Knudsen Marie Veje, Grosen Kasper, Pilegaard Hans K, Laustsen Sussie
Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Denmark; Department of Physiotherapy and Occupational Therapy, Aarhus University Hospital, Denmark; Centre of Research in Rehabilitation (CORIR), Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Denmark.
Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Denmark; Department of Rheumatology, Aarhus University Hospital, Denmark.
J Pediatr Surg. 2015 Sep;50(9):1472-6. doi: 10.1016/j.jpedsurg.2014.11.048. Epub 2014 Dec 11.
The purpose of this study was to assess the effects of surgical correction of pectus carinatum on health-related quality of life and self-esteem.
Between May 2012 and May 2013, a prospective observational single-center cohort study was conducted on consecutive patients undergoing surgical correction of pectus carinatum at our institution. Patients filled in questionnaires on health-related quality of life and self-esteem before and six months after surgery.
Disease-specific health-related quality of life was improved by 33% (95% CI: 23; 44%) according to responses to the Nuss Questionnaire modified for Adults. The improvement for generic mental health-related quality of life was 7% (95% CI: 3; 12%) in responses to the Short Form-36 Questionnaire. The improvement in self-esteem was 9% (95% CI: 2; 17%) as assessed with the Rosenberg Self-Esteem Scale. A Single Step Questionnaire supported the improvements in health-related quality of life and self-esteem six months postsurgery.
This study confirms positive effects of surgical correction of pectus carinatum on health-related quality of life and self-esteem. Patients were to a greater extent self-satisfied about chest appearance following surgery, indicating this to be a step in the right direction toward improved body image, mental health and self-esteem.
本研究旨在评估鸡胸手术矫正对健康相关生活质量和自尊的影响。
2012年5月至2013年5月，对在我院连续接受鸡胸手术矫正的患者进行了一项前瞻性观察性单中心队列研究。患者在手术前和术后六个月填写有关健康相关生活质量和自尊的问卷。
根据针对成人修改后的努斯问卷的回答，特定疾病的健康相关生活质量提高了33%（95%置信区间：23；44%）。根据简短健康调查问卷-36的回答，一般心理健康相关生活质量提高了7%（95%置信区间：3；12%）。用罗森伯格自尊量表评估，自尊提高了9%（95%置信区间：2；17%）。一份单步问卷证实了术后六个月健康相关生活质量和自尊的改善。
本研究证实了鸡胸手术矫正对健康相关生活质量和自尊有积极影响。患者术后对胸部外观的满意度更高，表明这是朝着改善身体形象、心理健康和自尊迈出的正确一步。
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