乳房手術患者術後兩週內之症狀困擾、身體心像、生活品質之探討

Abstract Title of Thesis：Symptom Distress, Body Image and Quality of Life in Breast Cancer Patient Receiving Surgery. Institution：Graduate Institution of Nursing, Taipei Medical University Author：Chu-Chun Wang Thesis directed by：Yeur-Hur Lai professor Breast cancer is the most common cancer among female. The adverse effect of post breast cancer treatment has great impact on patient’s physiological, psychological, social, and spiritual aspect. This study investigates patient’s symptomatic distress, body image, shoulder motion, and quality of life in acute recovery stage (i.e. 2 weeks duration) of post breast surgery. This study is based on longitudinal study where questionnaire were given to patients on pre operation day, operation day to post operation day 5 respectively, and 2 weeks post operation. Thirty patients were enrolled in the study. Overall eight entered data were gathered for each patient. Pre-operation revealed psycho-physical distress such as anxiety, depression, and sleep disturbance. The distress was mainly contributed by breast cancer itself and uncertainty of operation. In post operation, patients emphasized on surgical pain and limited upper extremities range of motion. Psychological distress showed decline in post operation. Breast surgery affected patients’ symptomatic distress, body image, shoulder motion, and quality of life. However, patient usually showed significant improvement post two weeks from surgery. Study suggested that medical staff should not only focus on disease management itself but also patient’s psychological and social needs. Clarify patient’s query of disease and treatment plan will improve patient’s compliance to the future treatment, early post operation recovery, and increase in overall quality of life. Key word： Breast cancer, physical distress, psychological distress, body image, shoulder motion, quality of life.