Perceived Patient Centered Communication in Breast Cancer: The Effect on Body Image disturbance

Abstract

Abstract The aim of this study was to determine the relationship of patient-centered communication (ارتباط بیمارمحور) with the body image (تصویر بدنی) in female cancer patients following mastectomy. A descriptive-correlational study was performed with a sampling from 275 surgically-treated patients (unilateral mastectomy without breast reconstruction = 180; lumpectomy = 95). Data was collected using two questionnaires, Body Image after Breast Cancer Questionnaire (تصویر بدنیBCQ) and the Patient-Centered Communication Questionnaire (ارتباط بیمارمحورQ). Patients who had higher perception of their experiences with ارتباط بیمارمحور involving their nurses had more healthy تصویر بدنی (r = -0.13, p = 0.028), less body stigma (r = -0.13, p = 0.044), less limitations (r = -0.16, p = 0.022), and less concern for the arm (r = -0.16, p = 0.007). A multivariable model (adjusted R2 = 0.240, P<0.001) predicted تصویر بدنی in participants using: surgery type (B=-8.892, 95% of CI=-11.571- -6.212, P<0.001), age (B=-.539, 95% of CI=-.837- -.242, P<0.001), and time passed of surgery (B=0.769, 95% of CI=.392- 1.146, P<0.001). Participants’ limitations was significantly explained (adjusted R2 = 0.160, P<0.001) by surgery type (B=-1.576, 95% of CI=-2.075- -1.077, P<0.001) and participants’ perception of the nurses’ ارتباط بیمارمحور skills (B=-0.031, 95% of CI=-.060- -.002, P=0.038). Arm concern was significantly explained (adjusted R2 = 0.166, P<0.001) by surgery type (B=-1.044, 95% of CI=-1.379- -.710, P=0.001) and nurses’ ارتباط بیمارمحور skills (B=-.024, 95% of CI=-.043- -.004, P=.017). Early detection breast cancer with appropriate screening tests will prevent mastectomy and تصویر بدنی disturbance following its. Patient-centered skills in nurse-patient communication are critical for resolving تصویر بدنی difficulties special arm concerns and limitations regarding the disease and its treatment. It is suggested that training and skills development in ارتباط بیمارمحور for nurses to deal with patients’ تصویر بدنی problems.