PATIENT'S KNOWLEDGE AND ATTITUDE FOR BREAST RECONSTRUCTION AFTER TOTAL MASTECTOMY IN BREAST CANCERS IN CHIANGRAI PRACHANUKROH HOSPITAL
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Abstract
BACKGROUND: Breast cancer is the female most common cancer in Thailand. The necessary treatment is surgery, and breast-conserving is currently a standard. However, the total mastectomy rate conversely is increasing. Breast reconstruction has a role in this group of patients that not only treat the disease, but also improve quality of life. In Chiangrai Prachanukroh Hospital, breast cancer surgery is around 200 cases a year. Nevertheless, the rate of breast reconstruction is only 0.5 %, while the university hospital has a breast reconstruction rate of about 13.45%. In this study, we conduct a short survey to address the possible cause of this low rate.
OBJECTIVE: To study the knowledge and attitude of Post-mastectomy reconstruction in mastectomy patients in Chiangrai Prachanukroh hospital.
METHODS: This descriptive study was conducted with breast cancer, 30 patients with post-mastectomy in 2017 to 2020 and data was collected in the follow up period between October 2020 to January 2021. Data were collected using the demographic data record form, Breast Cancer data, and Questionnaire. Data were analyzed using descriptive statistics.
RESULTS: 30 patients in the study group were all females, with a mean age of 51.77± 8.17 years. 2 patients (6.67%) were contraindicated for breast reconstruction due to inflammatory breast cancer, 5 cases (16.67%) with postoperative radiotherapy were contraindications for immediate breast reconstruction, the remaining 23 patients (59%) were found to be able to perform breast reconstruction after mastectomy. None of the patients had breast reconstruction surgery after mastectomy. From the questionnaire, the answers of the patients in most questions about knowledge were unknown, All patients did not know about breast reconstruction surgery after mastectomy. Most of the patients answered incorrectly in the question about the attitude question in breast reconstruction, and only 5 patients (16.67%) want to do breast reconstruction surgery after breast surgery.
CONCLUSIONS AND DISCUSSIONS: This study showed the lack of patients' knowledge of the Post-mastectomy reconstruction options that may affect the rate of breast reconstruction after total mastectomy. The result of this study can be guided in developing a care model and preoperative information and option of reconstruction will ensure better success of the treatment, which may improve the quality of life in mastectomy patients.
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References
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