[en] Porpouse. The aim of the study was to analyse satisfaction and quality of life after immediate breast reconstruction due to cancer and its determining factors. Method. An ambispective design was used(n=101; α=0.05; precision=10%), studying anthropometric, cultural ,social and clinic data, together with the results from a Fagerström test, Charlson comorbidity index and the BREAST-Q© questionnaire. Informed consent and approval from an ethical review board was obtained (code 2013/253). A logistic regression analysis was performed in order to identify variables associated with quality of life and satisfaction. Results. Mean age on diagnosis was 44.87 ± 8.5 years. A skin-sparing mastectomy was carried out (42.7%) and reconstruction using an implant (74.5%). The domain on the BREAST-Q© for quality of life with the lowest score was sexual well-being (61.5). The satisfaction domain with the lowest score was with the breast (59) and the highest score was health care (100). The variables associated with the worst quality of life in the physical wellbeing chest were the skin-sparing mastectomy (OR=4.2) and lymphedema (OR=12.9). Antibody treatment was associated with a worse score on the psychosocial (OR=4.25) and sexual (OR=7.34) well-being. Satisfaction was associated with nicotine dependence on the breast and outcome scale. The higher the dependence on nicotine, the greater the dissatisfaction with the breast (OR=2.41) and with the outcome (OR=2.45). The lower satisfaction with the information was associated with nipple skin-sparing mastectomy (OR=4.21). Satisfaction with the surgeon increased with age (OR=0.93) (p=0.07), and higher level of education (OR=0.07). Satisfaction with nursing staff care was greather if women had doctor/degree study (OR=0.09), breast implant reconstruction (OR=0.13) and hormonal treatment (OR=0.13). Lower satisfaction with nursing care was associated with anxiolytics treatmet (OR=5.65) (p=0.06). Conclusions. The type of treatments and lymphedema modify the patients' quality of life. Satisfaction with breast reconstruction is associated with nicotine dependency. Satisfaction with care is associated with treatments, and the patient's socio-demographic variables.

[gl] Obxectivo. Os obxetivos foron analizar a calidade de vida e satisfacción tras a reconstrución mamaria inmediata e os seus determinantes. Método. Estudo ambispectivo (n=101; α=0.05; precisión=10%) de reconstrución mamaria tras mastectomía por cancro. Estudáronse datos antropométricos, socio-culturais e clínicos, test de Fagerström, comorbilidade de Charlson e cuestionario BREAST-Q©. Obtívose consentimento informado das pacientes e aprobación do comite de ética (código 2013/253). Realizouse unha análise de regresión loxística para identificar as variables asociadas á calidade de vida e satisfacción. Resultados. A media de idade ao diagnóstico foi de 44.87 ± 8.5 anos. Realizouse mastectomía aforradora de pel (42.7%) e reconstrución con implante (74.5%). O dominio de calidade de vida con menor puntuación foi o benestar sexual (61.5). O dominio de satisfacción con menor puntuación foi coa mama (59) e o de maior puntuación foi a satisfacción cos coidados dos profesionais (100). O peor benestar físico do tórax asociouse coa mastectomía aforradora de pel (OR=4.2) e o linfedema (OR=12.9). O tratamento con anticorpos asociouse con peor benestar psicosocial (OR=4.25) e sexual (OR=7.34). Unha maior dependencia á nicotina disminuíu a satisfacción coa mama (OR=2.41) e co resultado (OR=2.45). A menor satisfacción coa información asociuse coa mastectomía aforradora de pel e mamila (OR=4.21). A satisfacción co cirurxián aumentou coa idade (OR=0.93) (p=0.07) e o maior nivel de estudos (OR=0.07). A satisfacción coa enfermería foi maior se a muller tiña estudos superiores (OR=0.09), reconstrución con implante (OR=0.13) e estaba a tratamento hormonal (OR=0.13). Rozando a significación (p=0.06), menor satisfacción coa enfermeira asociouse con estar a tratamento con ansiolíticos (OR=5.65). Conclusiones. O tratamento e o linfedema modifican a calidade de vida. A satisfacción coa mama e o resultado asóciase coa dependencia á nicotina. A satisfacción cos cuidados asóciase cos tratamentos e as variables sociodemográficas da paciente.