| 摘要: | 乳癌為臺灣女性癌症發生率首位，但五年內整體存活率為85%。為減少患者術後身體心像改變的衝擊及改善生活品質，進而發展乳房重建術。目前健康照護目標為瞭解乳癌重建患者的生活品質及影響之相關因素。現國內多使用一般健康生活品質及非手術治療的量表，無法準確瞭解患者生、心理、性的安適感及乳房外觀、預後、重建照顧過程的滿意度。Pusic發展出三種乳房手術之Breast-Q問卷，乳房重建術為其一。此問卷具有良好信效度並廣泛運用於國外臨床研究，但尚未有中文版。
本研究採橫斷式相關性研究，收集乳癌接受矽膠乳房重建術治療前個案數155名及術後三至六個月之個案數96名，分析中文版Breast-Q─乳房重建版之信效度和探討植入物乳房重建前後生活品質的影響因素。
本研究中文版Breast-Q—乳房重建版手術前、後之Cronbach’s α值為0.87、0.92；再測信度r值=.85及.73。專家效度CVI值為0.96、0.98；效標關聯效度r值=.26、.38，具有良好信效度。接受矽膠乳房重建患者生活品質滿意度有減低情形。而手術前、後生活品質滿意度，性安適度、乳房滿意度層面分數皆最差且有遞減之情形。手術前BMI指數對乳房滿意度、心靈社會安適度有顯著負相關，較低的BMI指數其乳房滿意度、心靈社會安適度較高。
Breast cancer is the highest incidence of cancer among women in Taiwan, but the overall five-year survival rate is 85%. In order to reduce the impact of postoperative physical and mental image changes and improve the quality of life, breast reconstruction surgery is developed. The current goal of health care is to understand the quality of life of patients with breast cancer reconstruction and the related factors. At present, the general health quality of life and non-surgical treatment scales are mostly used in China, and it is impossible to accurately understand the patient's physical, psychological, and sexual comfort, as well as the satisfaction of breast appearance, prognosis, and reconstruction care process. Pusic has developed the Breast-Q questionnaire for three types of breast surgery, one of which is breast reconstruction. This questionnaire has good reliability and validity and is widely used in foreign clinical research, but there is no Chinese version yet.
In this study, a cross-sectional correlation study was used to collect the number of cases of breast cancer before receiving silicone breast reconstruction surgery: 155 and the number of cases three to six months after surgery: 96. Reliability, validity and factors influencing quality of life before and after Implant-based Breast Reconstruction.
In this study, the Chinese version of Breast-Q-Breast reconstruction version had Cronbach's alpha values of 0.87 and 0.92 before and after surgery; test-retest reliability r values =.85 and .73. Expert validity CVI values are 0.96, 0.98; criterion-related validity r values =.26, .38, with good reliability and validity. There was a decrease in quality of life satisfaction in patients undergoing silicone breast reconstruction. Before and after surgery, the scores of quality of life satisfaction, moderate sexual safety, and breast satisfaction were the worst and decreased. The preoperative BMI index was significantly negatively correlated with breast satisfaction and psychological and social security, and the lower BMI index was associated with higher breast satisfaction and psychological and social security. |
