Klassen Anne F, Pusic Andrea L, Scott Amie, Klok Jennifer, Cano Stefan J
Department of Pediatrics, McMaster University, 3A 1200 Main Street W, Hamilton, ON, L8N 3Z5, Canada.
BMC Womens Health. 2009 May 1;9:11. doi: 10.1186/1472-6874-9-11.
In cosmetic and reconstructive breast surgery, measurement of patient-reported outcomes has become increasingly important to research efforts and clinical care. We aimed to describe how breast conditions and breast surgery impact on patient satisfaction and quality of life.
We conducted qualitative, in-depth interviews with 48 women who had undergone either breast reduction (n = 15), breast augmentation (n = 12), or breast reconstruction (n = 21) surgery in order to begin to build a theoretical understanding of patient satisfaction and quality of life in breast surgery patients. Interviews were audio-taped, transcribed verbatim and analyzed thematically.
The patient interviews revealed that breast conditions and breast surgery impact women in the following six main areas: satisfaction with breasts; satisfaction with overall outcome; psychosocial well-being; sexual well-being; physical well-being; and satisfaction with the process of care. We used these six themes to form the basis of a conceptual framework of patient satisfaction and quality of life in women who undergo breast surgery.
Our conceptual framework establishes the main issues of concern for breast surgery patients. This new framework can be used to help develop local guidelines for future clinical assessment, management and measurement, establish the validity of the current management strategies, and develop evidence-based guidance for the development of new patient reported outcome measures for future outcomes research.
在美容和重建乳房手术中，患者报告结局的测量对研究工作和临床护理变得越来越重要。我们旨在描述乳房状况和乳房手术如何影响患者满意度和生活质量。
我们对48名接受过乳房缩小术（n = 15）、隆胸术（n = 12）或乳房重建术（n = 21）的女性进行了定性、深入访谈，以便开始构建对乳房手术患者满意度和生活质量的理论理解。访谈进行了录音，逐字转录并进行了主题分析。
患者访谈显示，乳房状况和乳房手术在以下六个主要方面对女性产生影响：对乳房的满意度；对总体结果的满意度；心理社会幸福感；性幸福感；身体幸福感；以及对护理过程的满意度。我们使用这六个主题作为接受乳房手术女性患者满意度和生活质量概念框架的基础。
我们的概念框架确立了乳房手术患者关注的主要问题。这个新框架可用于帮助制定未来临床评估、管理和测量的本地指南，确立当前管理策略的有效性，并为开发新的患者报告结局测量方法以进行未来结局研究提供循证指导。
