深圳地区119例乳腺癌患者术后佩戴义乳现状调查及影响佩戴质量的因素分析

Investigation on the Status of Wearing Breast Prosthesis after Operation in 119 Patients with Breast Cancer in Shenzhen Area and Analysis of Factors Affecting the Quality of Wearing

目的:调查深圳地区乳腺癌术后患者的义乳佩戴情况,探讨影响义乳佩戴质量相关因素,为制定有效的护理决策提供依据。方法:通过“汝康云”乳腺癌康复俱乐部平台,采取网络微信调查问卷的形式,对2012年5月至2020年5月期间119例乳腺癌改良根治术后患者佩戴义乳相关认知内容进行调查,并分析调查的结果。结果:79.83%乳腺癌患者知道义乳的存在,52.10%患者有获取义乳佩戴的途径。80.00%的患者认为义乳可以改善形体缺失,达到美观作用;61.05%的患者认为可维持身体平衡;47.37%的患者认为还可保护胸部。半数以上(52.10%)的患者有佩戴义乳的需求,能够接受的义乳价位主要集中在>200~≤500元之间。结论:义乳佩戴的宣传力度不够、患者对义乳作用认识不全、患者对义乳佩戴需求差异可能是影响义乳佩戴的关键因素。

Objective To investigate the wearing condition of breast prosthesis in patients after breast cancer surgery in Shenzhen area,and explore the related factors affecting the wearing quality of breast prosthesis,so as to a provide basis for making effective nursing decisions.Methods Through the"Rukang Cloud"breast cancer rehabilitation club platform,a web-based WeChat survey was conducted among 119 postoperative breast cancer patients who underwent modified radical mastectomy from May 2012 to May 2020.The survey investigated their awareness of breast prostheses and analyzed the results.Results 79.83%of breast cancer patients were aware of the existence of breast prostheses,and 52.10%had access to them.80.00%of the patients believed that a breast prosthesis could improve physical appearance by compensating for the loss of body part;61.05%thought it could maintain body balance;47.37%believed it could also protect the chest area.More than half(52.10%)of the patients expressed a need to weaRa breast prosthesis,with the acceptable price range mainly between 200 and 500 yuan.Conclusion The key factors influencing the wearing of breast prostheses may include insufficient publicity,incomplete understanding of the functions of breast prostheses among patients,and variability in patients'needs for wearing breast prostheses.