影响乳腺癌术后患者对于乳房再造认同度的相关因素  

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

作　　者：马建勋[1] 李比[1] 李健宁[1] 张昕[1] 

机构地区：[1]北京大学第三医院成形科,北京市100191

出　　处：《组织工程与重建外科杂志》2010年第6期334-338,共5页Journal of Tissue Engineering and Reconstructive Surgery

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。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.

关 键 词：乳腺癌 乳房再造 认同度 影响因素 

分 类 号：R622[医药卫生—整形外科]