Zadovoljstvo bolnic po rekonstrukciji dojke : magistrsko delo

Muranović, Emina (author), Pandel Mikuš, Ruža (mentor), Rogelj, Klemen (comentor), Kvas, Andreja (reviewer)

Uvod: Rak dojke je najpogostejša oblika raka pri ženskah na svetu. Z rekonstrukcijo dojke ženskam povrnemo manjkajoči del prsi, zvišamo samopodobo in moč za nadaljnje spoprijemanje z boleznijo. S seznanjanjem bolnic z možnostmi rekonstrukcije in dobro tehniko rekonstrukcije lahko povečamo zadovoljstvo bolnic in jim omogočimo kakovostnejše življenje. Namen: Namen magistrskega dela je ugotoviti zadovoljstvo bolnic in kakovost življenja po rekonstrukciji dojke s pomočjo validiranega vprašalnika Breast Q. Poleg tega želimo ugotoviti, kakšen učinek in vpliv ima zadnja faza rekonstrukcije. Metode dela: Uporabljena je bila metodologija mešanih metod. Narejen je bil pregled znanstvene in strokovne literature in anketa z Brest Q vprašalnikom, ki je potekala v Univerzitetnem kliničnem centru Ljubljana na Kliničnem oddelku za plastično, rekonstrukcijsko, estetsko kirurgijo in opekline. Vprašalnik Brest Q je mednarodno validiran, zanj smo pridobili uporabno dovoljenje. Primerjali smo dve skupini bolnic, operiranih z različnima tehnikama rekonstrukcije, to sta avtologna rekonstrukcija s prostim prenosom tkiva s trebuha in dvostopenjska rekonstrukcija s tkivnim razširjevalcem in nato s trajnim prsnim vsadkom. Izpolnjevanje vprašalnikov je potekalo v obdobjih pred tetovažo prsnega kolobarja in 6–9 mesecev po tetovaži prsnega kolobarja. Rezultati: Zadovoljstvo bolnic po rekonstrukciji dojke je v Sloveniji visoko, 76,1 točke od 100 mogočih, kar je podobno raziskavam po svetu. Ugotovili smo, da so bolnice v Sloveniji bolj zadovoljne z avtologno vrsto rekonstrukcije (67,1) in da je ta v pozitivni korelaciji s starostjo bolnic v skupini 56–70 let. Zadnji poseg rekonstrukcije dojke (tetovaža prsnega kolobarja) statistično pomembno ne spremeni zadovoljstva z rezultatom rekonstruirane dojke. Zdravstveni tim, ki sodeluje pri celotni obravnavi, ima pomembno vlogo pri obravnavi bolnic in nudenju podpore, kar se kaže z visoko ravnjo zadovoljstva na tem področju (96,5). Razprava in zaključek: Z raziskavo smo ugotovili, da so bolnice zadovoljne z rekonstrukcijo dojke; najbolj se čuti zadovoljstvo z zdravstvenim osebjem, kar je pomemben podatek za vse člane multidisciplinarnega tima in potrjuje, kako pomembna je komunikacija z bolnicami. Za povečanje objektivnosti doživljanja in odgovorov bolnic bi bile možne izboljšave z dodanim sklopom vprašanj o pričakovanju pred operacijo. Prav tako bi bilo smiselno razmisliti o nadaljevanju raziskovanja na večjem vzorcu in voditi časovno premico, ali se zadovoljstvo z leti spreminja in kaj vpliva na to.

• Language: Slovenian
• Keywords: magistrska dela, zdravstvena nega, rak dojke, zdravljenje, avtologna rekonstrukcija, vsadki, vprašalnik Breast Q, zdravstvena vzgoja
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [E. Abdić]
• Year: 2023
• Number of pages: 74 str., [34] str. pril.
• PID: 20.500.12556/RUL-145061
• UDC: 616-083
• COBISS.SI-ID: 147802883
• Publication date in RUL: 01.04.2023

MURANOVIĆ, Emina, 2023, Zadovoljstvo bolnic po rekonstrukciji dojke : magistrsko delo [online]. Master’s thesis. Ljubljana : E. Abdić. [Accessed 25 March 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=145061

Secondary language

• Language: English
• Title: Patients satisfaction after breast reconstruction : master thesis

Abstract

Introduction: Breast cancer is the most common cancer in women in the word.With breast reconstruction, we restore the missing part of the breast to women, raise their self – esteem and improve their quality of life. By introducing patients to reconstruction options and good reconstruction technique, we can return patients satisfaction and enable them to have a better quality of life. Purpose: The purpose of the master`s work is to determine patient satisfaction and quality of life after breast reconstruction using the validated Breast Q questionnaire. In addition, we want to find out what effect and influence the last stage of reconstruction has. Methodology: The research took place at University Medical Center Ljubljana at the department for plastic, reconstructive, aesthetic surgery and burns, we used a quantitative research method. The selected patients were surveyed using the Breast Q anonymous survey questionnaire, for which we obtained appropriate permissions and translated it into Slovenian. We compared two groups of patients operated with either one or the other reconstruction technique, i.e. autologous reconstruction with free tissue from the abdomen and reconstruction with a tissue expander followed by a permanent breast implant. Questionnaires were completed in the periods before the nipple areolar - tattooing and 6 – 9 months after the nipple areolar – tattooing. Results: Patient satisfaction after breast reconstruction is high in Slovenia, as the score is 76.1 out of 100 possible, which is similar to surveys around the world. We found that patients in Slovenia were more satisfied with the autologous type of reconstruction and that is positively correlated with the age of the patients in the group of 56-70 years. The last part of breast reconstruction (the nipple areolar – tattooing) does not have a statistically significant effect on the better final results of breast reconstruction. The medical team that participates in the entire treatment, plays an important role in treating patients and offering support, which is shown by the high level of satisfaction in this area. Discussion and conclusion: The results show that patients in Slovenia are satisfied with breast reconstruction. Satisfaction is most felt in the field of nursing care, which is important information for all members of the multidisciplinary team and confirms how important is interaction with patients. To increase the objectivity of patients experiences and answers, improvements could be made with the addition of a set of questions about expectations before surgery. Also it would be reasonable to consider the expansion of the questionnaire, additional areas of Breast Q and to continue research on a larger number of participants, and to keep a timeline of whether satisfaction changes over the years and what affects it.

• Keywords: master's theses, nursing care, breast cancer, treatment, autologous breast reconstruction, implants, Breast Q questionnaire, health education