Abstract: Development of a Chinese version of Breast-Q and a retrospective study of its evaluation of patients’ satisfaction in breasts        MA Yu-wei, XIU Bing-qiu, SHAO Ding-yi, et al. Department of Breast Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
Corresponding author：WU Jiong, E-mail:wujiong1122@ vip.sina.com
Abstract    Objective  To develop a Chinese version of Breast-Q（version 2.0）published by Pusic，etc. in 2017，and to verify its reliability and validity. Methods    Translation was made for five modules，including pre- and post-operative modules of reconstruction，pre- and post-operative modules of breast conserving therapy，and expectation module. Field test of 273 patients was made to analyze the reliability，validity and information of satisfaction and life quality. Results Cronbach’s α coefficient of five modules was 0.912-0.980，and Cronbach’s α coefficient of dimensions in each module was 0.741-0.978. The correlation coefficient between each item and the whole dimensions indicated that all the items had good convergent and discriminant validity. In addition，the authors compared the questionnaire samples of preoperative and postoperative patients. It suggested that breast conserving surgery and reconstruction surgery both had potential improvement effects on patients' breast satisfaction and psychosocial well-being. For different reconstruction types，patients receiving autologous reconstruction were more satisfied with information offered compared to patients receiving implant-based reconstruction. Conclusion    The Chinese version of Breast-Q has good reliability and validity，which could be considered as an PRO reference in further studies of breast cancer in China.

Key words: breast cancer, Breast-Q, patient reported outcome, reliability, validity

摘要： 目的    以2017年Pusic等修订的乳腺癌病人报告结局量表Breast-Q 2.0版本为蓝本，编译中文版Breast-Q问卷，并对其进行信效度验证。方法    以Breast-Q 5个模块的中文版量表作为调查问卷，对复旦大学附属肿瘤医院收治的273例乳腺手术病人乳房重建术前及术后、保乳治疗术前及术后和期望量表进行测试，通过测试数据分析，验证其信效度、满意度及对于生活质量信息的评估价值。 结果    5个模块的中文版问卷总体内部一致性系数为0.912~0.980，各模块中单一维度的内部一致性系数为0.741~0.978；各条目与各维度整体之间的相关系数表明，条目具有较好的收敛效度及区别效度。通过对比术前、术后病人的问卷样本，提示保乳及重建手术对病人的心理健康、乳房满意度等都有潜在的改善作用；而在不同的重建类型中，接受自体重建的病人相比于假体重建的病人有更高的信息满意度。结论    中文版Breast-Q问卷具有良好的信效度，可作为国内乳腺癌相关研究中评估病人报告结局的参考工具。

关键词: 乳腺癌, Breast-Q, 病人报告结局, 信度, 效度