Barone Mauro, Cogliandro Annalisa, La Monaca Giuseppe, Tambone Vittoradolfo, Persichetti Paolo
Plastic and Reconstructive Surgery Unit, Campus Bio-Medico University of Rome, Rome, Italy.
Institute of Philosophy of Scientific and Technological Activity, Campus Bio-Medico University of Rome, Rome, Italy.
Arch Plast Surg. 2015 Jan;42(1):46-51. doi: 10.5999/aps.2015.42.1.46. Epub 2015 Jan 14.
In all branches of medicine, it is the surgeon's responsibility to provide the patient with accurate information before surgery. This is especially important in cosmetic surgery because the surgeon must focus on the aesthetic results desired by the patient.
An experimental protocol was developed based on an original questionnaire given to 72 patients. The nature of the responses, the patients' motivation and expectations, the degree of patient awareness regarding the planned operation, and the patients' perceptions of the purpose of the required consent for cosmetic surgery were all analyzed using Fisher's exact test.
Candidates for abdominal wall surgery had significantly more preoperative psychological problems than their counterparts did (P=0.035). A significantly different percentage of patients under 40 years of age compared to those over 40 years of age searched for additional sources of information prior to the operation (P=0.046). Only 30% of patients with a lower educational background stated that the preoperative information had been adequate, whereas 92% of subjects with secondary schooling or a postsecondary degree felt that the information was sufficient (P=0.001). A statistically significant difference was also present between patients according to their educational background regarding expected improvements in their quality of life postoperatively (P=0.008).
This study suggests that patients require more attention in presurgical consultations and that clear communication should be prioritized to ensure that the surgeon understands the patient's expectations.
在医学的各个领域，外科医生都有责任在手术前向患者提供准确信息。这在整形手术中尤为重要，因为外科医生必须关注患者期望的美学效果。
基于一份发放给72名患者的原始问卷制定了一项实验方案。使用费舍尔精确检验分析了回答的性质、患者的动机和期望、患者对计划手术的知晓程度以及患者对整形手术所需同意书目的的认知。
腹壁手术候选人术前心理问题明显多于其他患者（P = 0.035）。40岁以下患者与40岁以上患者相比，术前寻找额外信息来源的比例存在显著差异（P = 0.046）。教育背景较低的患者中只有30%表示术前信息充足，而接受过中等教育或高等教育的患者中有92%认为信息足够（P = 0.001）。根据患者的教育背景，术后生活质量预期改善情况也存在统计学显著差异（P = 0.008）。
本研究表明，患者在术前咨询中需要更多关注，应优先进行清晰的沟通，以确保外科医生理解患者的期望。
