Breast reconstruction following mastectomy for breast cancer: The decisions of sexual minority women
Breast reconstruction following mastectomy for breast cancer: The decisions of sexual minority women
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DOI：
10.1097/01.prs.0000246402.79334.3b
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发表时间：
2007-02-01
影响因子：
3.6
通讯作者：
Freund, Karen M.
中科院分区：
文献类型：
--
作者：
Boehmer, Ulrike;Linde, Rhonda;Freund, Karen M.
背景：以前关于乳房切除后重建手术决策的研究没有解决性别少数女性(与女性合作的女性，以及被确认为女同性恋或双性恋的女性)的具体考虑因素。本研究的目的是探讨性少数族裔女性在做出重建手术决策时会考虑哪些问题，并了解这些女性最重要的支持者的影响力和观点。方法：通过有针对性的社区抽样招募研究参与者。作者对15名被诊断为乳腺癌后接受过乳房切除术的性少数族裔妇女和12名被这些妇女确定为最重要的支持来源的支持者进行了个人半结构式访谈。使用定性数据分析软件，对转录后的意见进行分析。通过不断比较的方法，从叙事数据中识别出与重建选择的决定、经历和满意度相关的主题。结果：决定重建或反对重建的女性的考虑植根于由她们的性别少数认同塑造的价值体系和身体形象。选择重建的妇女经历了困难和遗憾，而没有重建的妇女经过一段时间后调整得很好。性少数族裔妇女的伴侣对她们自己所实现的重建选择的满意度水平相匹配。结论：治疗性少数族裔妇女的提供者可能受益于了解对这一人群重要的问题，以提供更全面的护理。
Background: Prior research on decision-making for reconstructive surgery after mastectomy has not addressed the specific considerations of sexual minority women (women who partner with women, and lesbian or bisexual identified women). The purpose of this study is to explore which issues sexual minority women considered when making decisions on reconstructive surgery and to understand the influence and perspectives of these women's most important support persons.Methods: Study participants were recruited through targeted community-based sampling. The authors conducted individual semistructured interviews with 15 sexual minority women who had been treated with mastectomy after breast cancer diagnosis and 12 support persons who were identified by these women as their most important source of support. Using qualitative data analysis software, transcribed inter-views were analyzed. Through constant comparison methods, themes related to the decision on and experiences and satisfaction with reconstructive choice were identified from the narrative data.Results: The considerations of women who decided for or against reconstruction are rooted in a value system and body image shaped by their sexual minority identity. Women who chose reconstruction experienced difficulties and regrets, whereas women without reconstruction adjusted well after time. Partners of sexual minority women matched the level of satisfaction with reconstructive choice achieved by the women themselves.Conclusion: Providers who treat sexual minority women might benefit from knowing about issues important to this population to provide more comprehensive care.