临床肿瘤学杂志

• 论著 • 上一篇    下一篇

保乳手术与改良根治术对早期乳腺癌患者生活质量的影响

易瑛,蒋雪梅,雷海,罗雪   

  1. 德阳市人民医院乳腺外科
  • 收稿日期:2015-08-21 修回日期:2015-10-08 出版日期:2016-07-30 发布日期:2016-07-30

Effect of breast-conserving surgery with modified radical mastectomy on the quality of life in patients with early-stage breast cancer

YI Ying, JIANG Xuemei, LEI Hai, LUO Xue.   

  1. Department of Breast Surgery, Deyang Peoples Hospital
  • Received:2015-08-21 Revised:2015-10-08 Online:2016-07-30 Published:2016-07-30

摘要: 目的 探讨保乳手术与改良根治术对早期乳腺癌患者生活质量的影响。方法 回顾性分析2013年1月至2015年1月在本院确诊住院治疗的早期乳腺癌患者276例,其中保乳手术组138例,改良根治术组138例。采用患者满意度、抑郁自评量表(SDS)及焦虑自评量表(SAS)对采用两种手术方式的患者生活质量进行评价;采用Rosenberg自尊量表、家庭亲密度适应性量表及生命质量测量表(FA CT-B)对276例患者进行问卷调查分析。结果 保乳手术组患者的SAS及SDS评分均低于改良根治术组,差异有统计学意义(P<0.05)。保乳手术组在患者满意度方面较改良根治术组有明显提高,两组比较差异有统计学意义(P<0.05);保乳手术组患者在Rosenberg自尊量表和FA CT-B中的测定结果均优于改良根治术组(P=0.03,P=0.04);保乳手术组在家庭亲密度和适应性方面优于改良根治术组,两组比较差异均有统计学意义(P<0.05)。结论 实施保乳手术能有效提高早期乳腺癌患者的生活质量,缓解患者心理和生理上的各种不适,促进患者康复。

Abstract: Objective To investigate the effect of breast-conserving surgery with modified radical mastectomy on the quality of life of early-stage breast cancer patients. Methods From January 2013 to January 2015, a retrospective analysis of early-stage breast cancer patients(276 cases) in our hospital, including 138 cases of breastconserving surgery group, 138 cases of modified radical mastectomy group. The patients satisfaction, selfrating depression scale (SDS) and selfrating anxiety scale (SAS) were used to evaluate the impact of the quality of life for breast cancer patients in two groups. Rosenberg selfesteem scale (SES), family cohesion adaptability scale, quality of life measurement table (FA CT-B) were used to perform the questionnaire analysis. ResultsThe SAS and SDS scores of breastconserving surgery group was lower than those of the modified radical mastectomy group with significant statistical difference (P<0.05). The patients satisfaction in the breastconserving surgery group was higher than that in the radical mastectomy group, and the difference was statistically significant (P<0.05). The measurement results of SES, FA CT-B in the breastconserving surgery group was improved compared with the modified radical mastectomy group(P<0.05). Family cohesion and adaptability in the breastconserving surgery group were better than those in the modified radical mastectomy group, and the difference was statistically significant (P<0.05). Conclusion The implementation of breastconserving surgery care can improve the quality of life in patients with early-stage breast cancer, relieve patients' psychological and physical discomfort, and promote the rehabilitation of patients.

No related articles found!
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!