组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2010, Vol. 6 ›› Issue (6): 334-338.doi: 10.3969/j.issn.1673-0364.2010.06.009

• 论著 • 上一篇    下一篇

影响乳腺癌术后患者对于乳房再造认同度的相关因素

马建勋，李比，李健宁，张昕   

  1. 北京大学第三医院成形科
  • 发布日期:2020-07-23

The Factors Influencing Post-Mastectomy Patients’ Attitudes Towards Breast Reconstruction

MA Jianxun,LI Bi,LI Jianning,ZHANG Xin   

  1. Department of Plastic Surgery,Peking University Third Hospital,Beijing 100191,China
  • Published:2020-07-23

摘要： 目的调查了解影响乳腺癌术后患者对于乳房再造认同度的相关因素。方法对北医系统内[含第三临床医院(北医三院)、第二临床医院(人民医院)、第一临床医院(北大医院)以及北京肿瘤医院]因乳腺癌住院行乳房切除术后的女性患者,进行乳房再造相关问卷调查,通过百分比构成、单因素分析、Logistic逐步回归等分析方法,对问卷结果进行统计分析。结果发出问卷134份,回收有效问卷108份,其中对乳房再造认同者仅占39.8%(43/108)。乳房再造的认同度与患者年龄、文化程度以及医生是否向患者介绍乳房再造等密切相关。结论本次调查中,对乳房再造持认同态度的患者比例较前有所升高,但仍需临床医师加强乳房再造知识的更新,加强对乳房再造的普及宣传,以提高患者及家属的相关知识水平。

关键词: 乳腺癌, 乳房再造, 认同度, 影响因素

Abstract: Objective To explore the related factors influencing post-mastectomy patients’ attitudes towards breast reconstruction.Methods In PKU Third Hospital,PKU First Hospital,PKU People’s Hospital,and Beijing Cancer Hospital,post-mastectomy inpatients suffered from breast cancer were investigated with self-developed questionnaire.Descriptive,univariate,and multivariate Logistic regression analyses were used.Results One hundred and eight cases were counted finally,39.8%(43/108) of the patients thought the breast reconstruction reasonable.There was significant discrepancies in the factors of age,occupation,education,household income,child status,and whether the surgeons informed mammaplasty to patients or not.In binary Logistic regression analysis(forward:LR),only age,education,and whether to be informed of the option of reconstruction were the related factors.Conclusion More and more patients consider reconstruction as a reasonable option.Surgeons should update the knowledge of breast reconstruction,popularize mammaplasty for breast cancer patients and improve their attitudes towards breast reconstruction.

Key words: Breast cancer, Breast reconstruction, Acceptance, Related factors

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