接受大减重后身体塑形手术患者的满意度和生活质量:巴林一家三级医疗中心的经验。

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI:10.61186/wjps.13.1.71
Mohamed E Shehab, Hasan M Isa, Lana M Saleh, Zainab A Alafeya
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引用次数: 0

摘要

背景:为了解决减肥手术(BS)后产生的问题,身体塑形手术(BCS)的发病率大幅上升。我们的目的是评估 BCS 术后患者的满意度和生活质量(QOL):在这项回顾性前瞻研究中,2017-2018 年在巴林 Salmaniya Medical Complex 整形外科接受 BCS 的患者被纳入研究对象。收集了人口统计学和人体测量数据。使用调查问卷评估了 BS 组患者的 QOL 和满意度:在 929 例整形外科住院患者中,316 例(34%)为 BCS(249 名患者)。58名(28%)患者接受了82次BS,其中大部分为女性(42人,72.4%)。平均年龄为(37.4±9.6)岁。患者最关注的部位是腹部皮肤赘肉(50 人,占 86.2%)。BCS 前体重指数中位数为 26.9(四分位间范围:25.6-29.8)kg/m2。大多数患者超重(26 人,44.8%)。腹部整形是最常见的 BCS(人数=172,50.6%)。在 BS 后组的 82 例 BCS 中,情况也是如此(38 例,46.3%)。在 BS 后组,25/82(30.5%)名患者出现了术后并发症,其中伤口问题最为常见(14 人,17.1%)。大多数患者在所有问卷领域的体验都较好,大多数患者(45 人,占 54.9%)将其满意度评为 "优秀"。年龄越大,总体满意度越高(PP=0.012),自信心越强(P=0.048)。女性对身体外观的满意度更高(PP=0.042):本研究显示,BCS 术后患者的 QOL 有所改善,总体满意度极高,但这一结果可能受年龄、性别和职业的影响。
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Satisfaction and Quality of Life in Patients Who Underwent Post Massive Weight Loss Body Contouring Procedures: A Tertiary Center Experience in Bahrain.

Background: Incidence of body contouring surgeries (BCS) rose significantly to overcome problems resulted from post-Bariatric Surgery (BS). We aimed to evaluate satisfaction level and quality of life (QOL) in patients' post-BCS.

Methods: In this retrospective prospective study, patients who underwent BCS in Plastic Surgery Department, Salmaniya Medical Complex, Bahrain, in 2017-2018, were enrolled. Demographic and anthropometric data were collected. BS-group's QOL and satisfaction level were assessed using a questionnaire.

Results: Of 929 plastic surgery admissions, 316 (34%) were for BCS (249 patients). Fifty-eight (28%) patients underwent 82 BS were recruited, mostly females (n=42, 72.4%). The mean age was 37.4±9.6 years. Excess abdominal skin was the most area of concern (n=50, 86.2%). Median pre-BCS body mass index was 26.9 (interquartile range: 25.6-29.8) kg/m2. Most patients were overweight (n=26, 44.8%). Abdominoplasty was the commonest BCS (n=172, 50.6%). This was also the case in 82 BCS in post-BS group (n=38, 46.3%). In post-BS group, post-operative complications were noted in 25/82 (30.5%) patients with wound problems being the most frequent (n=14, 17.1%). Most patients rated their experience as better in all questionnaire domains and most (n=45, 54.9%) rated their satisfaction level as excellent. Older age gave better overall satisfaction (P<0.001) while employed patients had better overall QOL (P=0.012) and self-confidence (P=0.048). Females had better satisfaction with body appearance (P<0.001) while those underwent abdominoplasty or breast surgeries had lower physical activity (P=0.042).

Conclusion: This study showed improvement in patient's QOL post-BCS with excellent overall satisfaction, findings that could be affected by age, sex, and occupation.

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