Determinants of Women’s Choice of Breast Reconstruction after Mastectomy and Health-Related Quality of Life
Date Issued
2007
Date
2007
Author(s)
Chen, Shyi-Gen
DOI
zh-TW
Abstract
Background and Purpose: Breast cancer is the leading cancer of women in Taiwan nowadays and also in the western countries. Most studies are focused on the cancer epidermiology, pathology, diagnosis, and treatment modalities. The purpose of this study was to investigate the influence factors of breast cancer women’s decisions for or against breast reconstruction,, health-related Quality of life (QOL SF-36), and satisfaction of breast reconstruction.
Material and Method: We performed a cross-sectional, purposive sampling study in 4 breast-supporting groups in 4 teaching-based hospitals in Taipei. From Jan. 1997 to Dec. 2006, women had mastectomy and/or breast reconstruction at any of hospitals were considered eligible for the study. No age restrictions were imposed. However, women were excluded from the study if they had cancer metastasis. Postal Questionnaires were delivered and collected for analysis of patients' demographics, diseases profiles, social support, body image scale, and QOL SF-36. Data were analyzed using SPSS for Windows version 12.
Result: Total 165 patients were valid for study including 52(31.5%) women who had postmastectomy breast reconstruction. Expert content validity and Cronbach's alpha reliability were reported in the context. The results showed that: (1) Age, family support, and mastectomy types were important factors for women’s decision for or against breast reconstruction. (2)The most frequently reason for not having breast reconstruction was fear of the reconstructive operation, followed by not essential for the breast, fear of the surgical complications, and expenses. The most frequently reason for having reconstruction was to be able to wear many different types of clothing, psychological demand, and cosmetic. (4) The participants who had undergone breast reconstruction had better global health-related quality of life. (5) The overall satisfaction of breast reconstruction was high and recommendable.
Conclusion: This study provides important informations for clinical staffs to understand the determinants for women to have or not breast reconstrtuction. Family support is important factor for women to have breast reconstruction. Breast reconstruction can significantly improve patients’ body image scale and make a substantial contribution to health-realted Quality of life for breast cancer patients especially for the younger women.
Subjects
乳癌
乳房重建
個人特質
身體形象
健康生活品質(SF-36)
breast cancer
breast recosntruciton
determinants
individual characteristics
social support
body image scale
health-related Quality of life (SF-36)
SDGs
Type
thesis
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