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目的乳腺癌的保乳手术治疗已成为早期乳腺癌治疗的标准方式之一,本研究旨在调查适合保乳治疗的患者选择手术方式的有关社会心理因素。方法对本科收治的115例临床拟诊乳腺癌、具有保乳指征的患者在术前进行问卷调查,单因素和多因素分析比较选择保乳和不保乳者在临床特征及社会心理因素上的差异。结果患者本人有职业(OR=17.975,95%CI:1.750~184.571,P=0.015)、患者本人意愿(OR=0.015,95%CI:0.002~0.101,P=0.000)、配偶建议(OR=0.251,95%CI:0.068~0.926,P=0.038)和患者对保乳治疗疗效的态度(OR=0.157,95%CI:0.025~0.989,P=0.049)是最终选择保乳手术的独立影响因素。结论保乳手术时应考虑患者不同临床特征和社会心理因素的影响,在临床上可对适合保乳的患者及其配偶进行针对性的知识宣教,可能有助于提高保乳治疗率。
Breast-conserving surgery for breast cancer has become one of the standard methods for the treatment of early breast cancer. The purpose of this study was to investigate the psychosocial factors associated with the choice of surgical approach for breast-conserving patients. Methods A total of 115 clinically diagnosed cases of breast cancer who underwent clinical examinations were enrolled in the study. Preoperative questionnaires were used to investigate the clinical features and psychosocial factors of patients who chose breast-conserving and non-breast-conserving The difference. Results The patients had their own job (OR = 17.975,95% CI: 1.750-184.571, P = 0.015), the patient’s own intention (OR = 0.015,95% CI: 0.002-0.101, P = 0.000) (OR = 0.157, 95% CI: 0.025-0.989, P = 0.049) were the independent influencing factors for the final selection of breast-conserving surgery. Conclusion During breast-conserving surgery, different clinical characteristics and psychosocial factors should be considered in patients with conservative breast-conserving patients and their spouses may be targeted knowledge education may help to improve breast-conserving treatment rate.