Hälsorelaterad livskvalitet och psykosocial situation hos kvinnor som genomgått mastektomi med eller utan rekonstruktion
MastectomyReconstructionQuality of lifePsychosocial healthBreast cancerMastektomiRekonstruktionLivskvalitetPsykosocial hälsaBröstcancer
Abstract? Background: ?Breast?cancer is the?most?common cancer for?women,?with?over 8000?of?cancer?cases?per?year.?Surgery?is the?most?common form?of?treatment. Basis?of?illness?and?the?loss?of?a?breast?can?be a?big?trauma for the?individual?and?affect?many?aspects.?Aim: The?aim?of?this?study?was?to?investigate?health-related?quality?of?life?and?psychosocial?situation and the?need?for support and?care?for?women?who?undergone?a?mastectomy?with?or?without?reconstruction.?Method: The?study?design?was?a?descriptive?study?with?qualitative?approach.?The?selection?was?strategically?consisting?of?the?eight?women?from?five?cities?which?had?undergone?mastectomy?with?or?without?reconstruction. The?interviews?were?semi-structured?individual?that?analyzed?using? content?analysis.?Results:All?of?the?women?felt?that?the?body?changed?after?the?mastectomy.? Feelings?of?insecurity?and?discomfort?were?common.?Among?those?who?underwent?reconstruction?were?all?dissatisfied?with?the?results. The?quality?of?life?was?under the?influence?of?individual?plan in terms?of?reduced?strength?and?altered?personality.?Two?of?the women? experienced?a?more?active?and?enriched?lifestyle,?despite?unsatisfactory?reconstructions. The?psychosocial?health?was?perceived?to?have?been?adversely?affected?and the?main?support? came?from the?women's?relatives.?Desire for an increased deal of support from health care emerged.?A good treatment and the opportunity for courses about state of disease where a positive experiences of care.?The negative perceptions revolved around lack of time, stress, complications and impersonal encounters with hospital staff.?Conclusion: The?women?in?this? study?seek?more?supportand?knowledge.?Personalized?care?where?good?communication?and?good?treatment?is the?foundation, should?be?implemented.?? ?