超越身体健康:在进行乳房重建之前,探索心理社会健康的人口差异
Sara N Kebede1, Morgan S Martin2, Nusaiba F Baker3
1From the Emory University Division of Plastic and Reconstructive Surgery, Atlanta, Ga.
Plastic and reconstructive surgery. Global open
|July 19, 2023
概括
术前乳房满意度在不同的人口群体之间有很大的差异. 了解这些基线差异对于有效的乳房重建计划和患者护理至关重要.
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:
- 患者对自然乳房的满意度和幸福感对于乳房重建计划至关重要.
- 手术前的心理社会,性和身体健康显著影响结果.
- 在经过乳房切除术后进行乳房重建的患者中,术前反应的差异需要阐明.
研究的目的:
- 为了调查预外科的满意度和幸福感的差异,在计划进行乳房切除术后的乳房重建的患者中.
- 确定与患者报告结果的变化相关的人口因素.
- 为了告知手术前的讨论和术后的满意度解释.
主要方法:
- 收集了乳腺癌患者的手术前BREAST-Q反应和人口统计数据 (种族,世代,收入,BMI).
- 利用奇平方或独立的t测试来分析人口群体和调查答案之间的关联.
- 包括646名患者,最终分析完整的数据.
主要成果:
- 与其他BMI组相比,BMI较低的患者 (16-24.9) 报告说,与其他BMI组相比,他们对裸体外观的满意度更高.
- 较高的BMI组 (35+) 报告了较低的满意度和吸引力.
- 亚洲女性的吸引力较低,黑人患者的价值感较低,两组人群以及千一代和低收入人群的社会信心较低.
结论:
- 乳腺癌患者对自然乳房的术前感受存在显著的人口差异.
- 基线心理社会因素对于术前讨论和解释术后满意度至关重要.
- 解决人口福利差异对于公平的乳房重建结果至关重要.
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