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Para a maioria das mulheres o cancro da mama e a sua frequente amputação fomenta o desenvolvimento de consequências negativas na sua imagem corporal e, por conseguinte, na sua sexualidade. A mama está intimamente relacionada com a identidade feminina, a maturidade, a sexualidade e a maternidade, pelo que o impacto da mastectomia nas mulheres parece ser evidente, emergindo desafios para a enfermagem perioperatória. Neste sentido, elaboramos este artigo cujo principal objetivo foi integrar e analisar dados de estudos realizados, contribuindo para uma melhor compreensão da conjuntura atual e promovendo a crescente qualidade dos cuidados prestados. Para o efeito, a pesquisa foi realizada nas seguintes bases de dados: Medline com interface de pesquisa público PubMed, Cochrane Database of Sistematic Reviews, Reportório Científico de Acesso Aberto em Portugal e Cinahl; foram selecionados 6 estudos de acordo com os critérios de inclusão e exclusão definidos. Os resultados dos estudos analisados demonstram que a depreciação da imagem corporal está diretamente relacionada com a vivência da sexualidade, sendo que quanto mais mutilante for a cirurgia, maior será a depreciação da imagem corporal. Neste contexto as intervenções de enfermagem, particularmente de caráter informativo, são de extrema importância, pois facilitam os processos adaptativos.
For most women, breast cancer and the frequent amputation foster the development of a negative impact on their body image and, therefore, on their sexuality. The breast is closely related to female identity, maturity, sexuality and motherhood, so the impact of mastectomy on women seems to be clear, leading to challenges for perioperative nurses. Accordingly we produced this paper, whose main objective was to integrate and analyze data from studies, contributing to a better understanding of the current situation and promoting increased quality of care. To this end, research was undertaken using the following databases: Medline interfaced with PubMed, Cochrane Database of Systematic Reviews, Repertoire Open Access Scientific Portugal and CINAHL, from which 6 studies were selected according to defined inclusion and exclusion criteria. The results of the studies analyzed show that depreciation of body image is directly related to the experience of sexuality such that the more mutilating the surgery, the greater the decline in body image. In this context, nursing interventions, particularly informative, are of extremely important, because they facilitate adaptive processes.
For most women, breast cancer and the frequent amputation foster the development of a negative impact on their body image and, therefore, on their sexuality. The breast is closely related to female identity, maturity, sexuality and motherhood, so the impact of mastectomy on women seems to be clear, leading to challenges for perioperative nurses. Accordingly we produced this paper, whose main objective was to integrate and analyze data from studies, contributing to a better understanding of the current situation and promoting increased quality of care. To this end, research was undertaken using the following databases: Medline interfaced with PubMed, Cochrane Database of Systematic Reviews, Repertoire Open Access Scientific Portugal and CINAHL, from which 6 studies were selected according to defined inclusion and exclusion criteria. The results of the studies analyzed show that depreciation of body image is directly related to the experience of sexuality such that the more mutilating the surgery, the greater the decline in body image. In this context, nursing interventions, particularly informative, are of extremely important, because they facilitate adaptive processes.
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Mastectomia Sexualidade Imagem corporal Body image Mastectomy Sexuality