Department of Plastic and Reconstructive Surgery, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timișoara, Romania.
Department of Plastic and Reconstructive Surgery, "Pius Branzeu" Emergency Clinical Hospital, 300723 Timișoara, Romania.
Int J Environ Res Public Health. 2021 Sep 3;18(17):9320. doi: 10.3390/ijerph18179320.
Breast cancer requires complex clinical care. Well-being is an intricate concept, encompassing physical, functional, emotional, and social aspects.
This study aims to evaluate the relationship between the type of surgery our patients underwent and the timing of the reconstructive surgery with physical, emotional, social, and functional well-being. Furthermore, through our research we tried to identify potential mental health comorbidities in patients with breast cancer, clinical symptoms, and well-being in women with breast cancer, depending on the type of required surgery.
The study included 69 women diagnosed with breast cancer, in stages I to III, divided in two groups: I-patients with oncoplastic breast-conserving surgery and contralateral correction surgery, for symmetry reasons; II-patients who underwent modified radical mastectomy and late breast reconstruction with contralateral symmetrisation. We evaluated socio-demographic aspects, alongside depression, anxiety, stress (DASS 21), and well-being (FACT-B). Data were statistically processed; statistical significance was set at < 0.05.
Clinical elements of depression, anxiety, and stress were noted in both groups, without statistical significance ( > 0.05). Significant differences were found regarding psycho-emotional ( = 0.035) and functional well-being ( = 0.001), with higher scores for group I. The chi-square test indicated statistically significant differences (at < 0.01) between the groups, regarding the frequency of scores on items B4 and B9 (FACT-B items, related to feminine aesthetics and desirability), with evidently higher scores in group I than in group II.
The state of well-being, as well as the items related to femininity and sexuality had higher values in the group of women treated by oncoplastic conservative surgery compared to late reconstruction after modified radical mastectomy.
乳腺癌需要复杂的临床护理。幸福感是一个复杂的概念，包括身体、功能、情感和社会方面。
本研究旨在评估我们的患者所接受的手术类型与重建手术的时间与身体、情感、社会和功能幸福感之间的关系。此外，通过我们的研究，我们试图确定乳腺癌患者的潜在心理健康合并症、临床症状和患有乳腺癌的女性的幸福感，这取决于所需手术的类型。
该研究纳入了 69 名诊断为 I 期至 III 期乳腺癌的女性，分为两组：I 组患者接受保乳肿瘤切除术和对侧矫正术，以达到对称；II 组患者接受改良根治性乳房切除术和对侧晚期乳房重建术。我们评估了社会人口统计学方面，以及抑郁、焦虑、压力（DASS 21）和幸福感（FACT-B）。数据进行了统计学处理；统计学意义设定为 < 0.05。
两组患者均存在抑郁、焦虑和压力的临床因素，但无统计学意义（ > 0.05）。在心理-情感（ = 0.035）和功能幸福感（ = 0.001）方面存在显著差异，I 组得分较高。卡方检验表明，两组在项目 B4 和 B9（FACT-B 项目，与女性美学和吸引力相关）的评分频率方面存在统计学显著差异（ < 0.01），I 组的得分明显高于 II 组。
与改良根治性乳房切除术后晚期重建相比，接受肿瘤保留性保乳术治疗的女性幸福感状况以及与女性气质和性行为相关的项目得分更高。
