Alzahrani Khalid J, Kattan Abdullah E, Ezzat Loui A, Alsaleh Saud A, Murad Khalid A, Alghamdi Bader A
College of Medicine, King Saud University, Riyadh, Saudi Arabia; and Plastic Surgery Department, King Khalid University Hospital, Riyadh, Saudi Arabia.
Eplasty. 2017 Mar 28;17:e12. eCollection 2017.
Patients are often bothered by excess skin laxity and redundancy after weight loss. Body-contouring surgery offers a solution. This study assessed the psychosocial impact of body-contouring surgery on patients after weight loss. In this cross-sectional study, a specifically designed questionnaire developed in collaboration with psychiatric department for our research was used for 43 patients who underwent body-contouring surgery. Data were collected during single visit to the plastic surgery clinic. All the patients had lost 20 kg or less before the surgery and were interviewed at least 6 months after the surgery. The questionnaire was used to compare the psychosocial status of the patients before and after surgery. Data were analyzed appropriately using Statistical Package for the Social Sciences. The participants' mean age was 34 ± 10 years; the sample included 24 (55.8%) women and 19 (44.2%) men (total N = 43). The patients' quality of life improved significantly in the areas of social life ( < .001), job performance ( < .002), and sexual activity ( < .001). Moreover, while 17 (39.5%) patients suffered symptoms of depression before surgery, only 1 (2.3%) patient suffered symptoms of depression after surgery. The overall satisfaction was found to be 62.8%, with mammoplasty being the procedure with the highest satisfaction (66.6%). Body-contouring surgery after weight loss has shown to improve both psychological and social aspects of the patients' lives. Recall bias is the main limitation in our study.
减肥后患者常常受到皮肤过度松弛和多余皮肤的困扰。身体塑形手术提供了一种解决方案。本研究评估了身体塑形手术对减肥后患者的心理社会影响。在这项横断面研究中，我们使用了与精神科合作专门为我们的研究设计的问卷，对43例接受身体塑形手术的患者进行了调查。数据是在患者单次就诊于整形手术诊所时收集的。所有患者在手术前体重减轻了20千克或更少，并在手术后至少6个月接受了访谈。该问卷用于比较患者手术前后的心理社会状况。使用社会科学统计软件包对数据进行了适当分析。参与者的平均年龄为34±10岁；样本包括24名（55.8%）女性和19名（44.2%）男性（总样本量N = 43）。患者的生活质量在社交生活（<.001）、工作表现（<.002）和性活动（<.001）方面有显著改善。此外，虽然17名（39.5%）患者在手术前有抑郁症状，但术后只有1名（2.3%）患者有抑郁症状。总体满意度为62.8%，其中乳房整形手术的满意度最高（66.6%）。减肥后的身体塑形手术已显示出可改善患者生活的心理和社会方面。回忆偏倚是我们研究中的主要局限性。
