四肢瘢痕挛缩患者手术前后生活质量调查分析  

Quality of life in patients undergoing skin grafting surgery for limbs' scar contracture

作　　者：李红红[1] 曹东升[1] 李小静[2] 张志华[3] 谢娟[1] 鲍琼[1] 陈增红[1] 朱邦中[1] 娄寅[1] 丁以春[1] 

机构地区：[1]安徽医科大学第二附属医院整形外科 [2]安徽医科大学第一附属医院整形外科 [3]安徽医科大学公共卫生学院,合肥230032

出　　处：《安徽医科大学学报》2015年第9期1323-1326,共4页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:81272107)

摘　　要：目的探讨四肢瘢痕挛缩畸形患者术后早期医疗干预及心理指导对生活质量(QOL)的影响。方法 50例患者根据术后恢复期是否以随访的形式定期接受医疗干预情况分为目的组和对照组,使用SF-36量表记录两组患者术前和术后1年QOL变化,量化评分后分析其变化趋势。结果通过手术治疗,对照组患者生理机能、生理职能、一般健康状况、社会功能4个维度较术前有所提高;躯体疼痛、精力、情感职能、精神健康4个维度较术前差异无统计学意义。目的组生理机能、生理职能、一般健康状况、精力、社会功能、情感职能、精神健康7个维度较术前明显提高,躯体疼痛较术前差异无统计学意义。两组术后对比,生理职能、精力、情感职能、精神健康4个维度差异有统计学意义。结论通过手术治疗能够明显提高四肢瘢痕伴有功能障碍患者总体生理健康水平。术后恢复期间相关因素对总体精神健康产生的负面影响,可通过增加术后随访次数,及时给予患者康复指导及医学、心理辅导的方式改善,对患者术后QOL的进一步提高产生积极作用。Objective To explore the effect of early medical intervention and psychological guidance on the quality of life for patients with postoperative limb scar contracture deformity. Methods According to the patient with or without medical intervention by regular follow-up during the postoperative recovery period, 50 cases were divided into the intervention and control group. We recorded and evaluated quality of life by the SF-36 scale at preoperative and 1 year postoperative follow-up separately in the two groups, and analyzed the difference between the two groups. Results By surgical treatment, the controlgroup patients＇ scores of physical function, role-physical function, general heahhstatusand social function were improved compared with the preoperative ones. There was no significant difference in the scores of body pain, vitality, role-emotionaland mental health. The objective group patients＇ scores of physical function, role-physical, general health, vitality, social function, role-emotional, mental health wereim- proved. There was also no significant difference in the score of body pain. Compared with the postoperative changes of the two groups, there was significant difference in the scores of role-physical, vitality, role-emotional and mental health. Conclusion The patients＇ physical health level can be increased obviously by surgical treatment. By increasing the number of postoperative follow-up and giving patient＇s rehabilitation guidance and psychological counse- ling timely, the factors of the negative impact on the mental health can be removed during the postoperative recovery period. As a result, the quality of life of postoperative patients can be further improved positively.

关 键 词：瘢痕挛缩 医疗干预 生活质量 

分 类 号：R622.1[医药卫生—整形外科]