Qiu Jiajia, Hou Shengqun, Li Ping, Huang Lijin
Department of Nursing Administration, Shanghai Cancer Center, Fudan University, Shanghai, China.
Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Gland Surg. 2021 Feb;10(2):595-606. doi: 10.21037/gs-20-657.
Breast loss has a negative effect on women physically, psychologically and socially. External breast prostheses can improve patients' figure physically, increase their self-confidence, and thus improve quality of life. Little is known about the knowledge of medical professionals on the use of external breast prostheses in mainland China. This study sought to examine medical professionals' knowledge of the use of external breast prostheses among breast cancer patients in China.
Self-designed questionnaires were administered to 635 medical professionals specializing in breast cancer in China to examine their knowledge.
Medical professionals who were older in age, those who had higher levels of education and those who had senior professional titles had a broader professional knowledge of external breast prostheses. Medical professionals who were younger in age and those who had junior professional titles thought that the patients were willing to choose direct-adhesive breast prostheses. Medical professionals who were older in age, those who had higher levels of education, those who had senior professional titles and those who had been working for many (but less than 30) years were more likely to think that patients could wear external breast prostheses shortly after surgery, and at all times except when sleeping. More highly educated doctors, head nurses and medical staffs from the East were more likely to think that patients would accept the use of high-priced external breast prostheses.
Medical professionals' knowledge about the wearing of external breast prostheses is lacking. A number of factors, including age, education level, professional title, number of years working years and geographical region have different effects on medical professionals' knowledge. Medical professionals with a good knowledge of external breast prostheses, especially specialist breast nurses, can provide patients with comprehensive information about breast prostheses, assist patients in selecting the appropriate prostheses, understand patients' wearing experiences, and help to reduce patients' physical and mental distress.
乳房缺失对女性的身体、心理和社会层面均有负面影响。外部乳房假体可在外观上改善患者体型,增强其自信心,进而提高生活质量。目前对于中国大陆地区医疗专业人员在外部乳房假体使用方面的认知情况知之甚少。本研究旨在调查中国医疗专业人员对乳腺癌患者使用外部乳房假体的认知情况。
向635名中国乳腺癌专科医疗专业人员发放自行设计的问卷,以调查他们的认知情况。
年龄较大、学历较高以及具有高级职称的医疗专业人员对外部乳房假体的专业知识掌握得更广泛。年龄较小以及具有初级职称的医疗专业人员认为患者愿意选择粘贴式乳房假体。年龄较大、学历较高、具有高级职称以及工作年限较长(但少于30年)的医疗专业人员更倾向于认为患者术后不久即可佩戴外部乳房假体,且除睡眠外可随时佩戴。学历较高的医生、护士长以及来自东部地区的医务人员更倾向于认为患者会接受使用高价外部乳房假体。
医疗专业人员在外部乳房假体佩戴方面的知识较为欠缺。年龄、教育水平、职称、工作年限以及地理区域等多种因素对医疗专业人员的认知产生不同影响。对外部乳房假体有充分了解的医疗专业人员,尤其是乳腺专科护士,能够为患者提供有关乳房假体的全面信息,协助患者选择合适的假体,了解患者的佩戴体验,并帮助减轻患者的身心痛苦。