Published in

Wiley, Journal of Clinical Nursing, 7-8(27), p. 1464-1474

DOI: 10.1111/jocn.14291

Links

Tools

Export citation

Search in Google Scholar

Predictive factors of satisfaction and quality of life after immediate breast reconstruction using the BREAST-Q©

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

Full text: Unavailable

Green circle
Preprint: archiving allowed
Orange circle
Postprint: archiving restricted
Red circle
Published version: archiving forbidden
Data provided by SHERPA/RoMEO

Abstract

Aims and objectivesTo analyse quality of life and satisfaction after immediate breast reconstruction due to cancer and its determining factors.BackgroundStudying breast reconstruction is important because of its frequency and variability. In addition to the surgical results, it is necessary to analyse the quality of life and patient satisfaction using a specific tool.Design methodsAn ambispective design was used (n = 101; α = 0.05; precision = 10%), studying anthropometric, sociocultural data, Fagerström test and the BREAST‐Q© questionnaire. A logistic regression analysis was performed to identify variables associated with quality of life and satisfaction.ResultsMean age of the patients on diagnosis was 44.87 ± 8.5 years. Forty‐one of the patients were carried out a skin‐sparing mastectomy (42.7%). Immediate reconstruction was performed with implant in 73 (74.5%). The domains on the BREAST‐Q© for quality of life with the lowest scores were physical well‐being chest (74) and sexual well‐being (61.5). The satisfaction domain with the lowest score was with the breast (59). The variables associated with the worst quality of life in the physical well‐being chest domain were the skin‐sparing mastectomy (OR, 4.2; 95% confidence interval (CI), 1.2–14.1) and lymphedema (OR, 12.9; 95% CI, 1.0–159.9). Antibody treatment was associated with a worse score on the psychosocial well‐being domain (OR, 4.25; 95% CI, 1.0–18.0) and sexual well‐being domain (OR, 7.34; 95% CI, 0.9–54.6). Satisfaction was associated with nicotine dependence on the breast and outcome scale. The higher the dependence on nicotine, the greater the dissatisfaction with the breasts (OR, 2.41; 95% CI, 1.1–5.3) and with the result (OR, 2.45; 95% CI, 1.0–5.9).ConclusionsThe type of treatment and lymphedema modify the patients’ quality of life. Nicotine dependence is associated with lower satisfaction with the breast and with the outcome.Relevance to clinical practiceThis study suggests the need for multidisciplinary attention during the first year of adjuvant treatment despite the benefits of immediate reconstruction. It shows the need for preoperative assessment of the level of nicotine dependence, anxiety and depression of smoking patients before preoperative counselling.