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中华乳腺病杂志(电子版) ›› 2017, Vol. 11 ›› Issue (05) : 300 -304. doi: 10.3877/cma.j.issn.1674-0807.2017.05.010

综述

乳腺癌患者报告结局量表BREAST-Q 在乳腺外科中的应用
曹鋆1, 吴炅2,3,()   
  1. 1.200040 上海, 复旦大学附属华山医院普外科
    2.200032 上海,复旦大学附属肿瘤医院乳腺外科
    3.200032 复旦大学上海医学院肿瘤学系肿瘤医学协同创新中心
  • 收稿日期:2016-10-11 出版日期:2017-10-01
  • 通信作者: 吴炅

Application of breast cancer patient-reported outcome scale BREAST-Q in breast surgery

Yun Cao, Jiong Wu()   

  • Received:2016-10-11 Published:2017-10-01
  • Corresponding author: Jiong Wu
引用本文:

曹鋆, 吴炅. 乳腺癌患者报告结局量表BREAST-Q 在乳腺外科中的应用[J/OL]. 中华乳腺病杂志(电子版), 2017, 11(05): 300-304.

Yun Cao, Jiong Wu. Application of breast cancer patient-reported outcome scale BREAST-Q in breast surgery[J/OL]. Chinese Journal of Breast Disease(Electronic Edition), 2017, 11(05): 300-304.

患者报告结局是一种患者对自身健康状况的报告,其内容包括患者症状、功能状态、健康相关生活质量与患者满意度等。 患者报告结局未经过他人的解释或修改,直接从患者的角度对不同的外科治疗手段进行评价,并以此来指导临床决策。 在乳腺外科领域的诸多患者报告结局测量工具中,BREAST-Q 因其手术特异性、适用范围广、测量学性能好等优点,问世以来便广泛应用于国外的各类临床研究。 笔者从BREAST-Q 的研制过程出发,重点介绍BREAST-Q 的特点及其在乳腺外科中的应用。

表1 几种乳腺癌患者报告结局测量工具的维度分析[8]
维度 EORTC QLQ-BR23 FACT-B BIBCQ Hopwood BIS Polivy BIS BCTOS MAS BREAST-Q MBROS-S MBROS-BI
健康相关生活质量
亲人朋友的社会支持
对治疗的担忧
对整体健康的担忧
对癌症复发的担忧
对治疗的满意度
寻找合适衣物的困难程度
对生活质量的满意程度
去医院的方便程度
对术后并发症的担忧
事业相关问题
体像
对瘢痕形成的担忧
乳房大小/形状/紧实程度
穿衣时的外表
穿泳装时的外表
裸露时的外表
与他人接触时的自我意识
外表吸引力
对躯体的满意程度
正视自己身体的能力
假体相关问题
头发脱落/稀疏
体重改变
心理功能状态
自信心与自尊
人际关系
享受生活的能力
对自己的消极感受
对他人的消极感受
对不适情境的回避
女性化的感受
对工作的满意程度
应对技能
悲痛和焦虑的感受
躯体功能状态
躯体活动受限程度
工作能力
外出或旅游的能力
疼痛相关问题
躯体不适的感受
乳房相关的皮肤问题
肿胀情况
感觉改变
力量减退
失眠情况
记忆力/注意力相关问题
化疗不良反应
性功能
性行为的改变
性行为中的自我意识
性吸引力
对性生活的满意程度
对性行为的兴趣
乳房对性行为的重要性
阴道干涩/性交疼痛
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