即刻出院和强化康复对乳房切除术和植入物重建后患者生活质量的影响。
The Impact of Same-Day Discharge and Enhanced Recovery on Patient Quality of Life After Mastectomy with Implant Reconstruction.
机构信息
Department of General Surgery. Division of Surgical Oncology, Mayo Clinic Arizona, Phoenix, USA.
Department of Quantitative Health Sciences, Mayo Clinic Arizona, Phoenix, USA.
出版信息
Ann Surg Oncol. 2023 May;30(5):2873-2880. doi: 10.1245/s10434-022-13019-5. Epub 2023 Jan 27.
BACKGROUND
This study aimed to evaluate how enhanced recovery (ER) protocols and same-day discharge (SDD) influences patients' postoperative quality of life (QOL).
METHODS
Patients who underwent mastectomy with implant-based breast reconstruction from 2008 to 2020 were identified in a prospective database. The study assessed QOL with BREAST-Q and Was It Worth It? (WIWI) questionnaires. Responses were compared between the ER and pre-ER groups and between the SDD and hospital stay (HS) groups using one-way analysis of variance (ANOVA) and chi-square tests.
RESULTS
The inclusion criteria were met by 568 patients, with a 43% response rate, and 217 patients were included for analysis. Chest physical well-being was lower for the ER cohort, but postoperative breast satisfaction was higher. Psychosocial status, sexual well-being, and satisfaction with information given did not differ significantly between the ER group and the pre-ER or SDD group. In the compared groups, QOL did not differ significantly.
CONCLUSIONS
Enhanced recovery with SDD after mastectomy using implant-based reconstruction did not have an adverse impact on patient postoperative QOL.
背景
本研究旨在评估强化康复（ER）方案和当日出院（SDD）对患者术后生活质量（QOL）的影响。
方法
在一个前瞻性数据库中，确定了 2008 年至 2020 年间接受乳房切除术和植入物乳房重建的患者。本研究使用 BREAST-Q 和“值得吗？（WIWI）”问卷评估 QOL。使用单因素方差分析（ANOVA）和卡方检验比较 ER 组和 ER 前组以及 SDD 组和住院时间（HS）组之间的 QOL 差异。
结果
纳入标准符合 568 例患者，应答率为 43%，其中 217 例患者纳入分析。ER 队列的胸部身体舒适度较低，但术后乳房满意度较高。ER 组与 ER 前组或 SDD 组之间，心理社会状态、性健康和信息提供满意度无显著差异。在比较组中，QOL 无显著差异。
结论
乳房切除术和植入物重建后采用 SDD 进行强化康复并未对患者术后 QOL 产生不利影响。
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