Abstract：
The psycho-emotional status of women after radical surgery for breast cancer was assessed. The international questionnaire FACT-G and module FACT-B module were applied to investigate life quality of 186 women under dispensary monitoring concerning breast cancer of stage I-II. The respondents were aged 30-40, 41-50, 51-60, 61-70 and 71 years and older. In women who underwent radical surgery for breast cancer, psycho-emotional status is manifested most vividly as compared with other perceptions in the postoperative period and decreases quality of life. The overwhelming majority of women with breast removal experiences feeling of inferiority and depression, despair, fear of health deterioration and death that increase with age. The percentage of women satisfied with their coping with illness is 64.8% among 30-41 years old, 45.8% among 51-60 years old and 4.2% among 70 years and older. The impact of stress on disease is most felt in women of 51-60 years old (63,6%) and 61-70 years old (58,8%). No reliable differences in level of emotional condition of urban and rural respondents was established. The attitude of women to methods of postoperative correction through formation of breast lost depends on their age, place of residence, level of education. More than 60% of respondents under age of 50 years consider solution of aesthetic problem in endoprosthesis replacement with implants. Among respondents aged 51-60 years, 25.0% preferred simultaneous mastectomy and breast reconstruction and 10.1% - breast plastic surgery. The endoprosthesis replacement is more often resorted by women older 60 years and rural residents. The choice of mode of breast correction often depends on financial possibilities of patients. The study of quality of life of women with post-mastectomy syndrome is valuable component of integrated approach to dispensary monitoring that individualizes rehabilitation measures. The effectiveness of psychological rehabilitation of women requires involvement of clinical psychologists and medical social services.
摘要：
评估了乳腺癌根治术后女性的心理情绪状况。采用国际问卷FACT-G和模块FACT-B模块，对186名接受I-II期乳腺癌药房监测的妇女的生活质量进行了调查。受访者的年龄分别为30-40岁、41-50岁、51-60岁、61-70岁和71岁及以上。在接受乳腺癌根治术的女性中，与术后其他观念相比，心理情绪状态表现得最生动，并降低了生活质量。绝大多数切除乳房的女性会感到自卑和沮丧，绝望,对健康恶化和死亡的恐惧随着年龄的增长而增加。在30-41岁的妇女中，对疾病的应对满意的比例为64.8%，51-60岁占45.8%，70岁及以上占4.2%。压力对疾病的影响在51-60岁（63,6％）和61-70岁（58,8％）的女性中最为明显。没有建立城乡受访者情绪状况水平的可靠差异。妇女对通过乳房丢失形成的术后矫正方法的态度取决于她们的年龄，居住地,教育水平。超过60％的50岁以下的受访者认为解决植入物内假体置换中的美学问题。在51-60岁的受访者中，25.0％的人首选同时进行乳房切除术和乳房再造，而10.1％的人首选乳房整形手术。内假体置换更常由60岁以上的女性和农村居民使用。乳房矫正模式的选择通常取决于患者的经济可能性。对乳房切除术后综合征妇女的生活质量的研究是个性化康复措施的药房监测综合方法的宝贵组成部分。妇女心理康复的有效性需要临床心理学家和医疗社会服务的参与。
