Assessment of self-esteem in women with breast cancer treated with mastectomy
PO-1183
Abstract
Assessment of self-esteem in women with breast cancer treated with mastectomy
Authors: souhir khemiri1, Rim Trigui2, Wala Ben Kridis3, Nabil Toumi4, Afef Khanfir5
1CHU Habib Bourguiba, medical oncology, sfax, Tunisia; 2CHU Habib Bourguiba, medical oncology, Sfax, Tunisia; 3cHu Habib Bourguiba, medical oncology, Sfax, Tunisia; 4CHU Habib Bourguiba, medical oncology, Sfax , Tunisia; 5Chu Habib Bourguiba , Medical oncology, Sfax , Tunisia
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Purpose or Objective
Assessing
self-esteem in cancer patients constitutes an important part of the
psychological management of such patients. It will improve their quality of
life. The objective of our study is to assess self-esteem in cancer patients
treated with a mastectomy.
Material and Methods
Cooper
Smith's Self-Esteem Questionnaire was asked to 55 patients between August 2020
and December 2020. The patients were treated with mastectomy for breast cancer.
The questionnaire contains 50 questions: 26 questions for general self-esteem,
8 questions for social self-esteem, 8 questions for family self-esteem and 8
questions for professional self-esteem (only for the 39 working patients). The answer to every question was predefined:
a positive or a negative answer. The scoring of the test was as follows: for
the positive answer: 0 point for "being like me" and 1 point for
"not being like me" and vice versa for the negative answer. Then the
total score was calculated. Self-esteem was considered low if the score was
below 32 and 40 respectively for non-working and working women.
Results
The
majority of patients (37 patients) were over 45 years of age. All patients
received chemotherapy and/or radiotherapy. Forty-one patients were married.
Thirty-nine patients (71%) were non-working. Thirty seven patients had a psychological
support by their families. The delay of
mastectomy was less than 2 years in 35 patients (63%). There were no
significant differences in self-esteem between married and unmarried women .For
non-working women, the median score of self-esteem was 25[15-41] for
non-working women and 41.5[26-4] for working women. Self-esteem was low in 32
(82%) non-working women and in 3 (18.75%) working women. Self-esteem was better
in working women (p<0.001). Self-esteem was better in patients who had
psychological support by their families. It was better in patients who had the
mastectomy more than 10 years ago.
Conclusion
The
self-esteem of our patients treated by mastectomy is poor. We should insist on
the necessity of psychological care for such patients.