de Lima Edson Luiz, de Brito Maria José Azevedo, da Cunha João Batista, Duarte Maria Fernanda Pereira, Corrêa Nely Flávia Machado, de Carvalho Resende Margarida Maria, Ferreira Lydia Masako
In Brazil, Edson Luiz de Lima, MD, MS, is a Physician, Federal Institute for Education, Science and Technology of Southern Minas, Pouso Alegre, Minas Gerais; Maria José Azevedo de Brito, PhD, is Affiliate Professor, Master's Degree Program in Sciences Applied to Health, Sapucai Valley University (UNIVAS), Pouso Alegre, Minas Gerais and Postdoctoral Fellow, Division of Plastic Surgery, Federal University of São Paulo (UNIFESP); João Batista da Cunha, MS, RN, is Affiliate Professor, Master's Degree Program in Sciences Applied to Health; UNIVAS, Pouso Alegre, Minas Gerais; Maria Fernanda Pereira Duarte, BSN, Nely Flávia Machado Corrêa, BSN, and Margarida Maria de Carvalho Resende, PhD, RN, are Nurses, College of Health Science, UNIVAS, Pouso Alegre, Minas Gerais; and Lydia Masako Ferreira, MD, PhD, is Full Professor and Head, Division of Plastic Surgery, UNIFESP, São Paulo.
Adv Skin Wound Care. 2018 Oct;31(10):470-477. doi: 10.1097/01.ASW.0000544616.95630.ac.
To identify changes in body image in patients with surgical wound dehiscence.
This cross-sectional, descriptive, analytical study was conducted in a university hospital and nursing care center in Brazil.
Sixty-one adult surgical patients of both genders from different inpatient wards or receiving outpatient care were selected. Forty-one participants had surgical wound dehiscence, and 20 had achieved complete wound healing (controls).
The Body Dysmorphic Disorder Examination (BDDE), Body Investment Scale (BIS), and a questionnaire assessing clinical and sociodemographic characteristics of patients were used for data collection.
Surgical wound dehiscence defects were 0.5 to 30 cm in length, located on the arms, legs, and chest. They were significantly associated with being white (P = .048), number of children (P = .024), and presence of comorbid conditions (P = .01). Overall, men reported higher BIS scores (positive feelings about the body) than women (P = .035). Patients with wound dehiscence had higher BDDE scores (negative body image) than controls (P = .013). The BDDE scores were associated with presence of surgical wound dehiscence (P = .013), number of children (P = .009), and wound length (P = .02). There were significant correlations between BIS scores in men with wound dehiscence (P = .042), number of children (P < .001), and BDDE scores (P < .001) and between BDDE scores and number of children (P = .031), wound length (P = .028), and BIS scores (P < .001).
Surgical wound dehiscence had a negative impact on body image.
确定手术伤口裂开患者身体意象的变化。
本横断面、描述性、分析性研究在巴西的一家大学医院和护理中心进行。
选取了61名来自不同住院病房或接受门诊治疗的成年外科手术患者，男女皆有。41名参与者出现手术伤口裂开，20名伤口已完全愈合（对照组）。
使用身体变形障碍检查（BDDE）、身体投入量表（BIS）以及一份评估患者临床和社会人口学特征的问卷进行数据收集。
手术伤口裂开缺损长度为0.5至30厘米，位于手臂、腿部和胸部。它们与白人（P = 0.048）、子女数量（P = 0.024）以及合并症的存在（P = 0.01）显著相关。总体而言，男性报告的BIS得分（对身体的积极感受）高于女性（P = 0.035）。伤口裂开患者的BDDE得分（负面身体意象）高于对照组（P = 0.013）。BDDE得分与手术伤口裂开的存在（P = 0.013）、子女数量（P = 0.009）以及伤口长度（P = 0.02）相关。伤口裂开男性的BIS得分与子女数量（P < 0.001）、BDDE得分（P < 0.001）之间以及BDDE得分与子女数量（P = 0.031）、伤口长度（P = 0.028）和BIS得分（P < 0.001）之间存在显著相关性。
手术伤口裂开对身体意象有负面影响。
