整形患者术后满意度相关因素分析

发布时间：2018-06-19 01:00

本文选题：整形美容受术者 + 满意度　；参考：《华北理工大学》2017年硕士论文

【摘要】：目的以在华北理工大学附属医院整形外科就诊的求术者为研究对象,收集临床病例,分析影响整形外科术后满意度的因素。方法于2015年3月至2017年1月收集华北理工大学附属医院整形外科就诊的768名求术者的一般人口社会学资料,并嘱咐受术者于术后1个月及3个月复诊,于术后3个月复诊时进行术后满意度评价的采集,其中排除因院方手术失误及操作不当等因素造成的术后不满意情况。术后满意度评价根据很满意、比较满意、不太满意及很不满意四个等级进行划分,嘱不满意组患者进一步填写艾森克人格问卷(Eysenck Personality Questionnaire,EPQ)和90项症状清单(90 Symptom Scale,SCL-90)问卷,从满意组中随机抽取100人作为对照同样填写EPQ和SCL-90人格心理问卷。对于艾森克人格问卷及SCL-90评分问卷采用均数加减标准差进行统计学描述,独立样本t检验进行统计学分析。一般资料采用秩和检验进行单因素相关分析,对有意义的指标再进行多因素有序回归分析。结果通过对整形美容受术者一般人口社会学因素与术后满意度关系的分析比较发现,受术者年龄因素和婚姻状况因素在其术后满意度评价构成上的差异有统计学意义(P0.05),而其手术类型、择院途径、家庭背景、职业、性别、受教育的程度、来源地区等因素、既往手术史等因素的差异没有统计学意义(P0.05)。通过EPQ和SCL-90评分的测量,发现满意组在精神质、躯体化、焦虑、偏执方面的评分明显低于不满意组(P0.05),而在内外倾向、掩饰性、强迫、人际关系、忧虑、敌对、恐怖、精神疾病及其他方面评分的比较,两组之间差异无统计学意义(P0.05)。结论1)在人口社会学因素方面,经多因素有序回归分析得出,整形美容患者术后满意度影响因素包括年龄和婚姻状况,年龄60岁以上患者满意度评价最低,18-30岁患者满意度评价最高。婚姻状况上,离异患者满意度评价最低,已婚患者满意度评价最高。2)心理因素方面,躯体化、焦虑、精神质及偏执是影响美容整形手术患者术后满意度的主要因素,随着上述评分提高,患者满意度呈下降趋势。
[Abstract]:Objective to collect the clinical cases and analyze the factors influencing the satisfaction of plastic surgery in the hospital affiliated to North China University of Science and Technology. Methods from March 2015 to January 2017, the general demographic and sociological data of 768 patients seeking surgical treatment in the affiliated hospital of North China University of Technology were collected, and the patients were instructed to return to hospital at 1 month and 3 months after operation. The evaluation of postoperative satisfaction was collected 3 months after operation, and the postoperative dissatisfaction caused by hospital error and improper operation was excluded. The evaluation of postoperative satisfaction was based on satisfaction, dissatisfaction and dissatisfaction. The patients in the dissatisfied group were asked to fill out the Eysenck Personality questionnaire (Eysenck Personality questionnaire) and the 90 symptom list (90 symptom Scales SCL-90), and were asked to fill out the Eysenck Personality questionnaire (Eysenck Personality questionnaire) and the 90 symptom list (SCL-90). A total of 100 persons were randomly selected from the satisfactory group as controls to fill out EPQ and SCL-90 personality questionnaire. The Eysenck Personality questionnaire and SCL-90 scale were statistically described by the standard deviation of mean addition and subtraction, and the independent sample t-test was used for statistical analysis. The rank sum test was used to analyze the single factor correlation, and the multivariate sequential regression analysis was carried out for the meaningful indexes. Results the relationship between general demographic and sociological factors and postoperative satisfaction was analyzed and compared. There were significant differences in the factors of age and marital status in the evaluation of postoperative satisfaction (P 0.05). However, the type of operation, the way of choosing hospital, family background, occupation, sex, education level, source area, and so on. There was no significant difference in factors such as previous operation history (P 0.05). By measuring the scores of EPQ and SCL-90, it was found that the scores of psychoticism, somatization, anxiety and paranoid ideation in satisfaction group were significantly lower than those in dissatisfied group (P 0.05), while in internal and external tendency, concealment, compulsion, interpersonal relationship, anxiety, hostility, terror, etc. There was no significant difference in scores of mental illness and other aspects between the two groups (P 0.05). Conclusion 1) in terms of demographic and sociological factors, it is concluded that the influencing factors of postoperative satisfaction of cosmetic patients include age and marital status by multivariate sequential regression analysis. Patients over 60 years of age had the lowest evaluation of satisfaction and 18-30 years of age had the highest degree of satisfaction. Marital status, divorce patients satisfaction evaluation is the lowest, married patients satisfaction evaluation is the highest. 2) in terms of psychological factors, somatization, anxiety, psychoticism and paranoid ideation are the main factors that affect the postoperative satisfaction of cosmetic plastic surgery patients. With the improvement of the above scores, patient satisfaction showed a downward trend.
【学位授予单位】：华北理工大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R622

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