MỨC ĐỘ HÀI LÒNG VÀ CÁC YẾU TỐ LIÊN QUAN Ở NGƯỜI BỆNH UNG THƯ VÚ ĐƯỢC CẮT TUYẾN VÚ TRIỆT CĂN VÀ TẠO HÌNH NGAY BẰNG TÚI ĐỘN TẠI BỆNH VIỆN K

Abstract

Objective: To assess satisfaction levels and associated factors among breast cancer patients undergoing immediate implant-based breast reconstruction following mastectomy. Methods: A cross-sectional study was conducted on 79 breast cancer patients who underwent total mastectomy with immediate implant-based reconstruction at K Hospital from January 2021 to December 2024. Satisfaction was evaluated using the BREAST-Q questionnaire, and associations with clinical, surgical, and adjuvant treatment characteristics were analyzed. Results: The mean age was 43.7 ± 7.4 years. Nipple-sparing mastectomy (NSM) was performed in 79.7% and skin-sparing mastectomy (SSM) in 20.3%. The mean implant volume was 219.5 ± 47.7 ml. The mean BREAST-Q satisfaction score was 60.9 ± 11.0. No statistically significant associations were found with age, laterality, tumor multifocality, tumor size, surgical technique (NSM/SSM), mesh usage, complications, chemotherapy, or radiotherapy. Patients with implant volumes ≥ 200 ml reported higher satisfaction (p=0.019). Overall quality of life positively correlated with satisfaction scores (β=0.219; p=0.012). Conclusion: Satisfaction after immediate implant-based breast reconstruction was at a moderate level. Larger implant volume (≥ 200 ml) and better overall quality of life were significantly associated with higher satisfaction, while most clinicopathological and surgical factors showed no substantial influence.