於乳癌患者身體心像的維持有正面的效果,而乳房重建手術對於乳癌患者的性生活滿意度無顯著的影響。建議臨床治療單位可以將重建手術列入乳癌治療建議的項目,以維持乳癌患者良好的身體心像感受。

    Abstract

    This study examined the effects of breast reconstruction surgery on body image and sexuality satisfaction of breast cancer patients. Participants included 30 patients with breast cancer from a medical center of the Northern Taiwan. A total of 15 patients enrolled in the experimental group received breast reconstruction surgery after total mastectomy, while 15 patients enrolled in the control group did not received breast reconstruction surgery after total mastectomy. Participant patients completed a self-administered questionnaire before and after the surgery. The results indicated that breast reconstruction surgery had positive effect on maintaining patients’ body image, while breast reconstruction surgery had no significant effect on patients’ sexuality satisfaction. It is suggested that breast reconstruction treatment options should be included in breast cancer patients’ treatment plan to restore their body image.

    目次 誌謝 I 摘要 II 目次 IV 表格目錄 VII 圖目錄 VIII 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 4 第三節 研究問題 5 第四節 研究假設 5 第五節 名詞界定 5 第六節 研究限制 6 第二章 文獻探討 8 第一節 乳癌盛行率及其治療現況 8 第二節 乳癌患者身體心像相關研究 21 第三節 乳癌患者性生活之相關研究 23 第四節 乳房重建手術對身體心像與性生活的影響 29 第三章 研究方法 34 第五節 研究方法與架構 34 第六節 研究設計 35 第七節 研究對象 36 第八節 研究工具 36 第九節 研究的倫理考量 40 第十節 研究步驟 41 第十一節 研究資料處理與統計分析 42 第四章 研究結果 45 第十二節 研究對象基本屬性與疾病特性的描述 45 第十三節 研究對象身體心像與性生活滿意度的分佈 51 第十四節 乳房重建手術對身體心像與性生活滿意度的影響 57 第五章 討論 59 第六章 結論與建議 62 第一節 結論 62 第二節 建議 62 參考文獻 64 附錄 問卷內容效度考驗專家名單 77

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