双边预防性乳房切除术后的长期满意度和心理和社会功能
M H Frost1, D J Schaid, T A Sellers
1Division of Medical Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.
JAMA
|July 13, 2000
概括
预防性乳腺切除术显著减少了大多数女性对乳腺癌的担忧,通常具有积极的长期心理和社会结果. 然而,潜在的负面影响和程序的不可逆转性需要仔细考虑.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 心理学 心理学 心理学
背景情况:
- 预防性乳房切除术是一种减少乳腺癌风险的手术选择.
- 人们担心手术后可能产生的负面心理影响.
- 预防性乳房切除术后对长期满意度和心理社会功能存在有限的数据.
研究的目的:
- 为了评估预防性乳腺切除术后的长期患者满意度.
- 评估经过预防性乳腺切除术的妇女的长期心理和社会功能.
主要方法:
- 一项描述性研究调查了572名在1960年至1993年间接受双边预防性乳房切除术的妇女.
- 这项研究的重点是那些有乳腺癌家族史的女性.
- 通过问卷收集的数据评估了满意度和心理社会结果.
主要成果:
- 大多数女性 (70%) 表示对预防性乳房切除感到满意.
- 显著多数 (74%) 经历了对患乳腺癌的情感担忧减少.
- 虽然大多数人报告了稳定或改善的情绪稳定,自尊和人际关系,但有些人对身体形象和其他心理社会变量产生了负面影响.
结论:
- 预防性乳腺切除术可以导致乳腺癌焦虑的减少和有利的心理社会结果.
- 手术的不可逆转性和潜在的不良影响必须与益处进行权衡.
- 仔细考虑重建性手术和个体患者因素至关重要.
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