[立体定向乳腺活检仪器操作的心理调适：约73例]

[Psychological adjustment of stereotactic breast biopsy instrumentation procedures: about 73 cases].

作者信息

Barreau B, Tastet S, Picot V, Henriquès C, Valentin F, Gilles R, Dilhuydy M-H

机构信息

Institut Bergonié, Centre régional de lutte contre le cancer (CRLCC), 229, cours de l'Argonne, 33076 Bordeaux cedex, France.

出版信息

Gynecol Obstet Fertil. 2005 Mar;33(3):129-39. doi: 10.1016/j.gyobfe.2005.02.017.

DOI:10.1016/j.gyobfe.2005.02.017

PMID:15848085

Abstract

OBJECTIVE

The aim of the study was to investigate patients' perceptions after stereotactic breast biopsy instrumentation, after both procedure and results.

PATIENTS AND METHOD

From 1 March 2002 to 31 March 2003, a questionnaire (Likert response type) on stress was given to 73 patients who had breast biopsies procedures, the first time at the end of the procedure (T1) and then after the histological diagnosis (T2).

RESULTS

The questionnaire was validated through analysis of principal component with Varimax rotation. Three factors were identified: procedure, quality of life, information and perception after biopsy. Responses were analysed with Chi-square. Two groups of women were identified, the first group (G1) corresponding to patients with a benign diagnosis (N=32) and the second group (G2) to patients with malignant diagnosis (N=32). Only the "procedure" factor was different at T1 and T2 (P=0.022). Compression was found to be painful: 11% at T1 versus 21% at T2. Women were disturbed by local anesthesia: 26% at T1 versus 21% at T2. Biopsy was painful: 6% at T1 versus 13% at T2. Examination was too long: 24% at T1 versus 35% at T2. The procedure was discomfortable: 52% at T1 versus 54% at T2. Information satisfied patients in 90% cases. There was no statistically significant difference according to procedures and histological disease (P=0.357).

DISCUSSION AND CONCLUSION

Information and medical empathy conditioned patients' perceptions. Patients tolerated the procedures well.

摘要

目的

本研究旨在调查患者在立体定向乳腺活检操作后，包括操作过程和结果出来后的感受。

患者与方法

从2002年3月1日至2003年3月31日，向73名接受乳腺活检的患者发放了一份关于压力的问卷（李克特量表应答类型），第一次在操作结束时（T1），然后在组织学诊断后（T2）。

结果

通过主成分分析和方差最大旋转对问卷进行了验证。确定了三个因素：操作、生活质量、活检后的信息与认知。采用卡方检验对回答进行分析。确定了两组女性，第一组（G1）为诊断为良性的患者（N = 32），第二组（G2）为诊断为恶性的患者（N = 32）。仅“操作”因素在T1和T2时有差异（P = 0.022）。发现压迫会引起疼痛：T1时为11%，T2时为21%。女性会受到局部麻醉的困扰：T1时为26%，T2时为21%。活检会引起疼痛：T1时为6%，T2时为13%。检查时间过长：T1时为24%，T2时为35%。操作让人不舒服：T1时为52%，T2时为54%。90%的患者对信息感到满意。根据操作和组织学疾病情况，差异无统计学意义（P = 0.357）。