Abu-Nab Z, Grunfeld E A
Psychology Department (at Guy's), Institute of Psychiatry, King's College London, London, UK.
Patient Educ Couns. 2007 May;66(2):243-9. doi: 10.1016/j.pec.2006.12.008. Epub 2007 Mar 6.
Surgical breast reconstruction following mastectomy often results in scarring not only to the breast but often to the donor-site area. However, few studies have been devoted to the potential effects of scarring among women who underwent breast reconstruction. The aim of the study was to explore these women's attitudes towards scarring.
Fifteen women who had undergone Transversus Abdominis Myocutaneous (TRAM) flap breast reconstruction surgery (mean age 50 years) took part in a semi-structured qualitative interview. The interview examined their experiences of breast reconstruction surgery, post-surgical adjustment and the impact of scarring.
Scarring, particularly donor-site scarring, emerged as the main area of dissatisfaction with the breast reconstruction process. Expectations of the surgery and information provided prior to surgery were also found to relate to women' reports of overall satisfaction.
This study highlighted that satisfaction with breast reconstruction surgery included relief at not needing to wear prostheses and increased body confidence. However, some women reported unrealistic expectations regarding the outcomes of breast reconstruction surgery including extended recovery time and donor-site scarring.
Future patients may therefore benefit from a patient-centred evaluation of their information needs incorporating both their preferences for type and amount of information at each stage of treatment and recovery as well as their understanding and interpretation of the information given to them.
乳房切除术后进行乳房重建手术，不仅常常会在乳房留下疤痕，供体部位也往往会留下疤痕。然而，很少有研究关注接受乳房重建手术的女性中疤痕形成的潜在影响。本研究的目的是探讨这些女性对疤痕的态度。
15名接受了腹直肌肌皮瓣（TRAM）乳房重建手术的女性（平均年龄50岁）参与了半结构化的定性访谈。访谈考察了她们乳房重建手术的经历、术后调整以及疤痕形成的影响。
疤痕，尤其是供体部位的疤痕，成为她们对乳房重建过程不满的主要方面。手术预期以及术前提供的信息也与女性的总体满意度报告有关。
本研究强调，对乳房重建手术的满意度包括无需佩戴假体的解脱感以及增强的身体自信。然而，一些女性对乳房重建手术的结果抱有不切实际的期望，包括恢复时间延长和供体部位疤痕。
因此，未来的患者可能会受益于以患者为中心的信息需求评估，该评估应考虑到她们在治疗和恢复的每个阶段对信息类型和数量的偏好，以及她们对所提供信息的理解和解读。
