Sexualidade e qualidade de vida da mulher submetida à mastectomia / Sexuality and quality of life of women submitted to mastectomy

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

Breast cancer is the second most malign neoplasm among the worlds female population and influences the morbidity and mortality rates. This disease, many times associated to the necessity of mastectomy, provokes an impact on womens lives, regarding personal and family issues, related mainly to quality of life and sexuality. This is a transversal, hospital-based study aimed at evaluating the relationship between mastectomy, sexuality and womens quality of life. The research was carried out in a university hospital located in the City of São Paulo. The population of this study was composed of 100 women (N) who had breast cancer and underwent mastectomy. Data collection was carried out using a structured form, composed of sociodemographical data related to women and their partners, the items from "Medical Outcomes Study 36-item Short-Form Health Survey (SF-36)" and the "Sexual Quotient - Female Version (QS-F)". The data were introduced into the Epi Info database and analyzed in the statistical program Statistical Package for Social Sciences (SPSS) for Windows. The description of the population sample was carried out by the use of absolute and relative frequency, media, median, standard deviation and maximum and minimum values. For the analysis of correlation between the QS-F and quality of life scores, the Spearman Coefficient Correlation, was utilized for the analysis of quantitative variables. The comparison of the QS-F media according to the women and their partners´ characteristics, the disease/treatment was performed by using the Mann-Whitney Test. All the analyses with results p<0,05 were considered with statistical meaning. The womens average age was 51 years, the average years of study was 7,8 years, the major part (65%) was Catholic, with children (88%), a permanent spouse (68%) at the moment of the surgery. As for the disease, 63% have not had an advanced phase of the tumor and, in relation to the treatments, 75% have not undergone breast reconstruction, 85% have undergone chemotherapy, 68% radiotherapy and 66% hormontherapy. More than half of the women (58%) did not have sexual intercourse and among women who were having sexual intercourse, the major part (64,3%) was suffering with some kind of sexual dysfunction. In relation to the quality of life, the better scores were related to the social aspects, mental health, general heath conditions, functional capacity and vitality. There was a statistically significant association (p <0,05) between the sexuality score and womens educational background, the partners age and the scores related to the functional capacity, vitality, emotional related limitations and mental health. The mastectomy interferes in the sexual function and quality of life and the characteristics of this interference must be considered in the womens care planning in order to promote an integral and personalized care

ASSUNTO(S)

men sexualidade mastectomia serviços de saúde da mulher sexuality women homens mulheres neoplasias mamárias quality of life qualidade de vida women s health services breast neoplasm s

ACESSO AO ARTIGO

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