A Survey About Breast Cancer Post-operation Patients In Chemotherapy On Knowledge, Attitude And Needs Of Breast Reconstruction

Objective1 To investigate breast cancer post-operation patients in chemotherapy on knowledge, attitude and needs of breast reconstruction.2 To analysis the factors that influence breast cancer patients on knowledge, attitude and needs of breast reconstruction. To fully understand the related factors, in order to help medical personnel to provide patients with individual information and intervention, thus improve the rate of breast reconstruction.MethodsIt used convenience sampling method. Survey time was from May to November in 2014. Respondents were breast cancer patients in chemotherapy from three level of first-class hospitals in Zhengzhou. Survey tool included general information questionnaire, self-image disorder questionnaire and designed the will of breast reconstruction related questionnaire, the cognitive and attitude questionnaire of breast reconstruction. Collected data entered Epidata software, and used SPSS17.0 statistical software for statistical analysis. The statistical methods included descriptive analysis, t test, rank sum test, analysis of variance, chi-square test, Pearson correlation analysis, association analysis and binary classification Logistic regression analysis. Results1 The mean cognitive score of breast reconstruction was(11.96±5.08) on breast cancer patients in chemotherapy. The score was very low. And 87.96% patients whose cognitive is poor or very poor. Methods, complications and influence on prognosis of breast reconstruction were answered worst. The mean attitude score of breast reconstruction was(42.95±9.85) on breast cancer patients in chemotherapy. Attitude was negative, especially the necessity of the rebuild, the influence to the body or prognosis. The patients who had the will of rebuild accounted for 18.32%, and it was a low rate. Reasons of not having breast reconstruction were:(1)worry about rebuild affect the found of recurrence or metastasis;(2) chemotherapy was very painful, surgery would increase my pain, I don’t want to do surgery any more;(3) accept breast deficiency;(4) I am older. Personal appearance was not important any more. Only 29.32% patients whose breast reconstruction knowledge came from medical personnel, more than 40% of the patients don’t know rebuild knowledge before the survey.2 67.02% patients occurred self-image disorders. Mastectomy and side effects of chemotherapy gave patients with mental and physical double torture.3 Single factor analysis. Different cultural degree, whether be on the job or not, place of residence of the patients, the reconstruction cognitive levels were different. P <0.05, the difference was statistically significant. Different ages, cultural degree, whether be on the job or not, place of residence, whether self-image disorder or not of the patients, the reconstruction attitude levels were different. P <0.05, the difference was statistically significant. Different ages, cultural degree, whether be on the job or not, place of residence, whether self-image disorder or not of the patients, the reconstruction needs levels were different. P <0.05, the difference was statistically significant. Reconstruction needs and reconstruction attitude was positively correlated, P < 0.01. Binary logistic analysis, only age, self-image disorder and attitude entered the regression equation. And the older the less of rebuild will. Self-image disorder and attitude were favorable factors. Patients with self-image disorder occur had more reconstruction needs than patients without self-image disorder. The more positive of reconstruction attitude, the bigger reconstruction needs. Conclusions1 Breast cancer patients in chemotherapy were severe lack of understanding of breast reconstruction, especially for breast reconstruction methods, complications and influence on the prognosis. Rebuild attitude was not positive, especially for the necessity of breast reconstruction, the influence to the body or prognosis. Rebuild will was very low.2 Most of breast cancer patients in chemotherapy appeared self-image disorder. Mastectomy and side effects of chemotherapy gave patients with mental and physical double torture.3 Patients who had better education, full-time job, living in town or city had better cognitive. Patients who were younger, with better education, full-time job, living in town or city, enjoying free medical care, self-image disorder had positive attitude. The patient who was younger, appeared self-image disorder and with positive attitude to reconstruction more likely to undergo breast reconstruction surgery.