Professional treatises and articles in commercial media having breast carcinoma in the heading characterize it mostly as an epidemiologically serious phenomenon. This fact cannot be doubted regarding to occurrence of this carcinoma disorder of women (in minimal cases of men). At present the patients become co-coordinators of the treatment in far bigger rate than they used to. Studies and practical experience in this context show that only quantitative aspects of life like the length are not the determined ones for the patient, but more and more patients prefer quality of the survival. Traditional medicine under the pressure of such findings tends to modify treatment procedures in relation with keeping certain quality of life of oncological patients. That is the reason why traditional medicine in the objectives of psychooncology specialization maps the rate of such level, searches preferences of the patients in context of type of the carcinoma, the stage of the disease, individual emotional attitudes etc. Psychooncology becomes an equal partner to radiology, surgery, pathology, oncology and psychology itself in terms of help patients. The possibility to provide psychooncological investigation in the centre of diagnosis and treatment of breast carcinoma of women Mamografie Nemocnice Písek a.s. and to process the data by the form of diploma work seemed purposeful in this case. In the theoretical part initial conditions of breast carcinoma by traditional medicine were defined {--} diagnosis, cure and consecutive treatment. Common emotional maps while facing cancer diagnosis were defined. Methods of determination quality of life of patients in historical and contemporary trends were mentioned. The selected methodology was described by the form of partially anonymous questionnaires and investigative file of 128 women was characterized. The aim of this work was to search the women with diagnosis of breast carcinoma and development of their partnerships, relationships in extended family, inter - personal relationships at work and to compare quantifiable parameters with the time before setting the diagnosis. Mapping somatic (tiredness, pain, insomnia, digestive problems) and psychosomatic factors determining quality of life of sick women was the major axis of searching and investigation. These aims were applied to defined hypotheses which dealt with goals mentioned in the context of contemporary state of comprehension to help people with oncological diagnosis: breast carcinoma is not only serious somatic problem but also psychosocial issue although psychooncology is not the specialization systematically incorporated into the complex oncological solution of patients at the moment. Dates result in the fact that the factors which contribute most to the quality of life concerning to somatic influences are negatively felt tiredness followed by pain afterwards. The dominant psychical influences include depression, anxiety and insomnia. In psychosocial sphere social support is unambiguously dominantly important for quality of life and according to the literature it can contribute even to the length of survival. Following the data, lucid absence of psychooncological help in early stages after detected disorder and during contingent recovery seemed insufficient. The diploma work was not purposeless. There was a deep interest and support of all medical staff of the mammography centre. If we succeed to include psychooncological intervention into a set of conditions asserted in the horizon of treatment of breast cancer, then the data will daily contribute to help of sick women. By generalization it is possible to outline the way in understanding the complex treatment and solving further oncological diagnoses and procedures.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:53233 |
| Date | January 2008 |
| Creators | HOLANOVÁ, Gabriela |
| Source Sets | Czech ETDs |
| Language | Czech |
| Detected Language | English |
| Type | info:eu-repo/semantics/masterThesis |
| Rights | info:eu-repo/semantics/restrictedAccess |
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