The Impact of Body Image and Self-Perceived Physical Ability on the Well-Being after Mastectomy without ReconstructionIoannis Gardikiotis1, Doina Azoicăi1, Marian Popa2, Alina Mihaela Manole1* and Magdalena Iorga1
- *Corresponding Author:
- Alina Mihaela Manole
Department of Preventive Medicine
and Interdisciplinarity, Faculty of Medicine "Grigore T. Popa"
University of Medicine and Pharmacy Iași
Str. Universitatii, No 16, 700115 Iasi, Romania
Tel: +40 (0) 232-30-16-15
E-mail: [email protected]
Received Date: September 29, 2015 Accepted Date: November 24, 2015 Published Date: December 01, 2015
Citation: Gardikiotis I, Azoicăi D, Popa M, Manole AM, Iorga M. The Impact of Body Image and Self-Perceived Physical Ability on the Well-Being after Mastectomy without Reconstruction. Journal of Surgery [Jurnalul de chirurgie]. 2015; 11(4): 143-149 DOI:10.7438/1584-9341-11-4-5
Copyright: © 2015 Gardikiotis I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Mastectomy has well-known effects on both physical health status of the patients as well as on their mental life (self-image, daily activities, social integration, lifestyle, etc.). The aim of this study was to identify the physical and psychological factors associated with post-mastectomy distress.
Material and Methods: Thirty-one women aged 39 to 69 years old (mean age 57 +/- 7.85 years old) who underwent surgery for tumour excision responded to questionnaires on their current physical and psychological well-being following surgery. 83.33% of the patients underwent mastectomy, 10% lumpectomy, and 6.67% both interventions. Age at the time of surgery ranged from 33 to 67 years old (mean 48.30 +/- 7.54). Fifty percent of the patients had no family cancer history, 30% had a family cancer history, and 16.67% were not aware of their family antecedents.
Results: Over half of the women were satisfied with their arm and trunk mobility and the ability to perform strenuous or prolonged exercise; 60% of patients were satisfied and very satisfied with the postoperative scar. 78.56% feel comfortable when making short trips (weekend). A higher depression score was identified in patients who received chemotherapy compared to those who received hormonotherapy, radiation therapy or targeted therapy.
Conclusions: The quality of life of mastectomized patients is influenced by the level of satisfaction with body image, perceived physical state, and independence in activities of daily living, and type of therapy. The age at the time of surgery, time passed since surgery or educational level, had no influence on the quality of life.