Nair Rathish, Thomas Priyanka Elizabeth, Mohanan Keerthi, Bhawana Kranti, Thakur Monika
College of Nursing, AIIMS Patna, Bihar, India.
Department of ENT, AIIMS Patna, Patna, Bihar, India.
J Educ Health Promot. 2024 Sep 28;13:339. doi: 10.4103/jehp.jehp_1860_23. eCollection 2024.
A sudden surge in the cases of mucormycosis forced India's coronavirus disease 2019 task force to issue evidence-based advisory on the disease. Severity was seen as comparatively high among diabetic and immuno-compromised individuals. Surgical procedures leading to scars of incision and disfigurement of the face might trigger dissatisfaction with body image and poor mental health. The study was conducted to assess mental health and level of satisfaction with body image among patients diagnosed with mucormycosis during the post-operative period. A descriptive cross-sectional study was conducted among patients diagnosed with mucormycosis who underwent surgical debridement in a tertiary care hospital among 56 patients selected by the total enumeration sampling technique. Data were collected using DASS-21 and a modified version of the body image scale. Among 56 patients, most participants (n = 43) were highly satisfied with their body image. In terms of mental health, patients reported mild levels of depression (12.5%), anxiety (7.1%), and stress (1.8%) after surgery. Body image scores were positively correlated with stress scores (r = 0.323) at < 0.05. Among the sub-scales of mental health, scores of anxiety and stress were found to be correlated (r = 0.457) at < 0.01. A statistical association was found between occupational status and level of depression (χ = 13.501, = 0.007), body image and number of post-operative days (χ = 13.654, = 0.033), and body mass index and level of depression (χ = 12.396, = 0.005). Early identification of predictors of mental health disorders due to dissatisfaction with body image among post-debridement mucormycosis patients could help in planning psycho-social interventions.
毛霉菌病病例的突然激增迫使印度2019年冠状病毒病特别工作组发布了关于该疾病的循证咨询意见。在糖尿病患者和免疫功能低下的个体中,病情严重程度相对较高。导致面部切口疤痕和毁容的外科手术可能引发对身体形象的不满和心理健康问题。本研究旨在评估术后被诊断为毛霉菌病的患者的心理健康状况和对身体形象的满意度。采用整群抽样技术,在一家三级护理医院对56例接受手术清创的毛霉菌病确诊患者进行了描述性横断面研究。使用DASS-21和身体形象量表的修改版收集数据。在56例患者中,大多数参与者(n = 43)对自己的身体形象非常满意。在心理健康方面,患者术后报告有轻度抑郁(12.5%)、焦虑(7.1%)和压力(1.8%)。身体形象得分与压力得分呈正相关(r = 0.323),P < 0.05。在心理健康子量表中,焦虑和压力得分被发现具有相关性(r = 0.457),P < 0.01。发现职业状况与抑郁水平(χ² = 13.501,P = 0.007)、身体形象与术后天数(χ² = 13.654,P = 0.033)以及体重指数与抑郁水平(χ² = 12.396,P = 0.005)之间存在统计学关联。早期识别清创术后毛霉菌病患者因对身体形象不满而导致心理健康障碍的预测因素,有助于规划心理社会干预措施。