Haekens Christel M, Enajat Morteza, Keymeulen Kristien, Van der Hulst Rene R W J
Department of Surgery, Academic Hospital, Maastricht, the Netherlands.
Plast Surg Nurs. 2011 Oct-Dec;31(4):160-6. doi: 10.1097/PSN.0b013e318231ad8a.
The objective of this article is to assess the impact of deep inferior epigastric perforator (DIEP) flap breast reconstruction on self-esteem and to analyze the correlation between aesthetic outcome and self-esteem. Global self-esteem was evaluated using the Rosenberg Self-Esteem Scale in 31 patients who underwent DIEP flap breast reconstructions. A study-specific questionnaire and photographic evaluation were used by the patient, the plastic surgeon, and the oncological surgeon to measure satisfaction with the aesthetic outcome. Patients' satisfaction and self-esteem were analyzed for any existing correlation. Overall patients' satisfaction had a mean score of 6.55 (range, 0-10) on the Patient Satisfaction Questionnaire. A mean score of 32.48 (range, 10-40) was found on the Rosenberg Self-Esteem Scale. More than 80% of patients were content with their decision to undergo this procedure and would recommend this to a friend. Surgeons tended to rate the aesthetic outcome better than patients. Patients' satisfaction and self-esteem were found to be positively correlated. Patients are generally content with the outcome of primary DIEP flap breast reconstruction. The favorable aesthetic result of this procedure has a beneficial effect on patients' self-esteem.
本文的目的是评估腹壁下深动脉穿支（DIEP）皮瓣乳房重建对自尊的影响，并分析美学效果与自尊之间的相关性。使用罗森伯格自尊量表对31例行DIEP皮瓣乳房重建的患者进行总体自尊评估。患者、整形外科医生和肿瘤外科医生使用一份针对该研究的问卷和照片评估来衡量对美学效果的满意度。分析患者的满意度和自尊之间是否存在相关性。在患者满意度问卷上，患者总体满意度的平均得分为6.55分（范围为0至10分）。在罗森伯格自尊量表上的平均得分为32.48分（范围为10至40分）。超过80%的患者对接受该手术的决定感到满意，并会向朋友推荐。外科医生对美学效果的评分往往高于患者。发现患者的满意度和自尊呈正相关。患者总体上对一期DIEP皮瓣乳房重建的结果感到满意。该手术良好的美学效果对患者的自尊有积极影响。
