患者对整形外科术后痕的态度
Martin P Ho1, Hannah Hughes1, Patrick Fleming1
1Department of Trauma and Orthopaedic Surgery, Cork University Hospital, Cork, IRL.
Cureus
|November 30, 2023
概括
大多数患者对手术后痕 (PSS) 感到满意. 年龄较小和手术后时间较短与满意度较低相关. 管理患者的痕期望可以改善生活质量.
科学领域:
- 整形外科手术 整形外科手术
- 患者的治疗结果.
- 伤管理 伤管理
背景情况:
- 手术后痕 (PSS) 在手术后很常见,年龄和时间等因素影响了满意度.
- 有限的数据存在于患者对骨科PSS的态度.
- 了解这些态度可以指导外科手术期间的护理,以尽量减少负面痕影响.
研究的目的:
- 通过使用定量尺度来调查患者对骨科PSS的态度.
- 确定与患者对PSS满意度相关的因素.
- 探索痕期望,PSS和生活质量 (QoL) 之间的关系.
主要方法:
- 追溯研究与91名骨科PSS (上/下肢) 患者的随访.
- 使用患者和观察者痕评估尺度 (POSAS) 来确定痕满意度.
- 使用欧洲生活质量5域 (EQ-5D) 和利克特等级评估生活质量 (QoL).
主要成果:
- 平均POSAS得分为28.41分之一.
- 较年轻的患者年龄 (p=0.045) 和较短的术后时间 (p=0.002) 与较差的PSS满意度有关.
- 认为痕比预期更严重的患者报告了对QoL的更大的负面影响 (p=0.001).
结论:
- 大多数患者对他们的骨科PSS表示满意.
- 确定了与不满相关的关键因素,包括痕期望.
- 新发现将痕期望与QOL联系起来,表明期望管理是术前干预.
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