Satisfaction and quality of life in women who undergo breast surgery: a qualitative study.
Satisfaction and quality of life in women who undergo breast surgery: a qualitative study.
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DOI：
10.1186/1472-6874-9-11
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发表时间：
2009-05-01
期刊：
影响因子：
--
通讯作者：
Cano SJ
中科院分区：
文献类型：
--
作者：
Klassen AF;Pusic AL;Scott A;Klok J;Cano SJ
在乳房美容和重建手术中，测量患者报告的结果对研究工作和临床护理变得越来越重要。我们的目的是描述乳房状况和乳房手术对患者满意度和生活质量的影响。我们对48名接受过缩胸（n = 15）、隆胸（n = 12）或乳房重建（n = 21）手术的女性进行了定性、深入的访谈，以便开始建立对乳房手术患者满意度和生活质量的理论认识。采访录音，逐字记录，并按主题进行分析。患者访谈显示，乳房状况和乳房手术对女性的影响主要体现在以下六个方面：对乳房的满意度；对总体结果的满意度；心理社会健康;性幸福;身体健康;以及对护理过程的满意度。我们使用这六个主题来形成一个概念框架的基础，病人满意度和生活质量的妇女接受乳房手术。我们的概念框架确立了乳房手术患者关注的主要问题。这一新框架可用于帮助制定未来临床评估、管理和测量的本地指南，建立当前管理策略的有效性，并为未来结果研究开发新的患者报告结果测量方法提供循证指导。
In cosmetic and reconstructive breast surgery, measurement of patient-reported outcomes has become increasingly important to research efforts and clinical care. We aimed to describe how breast conditions and breast surgery impact on patient satisfaction and quality of life. We conducted qualitative, in-depth interviews with 48 women who had undergone either breast reduction (n = 15), breast augmentation (n = 12), or breast reconstruction (n = 21) surgery in order to begin to build a theoretical understanding of patient satisfaction and quality of life in breast surgery patients. Interviews were audio-taped, transcribed verbatim and analyzed thematically. The patient interviews revealed that breast conditions and breast surgery impact women in the following six main areas: satisfaction with breasts; satisfaction with overall outcome; psychosocial well-being; sexual well-being; physical well-being; and satisfaction with the process of care. We used these six themes to form the basis of a conceptual framework of patient satisfaction and quality of life in women who undergo breast surgery. Our conceptual framework establishes the main issues of concern for breast surgery patients. This new framework can be used to help develop local guidelines for future clinical assessment, management and measurement, establish the validity of the current management strategies, and develop evidence-based guidance for the development of new patient reported outcome measures for future outcomes research.