ABSTRACT
Objective:To understand the psychology of patients undergoing breast augmentation, and to provide reference for preoperative communication between clinicians and patients.Methods:From September 2016 to September 2017, the Guangdong Second Provincial General Hospital formulated a 37-question questionnaire based on BREAST-Q and Chinese national conditions, and investigated patients who planned to undergo breast augmentation in 34 hospitals.Results:A total of 2066 valid questionnaires were collected. Fifty-four percent of women were dissatisfied with their nude appearance, which was more dissatisfied compared with their appearance when dressed. Surgical safety (20.1%), surgical effect (16.8%), surgical method and incision selection (16.5%), breast implant material (14.5%) and doctor′s skill (11.6%) were the five most important factors for considering breast augmentation. Only 26.6% of the respondents were supported by their family members or partners when they made the decision to have breast augmentation. Most women had limited knowledge of breast augmentation, with only 24.9 percent of respondents having a thorough understanding of the procedure.Conclusions:Women undergoing breast augmentation have an urgent need to improve their appearance, and their decision-making process is affected by many factors, among which surgical safety is the most worrying factor for patients. This group of people have limited knowledge about surgery, and the popularization of breast augmentation by plastic surgeons remains to be strengthened.
ABSTRACT
Objective BREAST-Questionnaire (BREAST-Q) was a patient-reported outcome (PRO) instrument designed by the Memorial Sloan-Kettering Cancer Center (MSKCC) and University of British Columbia (UBC).Our study aimed to evaluate the Chinese version of BREAST-Q augmentation module in China.Methods BREAST-Q augmentation module consisted of two parts:pre-operative and post-operative.Pre-operative had 25 items.Post-operative had 88 items.BREAST-Q questionnaires were given to ten breast augmentation patients.All patients completed BREAST-Q questionnaires at two weeks pre augmentation,one day pre augmentation,fourteen weeks post augmentation,and sixteen weeks post augmentation.Results At two weeks pre augmentation,scores for satisfaction with breasts,psychosocial well-being,and sexual well-being were 29.9 + 5.8,16.5 ± 10.2,and 28.2± 9.3,respectively.At sixteen weeks post augmentation,scores for these three domains were statistically increased to be 65.3 ± 10.0,67.5±17.8,and 56.5±22.2,respectively.These differences were all above 20.However,there was no significant difference between pre augmentaion score and post augmentation score for physical well-being.Pre augmentation score was 64.9 ± 11.9,and post augmentation score was 56.0±14.5.Test-retest reliabilities in different domains were all above 0.8 and most were above 0.9.The Cronbach's alpha coefficients were higher than 0.6.Conclusions Chinese version of BREAST-Q augmentation module is reliable and responsive in assessing the quality of life in Chinese women with breast surgery.However,larger sample is needed for future study.