Evans M
Aust J Adv Nurs. 1991 Mar-May;8(3):19-28.
Elective aesthetic cosmetic surgery of the female breast appears not to warrant the same attention to informed consent or authorisation as other surgical procedures. Arguments for benefits do not need to be persuasive since the prospective patient is usually 'sold on the idea'. This paper argues that more rather than less information is necessary where the surgery will not achieve what is claimed for it and where there are significant risks of harm. Evidence is presented to show that augmentation mammaplasty does not provide a solution to problems of body image, self-esteem and sexuality; it may result in considerable pain, suffering, financial and emotional cost, interference with life choices and a loss of trust in health care professionals. In view of the emerging data which points to the doubtful efficacy and safety of the procedure and the prosthetic devices, and since elective cosmetic surgery is said to be a growth industry, checks and balances need to be in place to ensure women are informed participants in decision-making. They require the best possible advice, care and support and nurses could play a more proactive role as patient advocates.
女性乳房的择期美容整形手术似乎不像其他外科手术那样需要同等程度地关注知情同意或授权。支持手术益处的论据无需具有说服力，因为潜在患者通常已被“灌输”了这种观念。本文认为，在手术无法达到所宣称的效果且存在重大伤害风险的情况下，需要提供更多而非更少的信息。有证据表明，隆乳术并不能解决身体形象、自尊和性方面的问题；它可能会导致相当大的痛苦、折磨、经济和情感成本，干扰生活选择，并使患者对医疗保健专业人员失去信任。鉴于新出现的数据表明该手术及假体装置的疗效和安全性存疑，而且择期美容手术据说是一个蓬勃发展的行业，因此需要建立制衡机制，以确保女性在决策过程中能够充分知情。她们需要尽可能好的建议、护理和支持，护士可以作为患者权益倡导者发挥更积极的作用。
