乳腺癌改良根治术后患者病耻感的调查研究

目的：调查乳腺癌改良根治术后患者的病耻感感知状况。方法：采用连续抽样，运用Link的病耻感量表的贬低-歧视感分量表对某病房乳腺癌改良根治术后的127例患者进行调查。结果：乳腺癌改良根治术后患者的贬低-歧视感知得分为（2.62±0.51）分，此结果与量表中点（2.50±0.38）分比较，差异有统计学意义（P〈0.01）。不同的年龄段、婚姻、职业、文化程度的患者，其病耻感差异均有统计学意义（P〈0.01）。结论：乳腺癌改良根治术后严重破坏和影响乳腺癌患者的女性角色和身份，使其内心受歧视感知增强，产生病耻感，影响生活质量；护理人员要采取积极对策，进而提高乳腺癌根治术后患者的生活质量。

Investigation of the Illness Stigma after Breast Modified Radical Mastectomy

Objective：To investigate the illness stigma from the patients after breast modified radical mastectomy. Method：By continuous sampling,127 patients after breast modified radical mastectomy were selected. They were investigated with the Perceived Devaluation-Discrimination Scal in the Link Stigma Scal.Result：The stigma score of patients after breast modified radical mastectomy was（2.62±0.51）,this result compared with the scale midpoint of （2.50±0.38）,the difference was statistically significant（P〈0.01）. Different age,marriage,occupation,educational level,there was a statistically significant difference of stigma（P〈0.01）.Conclusion：Breast modified radical mastectomy damages and affects the role and identity of women with breast cancer seriously,lets the perception of discrimination reinforce,produces illness stigma,impact quality of life. Nurses should take active countermeasures,and to improve the quality of life of patients after Breast modified radical mastectomy.