外科手术之外:心理健康在乳房重建结果中的作用
Jose Foppiani1, Theodore C Lee2, Angelica Hernandez Alvarez1
1Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
以前存在的心理状况在乳房重建手术后显著降低了患者的满意度和幸福感. 在手术前优化心理健康对于更好的患者结果至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
- 精神病学是一个精神病学.
背景情况:
- 乳腺癌是全球普遍存在的疾病,通常需要进行乳腺重建.
- 心理并发症对重建后患者满意度的影响还未得到充分研究.
- 这项研究通过检查先前存在的心理状况对结果的影响来弥补这一差距.
研究的目的:
- 为了研究心理和精神病的并发症如何影响患者报告的乳房重建后的结果.
- 为了比较患有和没有先前存在的心理疾病的患者的结果.
主要方法:
- 对PubMed,科学网络和Cochrane数据库进行系统审查.
- 包括24项研究的定性综合.
- 使用随机效应模型进行子组分析.
主要成果:
- 包括220,565名患者 (18-84岁),随访时间从1.5到61个月不等.
- 患有心理并发症的患者的BREAST-Q得分明显较低.
- 在满意度 (-24 分),心理社会福祉 (-20 分) 和性福祉 (-33 分) 中观察到的下降.
结论:
- 手术前的心理状态是术后患者报告结果的关键决定因素.
- 结果支持手术前的健康查和优化,以提高手术结果.
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