Efeitos da reconstrução mamária imediata sobre a qualidade de vida de mulheres mastectomizadas

Abstract

2 e Mann-Whitney, quando os dados eram paramétricos. Para análise das medidas repetidas, ao longo do tempo, foi utilizada a ANOVA e ANOVA para medidas repetidas. RESULTADOS: em todos os momentos, desde o pré-operatório, a pontuação média do Grupo M+RI foi maior que o Grupo M, principalmente nos domínios físico, psicológico, nível de independência e relações sociais. Dos seis domínios abrangidos no questionário, em três (físico, relações sociais, meio ambiente) não foram encontradas diferenças significativas. Houve melhor pontuação para o Grupo M+RI (15,5 a 14,9 no M+RI e 14,3 a 14,2 no M; p=0,04) no domínio psicológico. Observou-se redução significativa do nível de independência no primeiro mês pós-operatório em ambos os grupos, com recuperação significativa após seis meses. CONCLUSÕES: os presentes resultados sugerem que a reconstrução mamária imediata é benéfica para aspectos psicológicos da qualidade de vida, sem afetar a funcionalidade física da mulher.Abstract PURPOSE: to prospectively evaluate the effects of immediate breast reconstruction on the quality of life of women who underwent mastectomy. METHODS: 76 women that underwent mastectomy at Centro de Atenção Integral à Saúde da Mulher da Universidade Estadual de Campinas, in Campinas, São Paulo, Brazil, from August 2007 to December 2008, were included. Two groups were formed: 41 women who underwent mastectomy combined with immediate breast reconstruction (M+RI) and 35 that were subjected to mastectomy alone (M). The quality of life evaluation was assessed with the World Health Organization's questionnaire -Quality of Life (WHOQOL-100). The questionnaire was administered on three occasions: at the time of admission, one month after surgery, and again six months after surgery. The WHOQOL-100 scores were calculated according to analysis' guidelines by the World Health Organization. For comparison of the scores between groups, it was used the Student's t-test, Fisher exact test, chi-square test, and MannWhitney test. For the analysis of repeated measures over time, ANOVA and ANOVA for repeated measures were used. RESULTS: at all time points evaluated, beginning with the preoperative assessment, the average quality of life scores of the M+IR Group were higher than those of the M Group, primarily in the "physical", "psychological", "level of independence" and "social relationships" domains of the questionnaire. Of the six areas covered by the questionnaire,

Reconstrução mamária imediata versus não reconstrução pós-mastectomia: estudo sobre qualidade de vida, dor e funcionalidade

“…Similar results were found in previous studies in which there was no difference in QoL in the comparison between groups for the general 13 and specific scores of this variable, suggesting that functional postoperative adaptation that transcended the additional anatomical modifications imposed by breast reconstruction took place 33 . Our findings allow us to state that, for the sample evaluated, immediate breast reconstruction had no major impact on functionality and QoF when comparing the women who underwent it with the women who did not.…”

Quality of life and aesthetic results after mastectomy and mammary reconstruction

“…According to previous reports, the majority of women opt for this form of breast reconstruction in an attempt to lessen the negative feelings triggered by the disease and its treatment, as well as to improve self-esteem, resolve the lack of a breast, and facilitate greater freedom in clothing options. After mastectomy, the absence of the breast alters a woman's body image, potentially generating a sensation of mutilation and the loss of femininity and sensuality 23 . There are published reports demonstrating better social interaction, higher levels of professional satisfaction and fulfillment, and a lower frequency of depression at one year after surgery among women who underwent mastectomy associated with immediate reconstruction 24,25 .…”

Impact of the Effects of the Reconstructive Surgery in the Life of Women With Breast Cancer

“…As a result, women opt for reconstruction in the attempt to reduce the negative feelings triggered by the disease and its treatments, to improve self-esteem, overcome the lack of the breast and facilitate the use of their wardrobe. 10 It was observed, in some cases, that the feeling of loss and mutilation caused by the mastectomy is mitigated; and the women feel greater security and freedom for frequenting social environments. The women make it clear that it is not necessary for the breast to be exactly as it was before the surgery, and emphasize that the volume offered by the prosthesis or flap provides the women with confidence that they can use various types of clothes, including those which expose part of the new breast, without needing to worry whether the prosthesis will shift or appear, or even fall out.…”