马来西亚手术治疗的特发性脊柱侧凸患者的生活质量、自尊和自我形象的测定

Marini Ab. Rahman, P. Galaichelvi., N. Nurain
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摘要

特发性脊柱侧凸是一种影响患者自尊、自我形象和生活质量的脊柱畸形。根据病情进展,当曲度超过45度时,可进行手术。本研究的目的是确定特发性脊柱侧凸患者手术前后的自尊、自我形象和生活质量。采用脊柱侧凸研究协会-30 (SRS-30)患者自填问卷进行横断面研究。共纳入115例患者,其中男性35例(30.43%),女性80例(69.6%)。患者年龄10 ~ 49岁,平均年龄24.65±7.704岁。马来人42例(36.52%),华人40例(34.78%),印度人25例(21.73%),其他种族8例(6.96%)。结果显示,术后患者自尊和自我形象明显高于术前(r = 0.216, p=0.021)。在生活质量方面,手术后身体功能无明显变化,但基于心理功能和社会幸福感的生活质量明显高于手术后。自我形象治疗满意度与自尊治疗满意度呈显著正相关(r = 0.713, p=0.00),自尊治疗满意度呈显著负相关(r = - 0.210, p=0.024)。综上所述,特发性脊柱侧凸患者手术前自尊和自我形象较低,手术矫正后自尊和自我形象明显改善,患者对生活和手术治疗效果普遍满意。
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Determination of Quality of life, Self-esteem and Self-image in patients with Idiopathic Scoliosis subjected to Surgical treatment in Malaysia
Idiopathic scoliosis is a spinal deformity which affects patient’s self-esteem, self-image and quality of life. Surgery is offered when the curve is more than 45 degree based on its progression. The objective of this study is to determine the pre and post-surgical self-esteem, self-image and quality of life in idiopathic scoliosis patients. A cross sectional study was conducted by using Scoliosis Research Society-30 (SRS-30) self-administered patient questionnaire. There are 115 patients were recruited in this study where 35 (30.43%) male and 80 (69.6%) female patients. Age of patient ranged from 10 to 49 years old with mean age of 24.65 ± 7.704. There were 42 (36.52%) Malay patients, 40 (34.78%) Chinese patients, 25 (21.73%) Indian patients and 8 (6.96%) from other races. Results shows that self-esteem and self-image is significantly higher (r = 0.216, p=0.021) after surgery compared to before surgery. As for quality of life, physical function did not significantly change after surgery but quality of life based on psychological function and social wellbeing is significantly higher after surgery. Positive association were found between satisfaction of treatment with self-image (r = 0.713, p=0.00) and self-image with self-esteem (r = 0.216, p=0.021) and negative association found between satisfaction of treatment with self-esteem (r = - 0.210, p=0.024). In conclusion patients with idiopathic scoliosis report lower self-esteem and self-image before surgical treatment and significantly improves after surgical correction and patients are generally satisfied with their life as well as the outcome of surgical treatment.
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