乳房整形者生活质量测定量表隆乳术模块中文版的应用评价

Quality of life questionnaire for women with breast surgery： evaluation of the Chinese version ofBREAST-Q augmentation module

目的测定评价美国纪念斯隆凯特琳癌症中心（Memorial Sloan Kettering Cancer Cen—ter．MSKCC）和加拿大英属哥伦比亚大学（Universityof British Columbia，UBC）共同开发的乳房整形者生活质量测定量表（BREAST—Questionnaire，BREAST—Q）隆乳术模块中文版的应用效果。方法通过测定10例隆乳者术前2周、术前ld、术后14周、术后16周的生活质量对BREAST—Q量表（隆乳术前、术后）进行评价。结果术前2周隆乳者对乳房的满意度、社会心理状况与性生活状况3个领域的得分分别为（29．9±5．8）、（16．5±10．2）、（28．2±9．3）分。术后16周隆乳者对乳房的满意度、社会心理状况与性生活状况3个领域的得分分别为（65．3±10．0）、（67．5±17．8）、（56．5±22．2）分，与术前相比较，平均得分均相差20分以上，差异有统计学意义（P＜0．05）。但是身体状况的得分在术前2周为（64．9±11．9）分，术后16周为（56．0±14．5）分，差异无统计学意义（P〉O．05）。各领域的重测信度均在0．8以上，并且大部分在0．9以上；所有领域的Cronbach系数a均在0．6以上。结论BREAST—Q量表隆乳术模块中文版具有较好的信度和反应度，可用于中国隆乳者的生活质量测定，值得进一步扩大样本量进行研究。

Objective BREAST-Questionnaire （BREAST-Q） was a patient-reported outcome （PRO） instrument designed by the Memorial Sloan-Kettering Cancer Center （MSKCC） and University of British Columbia （UBC）. Our study aimed to evaluate the Chinese version of BREAST-Q augmen- tation module in China. Methods BREAST-Q augmentation module consisted of two parts： pre-oper- ative and post-operative. Pre-operative had 25 items. Post-operative had 88 items. BREAST-Q ques- tionnaires were given to ten breast augmentation patients. All patients completed BREAST-Q ques- tionnaires at two weeks pre augmentation, one day pre augmentation, fourteen weeks post augmenta- tion, and sixteen weeks post augmentation. Results At two weeks pre augmentation, scores for sat- isfaction with breasts, psychosocial well-being, and sexual well-being were 29.9±5.8, 16.5±10.2, and 28.2±9. 3, respectively. At sixteen weeks post augmentation, scores for these three domains were statistically increased to be 65. 3±10.0, 67.5±17.8, and 56.54±22.2, respectively. These differences were all above 20. However, there was no significant difference between pre augmentaion score and post augmentation score for physical well-being. Pre augmentation score was 64.9 ±11.9, and post augmentation score was 56.0± 14.5. Test retest reliabilities in different domains were all a- bove 0.8 and most were above 0.9. The Cronbach＇s alpha coefficients were higher than 0.6. Conclu- sions Chinese version of BREAST-Q augmentation module is reliable and responsive in assessing the quality of life in Chinese women with breast surgery. However, larger sample is needed for future study.