了解乳腺癌患者乳房重建认同度现状，探讨影响乳房重建认同度相关因素。

现况调查2016年2月至8月中山大学附属第一医院收集600例乳腺癌患者资料，调查其人口学特征、生命质量、社会支持与乳房重建认同度。采用多因素Logistic回归模型分析乳房重建认同度与年龄、婚姻状况、家庭月收入、生命质量及社会支持关系。

57.7%的患者不认同乳房重建手术；Logistic回归结果显示年龄、婚姻状况、文化程度、家庭月收入、生命质量及社会支持均与重建认同度密切相关（P=0.002、0.012、0.014、0.002、0.005），生理状况、情感状况及附加关注具有显著性差异（P<0.01、0.039、<0.001），认同组患者生命质量得分比不认同组患者高。社会支持与乳房重建认同度呈负相关，即社会支持越高，其乳房重建认同度反而降低。

人口学特征、生命质量、社会支持均对乳房重建认同度有影响。

To investigate the status of breast reconstruction in breast cancer patients, and to explore the relevant factors affecting the recognized degree of breast reconstruction.

Based on the current hospital-based survey design, six hundred patients with postoperative breast cancer from February to August 2016 were collected from the First Affiliated Hospital of Sun Yat-sen University,including their demographic characteristics, quality of life, social support and recognition of breast reconstruction. Multivariate logistic regression model was used to analyze the relationship between the degree of breast reconstruction and age, marital status, family income, quality of life and social support.

Of the 600 patients, 57.7% did not agree with breast reconstruction. The logistic regression model adjusted the age, marital status, educational level and monthly income of the family (P=0.002, 0.012, 0.014, 0.002, 0.005). The results showed that the quality of life and social support were closely related to the degree of reconstruction, and the physiological status, emotional status and additional attention had significant differences (P<0.01, 0.039, <0.001). The quality of life of patients in the same group than those who do not agree with the group. Social support and breast reconstruction were negatively correlated with the degree of recognition, that is, the higher the social support, the lower breast reconstruction recognition.

Demographic characteristics, quality of life, and social support all have implications for breast reconstruction.