ABSTRACT: Conventional or Adhesive External Breast Prosthesis?
A Prospective: Study of the Patients' Preference After Mastectomy
After having been subjected to radical mastectomy for breast cancer,
women are usually fitted with an external breast prosthesis.
Different types of prostheses are available, but oncology nurses
have few data enabling them to advise their patients adequately.
In this prospective randomized crossover study of 101 women undergoing
one-sided mastectomy for breast cancer, the self-adhesive breast
prosthesis was compared with the traditional external prosthesis.
Questionnaires were used to evaluate the woman's judgment of
the prosthesis in relation to her final preference for one type
of prosthesis. Complete data were available for 91 women, 59.3%
of whom finally preferred the self-adhesive type.
was independent of age, randomization order, or the possible
use of adjuvant chemotherapy. Satisfaction with the self-adhesive
prosthesis was independent of randomization order but satisfaction
with the traditional type was significantly more when it was
the first type of prosthesis.
Preference for the self-adhesive
prosthesis over the traditional type was mainly related to an
increased perception of the prosthesis as a part of the body.
Preference for the traditional prosthesis over the other type
was mainly related to the greater ease of application and the
lesser local irritation of the skin. Findings from this study
can be useful in oncology nursing practice.
08/03/2001; Cancer Nursing
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