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隆鼻术前术后心理健康变化的研究:一项分析性研究。

Examining Mental Health Changes Before and After Rhinoplasty: An Analytical Study.

作者信息

Farzan Ramyar, Haghdoost Afrooz, Tolouie Mohammad, Koudehi Sakineh Pourgholami, Khonacha Elham Ebrahimi, Nikinia Paria, Esmailzadeh Mojdeh

机构信息

Department of Plastic & Reconstructive Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Department of General Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

Psych J. 2025 Apr;14(2):299-306. doi: 10.1002/pchj.820. Epub 2024 Dec 22.

Abstract

This study aimed to explore the mental health status of individuals seeking rhinoplasty before and 3 months after surgery. This study was conducted in 2022 at Velayat Hospital, involving patients aged 18-60 who were seeking rhinoplasty, selected using convenience sampling method. Exclusion criteria included prior nasal surgery and severe psychiatric disorders without clearance from a psychiatrist. The Symptom Check List-90-Revised questionnaire was employed to assess psychological disorders across 9 dimensions. Sixty patients were examined, consisting of 14 men and 46 women, with an average age of 31 years. A substantial 83.3% of participants sought rhinoplasty solely for cosmetic reasons, whereas 16.7% cited both cosmetic and breathing issues as motivations. Initially, 59 patients had scores indicating "good" mental health, with one showing "moderate" mental health. Three months after the surgery, all patients scored within "good" mental health. The findings revealed significant improvements in various dimensions of mental health, including depression, anxiety, and obsessive compulsive symptoms, with the exception of paranoid ideation. All three primary indicators of mental health demonstrated significant decrease post-surgery. The study highlights the positive impact of rhinoplasty on the mental health of patients, particularly among women, individuals over 20, and non-smokers. Notable improvements were observed across various mental health dimensions, with significant enhancements reported three months post-surgery. However, the findings underscore the need for careful consideration of psychological conditions when selecting candidates for surgery. Limitations, including a small male sample and lack of a control group, suggest further research is necessary.

摘要

本研究旨在探讨接受隆鼻手术的个体术前及术后3个月的心理健康状况。本研究于2022年在维拉亚特医院进行,纳入年龄在18 - 60岁之间、采用便利抽样法选取的隆鼻患者。排除标准包括既往鼻部手术史以及未经精神科医生批准的严重精神障碍。采用症状自评量表-90修订版问卷评估9个维度的心理障碍。共检查了60例患者,其中男性14例,女性46例,平均年龄31岁。高达83.3%的参与者进行隆鼻手术纯粹是出于美容原因,而16.7%的参与者表示美容和呼吸问题都是隆鼻的动机。最初,59例患者的心理健康状况评分为“良好”,1例为“中等”。术后3个月,所有患者的心理健康状况评分均为“良好”。研究结果显示,心理健康的各个维度都有显著改善,包括抑郁、焦虑和强迫症状,但偏执观念除外。心理健康的所有三个主要指标在术后均显著下降。该研究强调了隆鼻手术对患者心理健康的积极影响,尤其是在女性、20岁以上的个体和非吸烟者中。在心理健康的各个维度都观察到了显著改善,术后3个月有显著提升。然而,研究结果强调在选择手术候选人时需要仔细考虑心理状况。研究存在局限性,包括男性样本量小和缺乏对照组,这表明有必要进一步开展研究。

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本文引用的文献

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The psychological aspects of rhinoplasty.隆鼻手术的心理层面
Curr Opin Otolaryngol Head Neck Surg. 2010 Aug;18(4):290-4. doi: 10.1097/MOO.0b013e32833b51e6.

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