Andrade William N, Semple John L
Division of Plastic Surgery, University of Toronto, Toronto, Ontario, Canada.
Plast Reconstr Surg. 2006 Jan;117(1):44-7; discussion 48-9. doi: 10.1097/01.prs.0000186534.50094.ab.
In a previous study, the authors evaluated factors that contribute to patient satisfaction with breast reconstruction, using a comprehensive chart review and questionnaire. The results of part of this questionnaire, regarding patients' rating of the cosmetic result of their breast reconstruction, are presented in this article.
The questionnaire was mailed to 267 patients, 214 questionnaires (80.1 percent) were returned, and 200 contained a response to the question rating the overall cosmetic outcome of breast reconstruction (Fig. 1). To conduct a statistical analysis, the data were collapsed into two smaller groups. An "excellent" or "good" result was considered a "favorable" outcome, while lower responses were "unfavorable" outcomes.
The outcome was rated as excellent by 82 patients, good by 76 patients, fair by 31 patients, and poor by 11 patients. A significant association was found between overall cosmesis and breast size, shape, or scars.
It should not be assumed that patients' responses regarding satisfaction with reconstruction will reflect their specific feelings regarding cosmetic results.
在之前的一项研究中，作者通过全面的图表审查和问卷调查，评估了影响患者对乳房重建满意度的因素。本文展示了该问卷中关于患者对乳房重建美容效果评分部分的结果。
问卷被邮寄给267名患者，共收回214份问卷（80.1%），其中200份包含对乳房重建总体美容效果评分问题的回复（图1）。为了进行统计分析，数据被合并为两个较小的组。“优秀”或“良好”的结果被视为“有利”结果，而较低的回复则为“不利”结果。
82名患者将结果评为优秀，76名患者评为良好，31名患者评为中等，11名患者评为差。总体美容效果与乳房大小、形状或疤痕之间存在显著关联。
不应假定患者对重建满意度的回答会反映他们对美容效果的具体感受。
