Shichang Liu, Jufang Zhang, Xiangying Yang, Yali Wu, Li Ning
Department of Plastic Surgery, The First People's Hospital, 310000, Address :No.261, Huansha Road, Hangzhou, Zhejiang, China.
Int J Nurs Stud Adv. 2024 Aug 19;7:100234. doi: 10.1016/j.ijnsa.2024.100234. eCollection 2024 Dec.
The success of hair transplantation surgeries for androgenetic alopecia is evaluated by postoperative long-term outcomes. Patients' self-management during the long recovery period affects this outcome.
This study aimed to explore patients' self-management status, facilitators, and impediments in the postoperative period and to provide a reference for developing a postoperative self-management intervention program.
Patients who underwent hair transplantation for androgenetic alopecia were selected using purposive sampling. They were interviewed using one-to-one semi-structured interviews at a general tertiary hospital in Hangzhou from March to April 2022. Qualitative research analysis software Nvivo 12.0 was used to analyze the collected data.
The self-management of postoperative patients with androgenetic alopecia during the recovery period encompasses six areas: more problems with postoperative medication (e.g., not being able to take medication on time) and wound care (e.g., not daring to shampoo, etc.), not being able to review their postoperative condition on time (due to busy schedules at work and at home), more hindrances to the establishment of good living habits (affected by overtime work, socialising, and bad habits of the people around them), and seeking positive ways of relieving bad emotions (stress, anxiety, depression, etc.), worrying about one's image during recovery and taking the initiative to obtain and use resources to promote recovery (through the Internet, books, etc.).
Various factors impact the postoperative self-management abilities of patients, including medication, shampooing, and emotions. It is essential to design support programs to enhance these abilities and improve long-term hair transplantation outcomes.
雄激素性脱发毛发移植手术的成功通过术后长期效果来评估。患者在漫长恢复期的自我管理会影响这一结果。
本研究旨在探讨患者术后自我管理状况、促进因素和阻碍因素,为制定术后自我管理干预方案提供参考。
采用目的抽样法选取接受雄激素性脱发毛发移植的患者。2022年3月至4月在杭州某三级甲等综合医院对他们进行一对一的半结构式访谈。使用定性研究分析软件Nvivo 12.0对收集到的数据进行分析。
雄激素性脱发患者术后恢复期的自我管理包括六个方面:术后用药问题较多(如不能按时服药)、伤口护理问题(如不敢洗头等)、不能按时复查术后情况(因工作和家庭日程繁忙)、养成良好生活习惯的阻碍较多(受加班、社交及周围人不良习惯影响)、寻求缓解不良情绪(压力、焦虑、抑郁等)的积极方式、恢复期担心自身形象并主动获取和利用资源促进恢复(通过互联网、书籍等)。
多种因素影响患者术后自我管理能力,包括用药、洗头和情绪等。设计支持方案以增强这些能力并改善毛发移植长期效果至关重要。