摘要
目的:探究重睑就医者社会心理因素与术后满意度的相关性。方法:以重庆医科大学附属第一医院整形外科149例重睑就医者为研究对象。术前采用自制问卷,术后采用满意度调查问卷,术前临床访谈和术后追踪回访相结合。研究重睑就医者社会心理因素特征及其与术后满意度的相关性。结果:预期效果与手术满意程度呈现正相关,对手术效果的期待与手术满意程度呈负相关(P<0.05);手术信任度与手术满意程度呈现正相关,肿胀消退情况与手术满意程度呈现正相关,术后效果评价、术前预期效果、家人朋友对该手术满意度与术后手术者满意度呈正相关(P<0.01)。社会因素中就医者年龄、性别、职业、收入、婚姻状况、术式等与术后满意度无明显相关性。结论:重睑术后满意度评价存在较大的主观性,术前对就医者做好预期效果、手术信任度调查,针对不同调查结果做好心理护理及专业指导,同时术中、术后的肿胀预防及处理可提高术后满意度。
Objective To investigate the correlation between psychosocial factors and post-operative satisfaction in patients with blepharoplasty.Methods 149 patients with blepharoplasty in the department of plastic surgery,the First Affiliated Hospital of Chongqing Medical University were studied.In order to study the characteristics of psychosocial factors in patients with blepharoplasty and its correlation with post-operative satisfaction,a method of self-designed questionnaire was used preoperatively with a clinical interview,and a post operative satisfaction questionnaire combined with follow up actions required.Results There was a positive correlation between the expected effect and the degree of surgical satisfaction,and a negative correlation between the expected effect and the degree of surgical satisfaction(P<0.05).There was a positive correlation between the degree of trust in surgeon-patient relationship and surgical satisfaction(P<0.01).Post-operatively,there was a positive correlation between regression of swelling and surgical satisfaction(P<0.01).There was also a positive correlation between family,friends,postoperative outcomes satisfaction and the expected pre-operative outcomes and post-operative patients'satisfaction(P<0.01).Other findings such as social factors like age,sex,occupation,income,marital status and surgical approach have no significant correlation with patient postoperative satisfaction.Conclusion There is subjectivity in the evaluation of patients'satisfaction after operation.The expected surgical outcome and trust in surgeon-patient relationship ought to be established,psychological nursing and professional guidance should be rendered with different essential investigations to be carried out,so as to achieve optimal health status prior to surgery.At the same time,management and prevention of postoperative swelling can improve patients'satisfaction score tremendously.
作者
赵红燕
唐娟
杨娥
张恒术
ZHAO Hong-yan;TANG Juan;YANG E;ZHANG Heng-shu(Department of Plastic Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)
出处
《中国美容医学》
CAS
2020年第4期144-147,共4页
Chinese Journal of Aesthetic Medicine
关键词
重睑术
社会因素
心理状态
满意度
相关性
blepharoplasty
social factors
psychological state
satisfaction
correlation
