女性接受美容豐胸手術後執行健康促進行為之探討

Women’s Health Promoting Behavior Following Cosmetic Breast Augmentation

在護理專業的相關文獻中，多數均呈現以疾病照護為導向的論述，極少護理學者針對以美容為目的接受豐胸手術之婦女為研究對象。本研究目的在探討女性接受美容豐胸手術後，她們在健康促進行為方面之執行情形。研究對象為北部某美容醫學整型中心，接受豐胸手術後至少三個月以上之女性。研究工具為「成人健康促進行為」量表，採無記名自填方式收集資料，有效問卷共有34份。結果顯示女性在豐胸手術後在健康促進行為中，有10項行為執行頻率較高，例如對生命充滿信心樂觀、朝積極方向成長改變、和關心的人聯絡等；有9項行為執行頻率較低，例如檢查膽固醇與血壓、規律運動和參加運動相關之活動。整體健康促進行為之排行中以「人際關係」得分最高，運動行為最低；此外，平時有執行乳房自我檢查者，在「健康責任」及「壓力處理」兩個層面的行為得分，顯著高於未經常執行者。手術後有合併症者，其「人際關係」得分也顯著高於無合併症者。此結果將有助於美容中心護理人員瞭解女性接受豐胸手術後，她們在出院後之生活型態是否健康，希望此資料也能夠提供後來的女性於出院前或回診時護理指導的參考依據，進而提昇護理專業在新的美容領域中的照護品質。

Most of the nursing literatures focused on the illness or disease prevention and related nursing care. Few scholars have ever discussed health promotion behavior following the women underwent cosmetic breast augmentation surgery. The purpose of this study was to examine women’s adopting health-related behavior following at least three months of augmentation surgery. The cross-sectional descriptive study applied the Adult Health Promotion Scale to collect data. According to the total of 34 participants, the findings discovered 10 behaviors adopted by these women with higher frequency, such as full of confidence optimistically to the life, to grow up and change facing the positive direction, to maintain interpersonal relationship and so on. There are 9 behaviors with lower frequency, including the inspection of cholesterol, doing regular exercise and participating in exercise program. Overall, the dimension of interpersonal relationship reached the highest scores, but exercise behavior score was the lowest. In addition, those who usually have practicing breast self-inspection have higher score of behaviors in “the health-responsibility” and “the stress-management” than those do not check group. Moreover, those with the complications after the surgery have higher scores on the interpersonal relationship than their counterpart group. The findings will be helpful to the nursing staff in the cosmetic center, to understand these women’s lifestyle after they leave the hospital. This result will be used as the basic nursing knowledge of promoting the nursing care quality in cosmetic surgery.