Deborah Tedesco, DNP, APRN, ANP-BC, CBCN, AP-PMN, CWS, CWCN-AP, is a senior nurse practitioner at the Orlando Health Aesthetic and Reconstructive Surgery Institute, Orlando, FL.
Gasan Makarem, CCMA, C-SA, is a medical assistant at the Orlando Health Aesthetic and Reconstructive Surgery Institute, Orlando, FL.
Plast Surg Nurs. 2021;41(2):71-84. doi: 10.1097/PSN.0000000000000369.
Women undergoing breast reconstruction sometimes have unrealistic or unformed expectations regarding the reconstructive process and outcomes. The objectives of this study were to assess preoperative expectations in women undergoing mastectomy and initial breast reconstruction, provide expectations-based education, and evaluate satisfaction with education. Fifty-one women undergoing mastectomy and breast tissue expander placement participated in this study. At a preoperative education appointment, participants completed a questionnaire to determine whether their expectations were realistic, unrealistic, or unformed. A nurse practitioner reviewed the results and provided patient-centered, expectations-based education to modify expectations from unrealistic to realistic or to set expectations from unformed to realistic. Four to 6 weeks after surgery, a second questionnaire was provided to assess perceived satisfaction with education. Unrealistic and unformed expectations were identified related to complications, pain, scarring, sensation, symmetry, and aesthetic results. After receiving patient-centered, expectations-based preoperative education, participants agreed they had received the appropriate amount of information and felt well prepared for their surgery and recovery. Most participants reported they were aware of possible complications, had effective tools to manage their pain, and had received adequate information about scarring and sensation changes. Some participants continued to have unrealistic or unformed expectations related to aesthetic results. Women undergoing breast reconstruction often have unrealistic or unformed expectations before surgery. Identifying these expectations and proving expectations-based education resulted in satisfaction with information provided.
有些接受乳房重建的女性对重建过程和结果有着不切实际或未成形的期望。本研究的目的是评估接受乳房切除术和初始乳房重建的女性的术前期望，提供基于期望的教育，并评估对教育的满意度。51 名接受乳房切除术和乳房组织扩张器放置的女性参与了这项研究。在术前教育预约时，参与者完成了一份问卷，以确定他们的期望是否现实、不现实或未成形。一名执业护士审查了结果，并提供了以患者为中心、基于期望的教育，将不切实际的期望修改为现实，或将未成形的期望设定为现实。手术后 4 至 6 周，提供了第二份问卷，以评估对教育的满意度。与并发症、疼痛、疤痕、感觉、对称性和美学结果相关的不切实际和未成形的期望被确定。接受以患者为中心、基于期望的术前教育后，参与者同意他们已经收到了适当数量的信息，并且对他们的手术和康复感到准备充分。大多数参与者报告说，他们已经意识到可能出现的并发症，有有效的工具来控制他们的疼痛，并且已经获得了有关疤痕和感觉变化的足够信息。一些参与者仍然对美学结果抱有不切实际或未成形的期望。接受乳房重建的女性在手术前常常抱有不切实际或未成形的期望。确定这些期望并提供基于期望的教育会导致对提供的信息感到满意。
