Implications of Cardiac Scarring on Body Image Disturbance Among Young Adults With Congenital Heart Defects.

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiovascular Nursing Pub Date : 2024-11-01 Epub Date: 2024-03-12 DOI:10.1097/JCN.0000000000001091

Victoria R Grant, Canice E Crerand, Jamie L Jackson

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引用次数: 0

Abstract

Background: Many individuals with congenital heart disease (CHD) undergo open heart surgery, resulting in prominent scarring. However, little research has assessed the impact of surgical scarring on body image in this population.

Objective: Within this cross-sectional study, associations between body image concerns, anxiety and depression symptoms, and health-related quality of life among individuals with CHD were evaluated.

Methods: Young adults with CHD (N = 138) completed the Body Image Disturbance Questionnaire along with other patient-reported outcome measures.

Results: Scores on the Body Image Disturbance Questionnaire were lower (mean, 1.3 ± 0.5) than populations with diabetes amputations, craniofacial conditions, idiopathic scoliosis, and clinical controls. Higher Body Image Disturbance Questionnaire scores were reported among women ( P = .003) and were associated with greater anxiety ( P = .000) and depression ( P = .13) after controlling for sex.

Conclusions: Body image concerns related to cardiac surgery scarring are especially prominent in women and associated with greater emotional distress, suggesting potential clinical relevance for evaluating body image concerns in persons with CHD.

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心脏瘢痕对患有先天性心脏缺陷的青少年身体形象干扰的影响。

背景：许多先天性心脏病（CHD）患者都要接受开胸手术，手术后会留下明显的疤痕。然而，很少有研究评估手术瘢痕对这一人群身体形象的影响：在这项横断面研究中，我们评估了 CHD 患者对身体形象的关注、焦虑和抑郁症状以及与健康相关的生活质量之间的关联：患有冠心病的年轻成年人（138 人）填写了身体形象干扰问卷以及其他患者报告的结果指标：与糖尿病截肢患者、颅面部疾病患者、特发性脊柱侧弯患者和临床对照组相比，身体形象障碍问卷的得分较低（平均值为 1.3 ± 0.5）。女性的身体形象干扰问卷得分更高（P = .003），在控制性别后，女性的焦虑（P = .000）和抑郁（P = .13）程度更高：结论：与心脏手术瘢痕相关的身体形象问题在女性中尤为突出，并且与更大的情绪困扰相关，这表明评估心脏疾病患者的身体形象问题具有潜在的临床意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cardiovascular Nursing 医学-护理

CiteScore

3.30

自引率

10.00%

发文量

154

审稿时长

>12 weeks

期刊介绍： Official journal of the Preventive Cardiovascular Nurses Association, Journal of Cardiovascular Nursing is one of the leading journals for advanced practice nurses in cardiovascular care, providing thorough coverage of timely topics and information that is extremely practical for daily, on-the-job use. Each issue addresses the physiologic, psychologic, and social needs of cardiovascular patients and their families in a variety of environments. Regular columns include By the Bedside, Progress in Prevention, Pharmacology, Dysrhythmias, and Outcomes Research.