心脏瘢痕对先天性心脏病青年身体意象障碍的影响。
Implications of Cardiac Scarring on Body Image Disturbance Among Young Adults With Congenital Heart Defects.
出版信息
J Cardiovasc Nurs. 2024;39(6):E212-E217. doi: 10.1097/JCN.0000000000001091. Epub 2024 Mar 12.
BACKGROUND
Many individuals with congenital heart disease (CHD) undergo open heart surgery, resulting in prominent scarring. However, little research has assessed the impact of surgical scarring on body image in this population.
OBJECTIVE
Within this cross-sectional study, associations between body image concerns, anxiety and depression symptoms, and health-related quality of life among individuals with CHD were evaluated.
METHODS
Young adults with CHD (N = 138) completed the Body Image Disturbance Questionnaire along with other patient-reported outcome measures.
RESULTS
Scores on the Body Image Disturbance Questionnaire were lower (mean, 1.3 ± 0.5) than populations with diabetes amputations, craniofacial conditions, idiopathic scoliosis, and clinical controls. Higher Body Image Disturbance Questionnaire scores were reported among women ( P = .003) and were associated with greater anxiety ( P = .000) and depression ( P = .13) after controlling for sex.
CONCLUSIONS
Body image concerns related to cardiac surgery scarring are especially prominent in women and associated with greater emotional distress, suggesting potential clinical relevance for evaluating body image concerns in persons with CHD.
背景
许多患有先天性心脏病 (CHD) 的人需要接受心脏直视手术，这会导致明显的疤痕。然而，很少有研究评估手术疤痕对该人群体象的影响。
目的
在这项横断面研究中，评估了 CHD 个体的体象问题、焦虑和抑郁症状与健康相关生活质量之间的关系。
方法
CHD 青年患者（N=138）完成了体象障碍问卷和其他患者报告的结果测量。
结果
体象障碍问卷的得分较低（平均 1.3±0.5），低于糖尿病截肢、颅面畸形、特发性脊柱侧凸和临床对照组。女性的体象障碍问卷得分更高（P=0.003），并且在控制性别后，与更大的焦虑（P=0.000）和抑郁（P=0.13）相关。
结论
与心脏直视手术疤痕相关的体象问题在女性中尤为突出，并且与更大的情绪困扰相关，这表明评估 CHD 患者的体象问题具有潜在的临床意义。
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