上眼睑重睑成形术对患者生活质量及手术满意度的影响

Effect of Upper Eyelid Double Blepharoplasty on Quality of Life and Satisfaction of Patients

目的评估患者接受上眼睑重睑成形术前后的生存质量变化以及对手术的满意度。方法选取2020年1月—2022年1月福建医科大学附属福州市第一医院进行过上眼睑重睑成形术的154例患者进行回顾性观察性队列研究,搜集患者的人口统计学数据及临床数据,分别在术前及术后6个月通过面部临床评估量表(facial clinical assessment scale,Face-Q)评估患者的生存质量变化以及对手术的满意度。结果该组患者并无严重并发症需要重新手术矫治的情况出现。患者的SF-36量表结果显示,患者在社会功能维度和心理健康维度的得分均较术前显著提高,差异有统计学意义(P<0.001)。Face-Q结果显示,患者眼睛外观、社会信心、心理健康、对生活的早期影响、决策满意度、结果满意度评分较术前显著提高,差异有统计学意义(P<0.001)。调查结果显示,手术对生活的早期影响方面的反馈也有较高的评价,并且患者对手术的决定和结果满意度均较高。结论上眼睑重睑成形术在有效改善眼部美观的基础上,对患者的生存质量尤其是精神及社会功能方面均有良好的改善作用,并且有着较高的患者满意度。

Objective To evaluate patients received upper eyelid double blepharoplasty after the changes in quality of life,and to the satisfaction of the operation.Methods A total of 154 patients who underwent upper eyelid double blepharoplasty at Affiliated Fuzhou First Hospital of Fujian Medical University from January 2020 to January 2022 were selected for a retrospective observational cohort study,and the patients′demographic data and clinical data were collected.The data were used to evaluate changes in the patient′s quality of life and satisfaction with the surgery through the facial clinical assessment scale(Face-Q)before surgery and 6 months after surgery.Results There were no serious complications in this group of patients that required re surgical correction.The results of the SF-36 scale showed that the scores of patients in both social function and mental health dimensions were significantly improved compared to before surgery,and the difference was statistically significant(P<0.001).The Face-Q results showed that the patient′s eye appearance,social confidence,mental health,early impact on life,decision satisfaction,and outcome satisfaction scores significantly improved compared to preoperative,the differences were statistically significant(P<0.001).The survey results showed that there is also a high evaluation of feedback on the early impact of surgery on life,and patients are satisfied with the decision and outcome of surgery.Conclusion Upper eyelid double eyelid surgery not only effectively improves the eye appearance,but also improves the quality of life of patients,especially the mental and social function,and has a high patient satisfaction.