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身体生活质量量表(Body-QoL(®)):身体塑形手术患者的患者报告结局[已校正]

The Body-QoL(®): patient reported outcomes in body contouring surgery patients [corrected].

作者信息

Danilla Stefan, Dominguez Carlos, Cuevas Pedro, Calderón María Elsa, Rios Marco Antonio, Andrades Patricio, Benitez Susana, Erazo Cristian, Shulz Rolando, Al-Himdani Sarah, Sepúlveda Sergio

机构信息

Plastic Surgery Unit, Surgery Department, Hospital Clínico Universidad de Chile, Sector B, 3er piso, Santos Dumont 999, Independencia, 8380456, Santiago, Chile,

出版信息

Aesthetic Plast Surg. 2014 Jun;38(3):575-83. doi: 10.1007/s00266-014-0302-x. Epub 2014 Apr 3.

Abstract

BACKGROUND

This study aimed to design a new patient-reported outcome (PRO) instrument to measure patient satisfaction after body-contouring procedures such as liposculpture, abdominoplasty, body-lift, thigh-lift, and arm-lift.

METHODS

Phase 1a involved an extensive literature review, 16 in-depth patient interviews, and expert focus groups with 5 plastic surgeons to develop a conceptual framework for the outcomes deemed important for body image and preliminary PRO instruments. In phase 1b, the preliminary instrument was tested with a second independent sample of 29 patients with whom simple interviews were additionally performed. In the second sample, scale reliability was calculated.

RESULTS

In phase 1a, the domains identified for the conceptual framework included clothing and body image, sexual and affective life, self-image and self-esteem, social relationships, and physical symptoms. In phase 1b, the scale internal consistency was 91.5 %.

CONCLUSIONS

When psychometric evaluation is completed, the Body-Shape-Related Quality of Life instrument and its subscales will provide a reliable tool for plastic surgeons, researchers, and patients to use in measuring the impact and effectiveness of body-contouring procedures from the patient's perspective.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 . This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-B.

摘要

背景

本研究旨在设计一种新的患者报告结局(PRO)工具,以测量抽脂塑形、腹壁成形术、身体提升术、大腿提升术和手臂提升术等身体塑形手术后的患者满意度。

方法

1a阶段包括广泛的文献综述、16次深入的患者访谈以及与5名整形外科医生进行的专家焦点小组讨论,以制定一个概念框架,确定对身体形象重要的结局以及初步的PRO工具。在1b阶段,对第二个独立的29名患者样本测试初步工具,并额外进行简单访谈。在第二个样本中,计算量表信度。

结果

在1a阶段,为概念框架确定的领域包括服装与身体形象性生活与情感生活、自我形象与自尊、社会关系和身体症状。在1b阶段,量表内部一致性为91.5%。

结论

当完成心理测量评估后,身体形状相关生活质量工具及其子量表将为整形外科医生、研究人员和患者提供一个可靠的工具,以便从患者角度测量身体塑形手术的影响和效果。

证据级别IV:本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南www.springer.com/00266 。本刊要求作者为适用循证医学排名的每篇投稿指定证据级别。这排除了综述文章、书评以及涉及基础科学、动物研究、尸体研究和实验研究的手稿。有关这些证据级别的完整描述,请参阅……

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