Biörserud Christina, Shams Kima, Elander Anna, Fagevik Olsén Monika
a Department of Surgery/Gastrosurgical Research and Education , Sahlgrenska University Hospital , Gothenburg , Sweden.
b Department of Clinical Sciences/Surgery , Sahlgrenska Academy, Gothenburg University , Gothenburg , Sweden.
J Plast Surg Hand Surg. 2018 Oct;52(5):288-293. doi: 10.1080/2000656X.2018.1481860. Epub 2018 Jun 29.
There is limited knowledge about self-image in relation to excess skin after bariatric surgery. The aim of this study was therefore to explore self-image after massive weight loss and its relationship to gender, weight loss, discomfort regarding excess skin and health-related quality of life. Eighteen months after obesity surgery, 131 patients filled in questionnaires about self-image (Som jag ser mig själv), excess skin (Sahlgrenska Excess Skin Questionnaire, SESQ) and quality of life (EQ-5D and SF-36). In addition, maximal ptosis was measured on their abdomen, arms and thighs. There were no differences in self-image or quality of life between the genders. Participants who scored low discomfort on SESQ had a significantly better overall self-image, in all subscales, compared to those with high discomfort scores ( < .05). They also had a significantly higher quality of life on the EQ-5D VAS ( = .045). Correlations were low, if any, between self-image, excess skin, quality of life and ptosis. There were moderate correlations between the SESQ score and the self-image subscore 'physical well-being', and in self-image and quality-of-life scores. Self-image is lower among those who experience a high degree of discomfort of excess skin after bariatric surgery. Its correlation to weight loss, measured excess skin and quality of life is weak.
关于减肥手术后皮肤过多与自我形象的相关知识有限。因此，本研究的目的是探讨大幅减重后的自我形象及其与性别、体重减轻、皮肤过多引起的不适以及健康相关生活质量的关系。肥胖手术18个月后，131名患者填写了关于自我形象（《我眼中的自己》）、皮肤过多（萨尔格伦斯卡皮肤过多问卷，SESQ）和生活质量（EQ - 5D和SF - 36）的问卷。此外，还测量了他们腹部、手臂和大腿的最大皮肤下垂程度。不同性别在自我形象或生活质量方面没有差异。与皮肤过多不适评分高的参与者相比，SESQ评分低不适的参与者在所有子量表上的整体自我形象明显更好（<0.05）。他们在EQ - 5D视觉模拟量表上的生活质量也明显更高（=0.045）。自我形象、皮肤过多、生活质量和皮肤下垂之间的相关性很低（如果有相关性的话）。SESQ评分与自我形象子评分“身体健康”之间，以及自我形象与生活质量评分之间存在中度相关性。减肥手术后，皮肤过多不适程度高的人群自我形象较低。其与体重减轻、测量的皮肤过多和生活质量的相关性较弱。
