Texas Woman's University College of Nursing, Denton.
ANS Adv Nurs Sci. 2021;44(1):31-51. doi: 10.1097/ANS.0000000000000329.
A considerable number of women undergoing mastectomies are "choosing to go flat," forgoing reconstruction. This integrative review sought to identify satisfaction outcomes and relevant factors among these women. Using variations of the key word "going flat," a systematic search of 7 databases was conducted. Fifteen articles met the inclusion criteria and were reviewed. Decisional and breast/chest appearance satisfaction in women who did not have reconstruction was mixed when compared with other surgical options. Body image, body mass index, radiation therapy, and access to information/resources affected satisfaction. Nurses are in a pivotal role to address the communication and informational needs of these women to support optimal surgical decision-making processes and improve patient satisfaction and clinical outcomes.
相当数量的接受乳房切除术的女性选择“平胸”，而不进行重建。本综述旨在确定这些女性的满意度结果和相关因素。使用“平胸”的关键词变体，对 7 个数据库进行了系统搜索。符合纳入标准的文章有 15 篇，并进行了回顾。与其他手术选择相比，未进行重建的女性在决策和乳房/胸部外观满意度方面存在差异。身体形象、体重指数、放射治疗以及获取信息/资源的机会都会影响满意度。护士在满足这些女性的沟通和信息需求方面发挥着关键作用，以支持最佳的手术决策过程，提高患者满意度和临床效果。
