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Mastektomiopererade kvinnors sexuella hälsa: En litteraturöversikt
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Mastectomy women's sexual health : A literature review (English)
Abstract [sv]

Bakgrund:Bröstcancer är den vanligaste cancerdiagnosen hos kvinnor i Sverige. En behandling går ut på att operera bort hela eller delar av det sjuka bröstet. Behandlingen har många gånger sekundär verkan på individens sexuella hälsa. 

Syfte:Att beskriva bröstcancerdrabbade kvinnors sexuella hälsa efter utförd mastektomi.

Metod:En litteraturöversikt av åtta kvalitativa artiklar genomfördes. Analysen skede enligt Fribergs trestegsmodell. 

Resultat:Det finns variationer i den upplevda sexuella hälsan hos kvinnor efter utförd mastektomi. Vissa kvinnor känner nedsatt sexuella hälsa på grund av att det är svårt att acceptera de kroppsfärändringar mastektomin inneburit. Andra upplever inte att kroppsförändringen har påverkat den sexuella hälsan. Erfarenheter av ett förändrat sexuellt självförtroende uppkommer, det är efter genomgången mastektomi mer av betydelse med närhet, kyssar och kramar som i sig ger tillfredsställelse. Andra har svårt att känna lust och är rädda för att bli avisade vid sexuell kontakt. Kvinnor som uppger att de tappat bort sin sexuella identitet i samband med mastektomin uppgav en sämre sexuell hälsa än de tidigare haft. God information från vårdpersonal och ett gott stöd från partner bidrog till god sexuell hälsa. 

Slutsatser:God information och rimliga förväntningar preoperativt i kombination med delaktig partner har god effekt på sexuell hälsa efter utförd mastektomi.

Abstract [en]

Background: Breast cancer is the most common cancer diagnosis in women in Sweden. One treatment method involves eliminating all or part of the diseased breast. The treatment often has secondary effects on the individual's sexual health.

Aim: To describe women affected by breast cancer’s sexual health after performing mastectomy.

Method: A literature review of eight qualitative studies was performed. The analysis was conducted according to Friberg ́s three-step model.

Result: There are variations in the perceived sexual health of women after performed mastectomy. Some women experience impaired sexual health because of difficulty to accept the bodily changes their mastectomy has led to. Others do not experience that their bodily changes have affected their sexual health. Experiences of a changed sexual self-confidence arise; it is more important with closeness, kissing and hugging after the mastectomy, which gives satisfaction. Others have difficulty experiencing feelings of desire and are afraid of rejection at sexual contact. Women who stated that they have lost their sexual identity in connection with mastectomy reported a worse sexual health than they had previously. Good information from healthcare professionals and good support from partners contributed to good sexual health.

Conclusions: Good information and reasonable expectations pre-surgery in combination with a participant partner have a good effect on sexual health after performing a mastectomy.

Place, publisher, year, edition, pages
2019. , p. 21
Keywords [en]
Breast Neoplasm, mastectomy, sexual health, sexuality, sexual wellbeing and experience
Keywords [sv]
Bröst neoplasm, mastektomi, sexuell hälsa, sexualitet, sexuellt välbefinnande och upplevelse
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-42650ISRN: JU-HHJ-OMA-1-20190409OAI: oai:DiVA.org:hj-42650DiVA, id: diva2:1279124
Subject / course
HHJ, Nursing Science
Supervisors
Examiners
Available from: 2019-01-18 Created: 2019-01-15 Last updated: 2019-01-18Bibliographically approved

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