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När kroppen förändras- kvinnors skattade kroppsuppfattning och sexualitet efter bröstbevarande kirurgi och mastektomi
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2014 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Bröstcancer är den vanligaste cancersjukdomen bland kvinnor i Sverige. Den initiala behandlingen är huvudsakligen kirurgisk med bröstbevarande kirurgi eller mastektomi. Internationell forskning visar att kvinnor som behandlats med bröstbevarande kirurgi har bättre kroppsuppfattning och sexuell aktivitet i jämförelse med kvinnor som behandlats med mastektomi. Få studier är gjorda i Sverige rörande sexualitet och kroppsuppfattning med ett tidsperspektiv inom det första året efter ingrepp.

Syfte: Studien avsåg att undersöka skillnader av kroppsuppfattning och sexualitet över tid bland kvinnor som genomgått bröstbevarande kirurgi i jämförelse med kvinnor som behandlats med mastektomi.

Metod: En kvantitativ studiedesign med en longitudinell utformning användes. Undersökningsgruppen var kvinnor diagnostiserade med bröstcancer som behandlats med bröstbevarande kirurgi eller mastektomi på tre sjukhus i mellersta Sverige. Studien var en del av en interventionsstudie med inriktning på livskvalitet.

Resultat: Den sexuella aktiviteten förbättrades 12 månader efter ingrepp bland kvinnor som genomgått bröstbevarande kirurgi. Kvinnor som genomgått bröstbevarande kirurgi hade bättre kroppsuppfattning vid inklusion samt 12 månader efter ingrepp i jämförelse med kvinnor som behandlats med mastektomi. Det fanns samband av bättre kroppsuppfattning vid högre ålder vid inklusion samt 12 månader efter ingrepp. Det fanns även samband av bättre sexuell aktivitet vid lägre ålder under samma tidsperiod.

Slutsats: Den sexuella aktiviteten förbättras 12 månader efter behandling med bröstbevarande kirurgi. Kvinnor opererade med bröstbevarande kirurgi har bättre kroppsuppfattning strax efter ingrepp samt 12 månader efter ingrepp i jämförelse med kvinnor som genomgått mastektomi. Ålder har inverkan på kroppsuppfattning och sexuell aktivitet bland kvinnor som genomgått bröstbevarande kirurgi eller mastektomi.

Abstract [en]

Background: Breast cancer is the most common cancer disease among women in Sweden. The initial treatment is mainly surgical with breast conserving therapy or mastectomy. International research shows that women who have been treated with breast conserving therapy have a better body image and sexual activity compared to women who have been treated with mastectomy. Few studies have been done in Sweden regarding sexuality and body image with a time perspective over the first year after surgery.

Objective: The study aim at investigating differences of sexuality and body image over time between women who had undergone breast conserving therapy compared to women who had been treated with mastectomy.

Methods: A quantitative study design with a longitudinal design was used. The participants were women diagnosed with breast cancer who were treated with breast conserving therapy or mastectomy at three hospitals in the middle of Sweden. The study was part of an intervention study with focus on quality of life.

Results: The sexual activity improved 12 months after surgery among women who had undergone breast conserving therapy. Women who had undergone breast conserving therapy had a better body image at inclusion and 12 months after surgery compared to women who had been treated with mastectomy. There were correlations of a better body image at higher age at inclusion and 12 months after surgery. There were also correlations of a better sexual activity at lower age over the same period of time.

Conclusion: Sexual activity improves 12 months after treatment with breast conserving therapy. Women operated with breast conserving therapy have a better body image shortly after surgery and 12 months after surgery in comparison to women who have undergone mastectomy. Age has an impact in body image and sexual activity among women who have been treated with breast conserving therapy or mastectomy.

Place, publisher, year, edition, pages
2014. , 25 p.
Keyword [en]
Breast cancer, mastectomy, quality of life, body image, femininity.
Keyword [sv]
Bröstcancer, mastektomi, livskvalitet, kroppsuppfattning, femininitet.
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-225241OAI: oai:DiVA.org:uu-225241DiVA: diva2:720338
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2014-05-28 Created: 2014-05-28 Last updated: 2014-05-28Bibliographically approved

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