Measuring and managing patient expectations for breast reconstruction: impact on quality of life and patient satisfaction.

Measuring and managing patient expectations for breast reconstruction: impact on quality of life and patient satisfaction.
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DOI:
10.1586/erp.11.105
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发表时间:
2012-04
影响因子:
2.3
通讯作者:
Cordeiro PG
Cordeiro PG
中科院分区:
医学4区
文献类型:
--
作者:
Pusic AL;Klassen AF;Snell L;Cano SJ;McCarthy C;Scott A;Cemal Y;Rubin LR;Cordeiro PG

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乳房切除术后乳房再造的目标是恢复女性的身体形象并满足她对手术结果的个人期望。其他外科领域的研究表明,未得到认可或未实现的期望可能比手术技术上的成功更能预测不满。患者的期望在癌症重建等选择性手术中发挥着特别重要的作用,患者的主要动机是改善与健康相关的生活质量。因此,在乳房重建中,评估患者期望对于最佳患者护理至关重要。本报告总结了有关患者对乳房重建的期望的现有文献,并提供了有关该领域如何发展的观点。具体来说,我们考虑对患者期望的系统测量和管理如何改善患者教育、共同医疗决策和患者对结果的感知。
The goal of postmastectomy breast reconstruction is to restore a woman’s body image and to satisfy her personal expectations regarding the results of surgery. Studies in other surgical areas have shown that unrecognized or unfulfilled expectations may predict dissatisfaction more strongly than even the technical success of the surgery. Patient expectations play an especially critical role in elective procedures, such as cancer reconstruction, where the patient’s primary motivation is improved health-related quality of life. In breast reconstruction, assessment of patient expectations is therefore vital to optimal patient care. This report summarizes the existing literature on patient expectations regarding breast reconstruction, and provides a viewpoint on how this field can evolve. Specifically, we consider how systematic measurement and management of patient expectations may improve patient education, shared medical decision-making and patient perception of outcomes.
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