在乳腺癌切除术后,什么会影响女性对乳房重建的决策?
Sara van Bekkum1, Marloes E Clarijs2, Fientje J C van der Veen3
1Department of Surgery, Albert Schweitzer Hospital, P.O. Box 444, 3300 AK, Dordrecht, The Netherlands.
Breast cancer (Tokyo, Japan)
|June 11, 2023
概括
大多数女性 (68%) 在乳房切除术后不会选择进行乳房重建,尽管她们报告的心理社会福祉较差. 许多非重建患者表示不希望接受手术,这表明他们对乳房重建做出了明智的决定.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 心理社会健康 心理健康
背景情况:
- 乳房重建率在不同的医疗保健环境中有很大差异.
- 了解患者的动机对于个性化乳房切除术后护理至关重要.
- 有信息的决策是患者对瘤治疗满意度的一个关键方面.
研究的目的:
- 为了确定荷兰一家教学医院的乳房切除术后乳房重建的速度.
- 探索为什么女性选择或拒绝进行乳房重建的原因.
- 评估患者报告的结果和决策过程.
主要方法:
- 对319名因侵袭性乳腺癌或直管癌 in situ (DCIS) 进行乳房切除术的患者进行了回顾性,横截面研究.
- 分类为重建和非重建组.
- 评估患者报告的结果,使用Breast-Q和决策调查,并进行统计比较.
主要成果:
- 68%的患者没有进行乳房重建; 93%的患者立即进行了重建.
- 与重建组和规范数据相比,非重建组报告的心理社会福祉明显较差.
- 83%的非重建组表示不希望进行乳房重建,建议做出明智的选择.
结论:
- 个体患者的动机对乳房重建的决定有很大的影响.
- 同样的论点可以用来追求或拒绝重建,突出不同的价值体系.
- 患者通常觉得他们对乳房重建的决定有充分的了解.
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