Centre for Appearance Research, Faculty of Health and Applied Sciences, University of the West of England, Coldharbour Lane, Bristol BS16 1QY, United Kingdom.
Centre for Appearance Research, Faculty of Health and Applied Sciences, University of the West of England, Coldharbour Lane, Bristol BS16 1QY, United Kingdom.
J Plast Reconstr Aesthet Surg. 2021 Sep;74(9):2169-2175. doi: 10.1016/j.bjps.2020.12.085. Epub 2021 Jan 9.
Increasingly, women undergo breast reconstruction (BR) surgery to restore health-related and psychosocial quality of life after mastectomy. Most research focuses on BR outcomes rather than women's pre-surgical expectations of, and goals for, immediate (IBR) or delayed (DBR) procedures, yet such information could support women's decision-making. This study aimed to investigate women's BR goals, whether they differed according surgery timing (IBR or DBR), and the importance women placed on them.
Seventy-six women considering DBR (n = 50) or IBR (n = 26) at a UK hospital were encouraged to clarify their BR goals and rate the importance of achieving each one. Content analysis categorised and counted the frequency of the goals they reported.
Fifteen goal categories (7 surgical, e.g. scarring; 8 psychosocial/lifestyle, e.g. feeling feminine) were identified. Many (e.g. scarring, intimacy) were reported by a similar percentage of women in each surgical group, however, differences were identified (e.g. breast sensation was not mentioned by women considering IBR). Women reported more psychosocial (n = 206) than surgical goals (n = 160). Further, an independent t-tests revealed that women in both groups placed significantly more importance on the psychosocial (M = 9.4) than surgical goals (M = 8.5).
This study highlights the variety of goals women have for BR, the importance they attach to them, and differences and similarities between those seeking IBR and DBR. Future research should consider whether BR goals are met, how goal achievement influences satisfaction with outcome over time and how best to incorporate goals into pre-surgical treatment decision-making.
越来越多的女性选择接受乳房重建（BR）手术，以在乳房切除术后恢复与健康相关的和社会心理生活质量。大多数研究都集中在 BR 的结果上，而不是女性对即刻（IBR）或延迟（DBR）手术的术前期望和目标，然而这些信息可以支持女性的决策。本研究旨在调查女性的 BR 目标，以及这些目标是否因手术时机（IBR 或 DBR）而异，以及女性对这些目标的重视程度。
在英国一家医院，76 名考虑 DBR（n=50）或 IBR（n=26）的女性被鼓励明确她们的 BR 目标，并对实现每一个目标的重要性进行评分。内容分析对她们报告的目标进行分类和计数。
确定了 15 个目标类别（7 个手术相关，如疤痕；8 个心理社会/生活方式相关，如感觉女性化）。每个手术组的女性报告了许多类似比例的目标（如疤痕、亲密关系），但也存在差异（如考虑 IBR 的女性没有提到乳房感觉）。女性报告的心理社会目标（n=206）多于手术目标（n=160）。此外，独立 t 检验显示，两组女性都对心理社会目标（M=9.4）的重视程度显著高于手术目标（M=8.5）。
本研究强调了女性对 BR 的目标的多样性，她们对这些目标的重视程度，以及寻求 IBR 和 DBR 的女性之间的差异和相似之处。未来的研究应该考虑 BR 目标是否得到满足，目标的实现如何随着时间的推移影响对结果的满意度，以及如何最好地将目标纳入术前治疗决策。
