切口疝对健康相关生活质量和身体形象的影响：一项前瞻性队列研究。

Impact of incisional hernia on health-related quality of life and body image: a prospective cohort study.

机构信息

Department of Surgery, Erasmus University Medical Center, Room Ff-219, PO Box 2040, 3000 CA Rotterdam, The Netherlands.

出版信息

Am J Surg. 2012 Aug;204(2):144-50. doi: 10.1016/j.amjsurg.2012.01.012. Epub 2012 May 10.

DOI:10.1016/j.amjsurg.2012.01.012

PMID:22579232

Abstract

BACKGROUND

We investigated the impact of incisional hernia (IH) on quality of life and body image.

METHODS

Open abdominal surgery patients were included in a prospective cohort study performed between 2007 and 2009 in an academic hospital. Main outcomes were incidence of IH after approximately 12 months and Short-Form 36 and body image questionnaire results.

RESULTS

There were 374 patients who were examined after a median follow-up period of 16 months (range, 10-24 mo). Seventy-five patients had developed IH (20%); 63 (84%) were symptomatic. Adjusted for age, sex, and Charlson Comorbidity Index score, patients with IH reported significantly lower mean scores for components physical functioning (P = .033), role physical (P = .002), and physical component summary (P = .010). A trend toward significance was found for general health (P = .061). Patients with IH reported significantly lower mean cosmetic scores (P = .002), and body image and total body image scores (both P < .001).

CONCLUSIONS

Patients with IH reported lower mean scores on physical components of health-related quality of life and body image.

摘要

背景

我们研究了切口疝（IH）对生活质量和身体形象的影响。

方法

在 2007 年至 2009 年期间，在一家学术医院进行了一项前瞻性队列研究，纳入了接受开放性腹部手术的患者。主要结局是大约 12 个月后 IH 的发生率以及 Short-Form 36 和身体形象问卷的结果。

结果

共有 374 名患者在中位随访期 16 个月（范围 10-24 个月）后接受了检查。75 名患者发生 IH（20%）；63 名（84%）有症状。调整年龄、性别和 Charlson 合并症指数评分后，IH 患者身体功能（P =.033）、身体角色（P =.002）和身体成分综合评分（P =.010）的平均得分明显较低。一般健康状况（P =.061）也存在显著趋势。IH 患者的美容评分（P =.002）、身体形象和整体身体形象评分均明显较低（均 P <.001）。