鼻中隔成形术中功能和美学因素对患者满意度的影响

IF 0.7 Q4 OTORHINOLARYNGOLOGY
Özgür Kemal, E. Tahir, E. Kavaz, Huseyin Karabulut
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引用次数: 1

摘要

目的:本研究旨在区分影响鼻中隔成形术效果的功能因素和美学因素,并确定影响患者满意度的最重要因素。方法:对55例鼻中隔成形术患者术前和术后6个月分别进行鼻中隔成形术疗效评价(ROE)和鼻中隔阻塞视觉模拟评分(VAS- o)和外观视觉模拟评分(VAS- a)。VAS评分分为VAS- o(0:未阻塞,10:完全阻塞)和VAS- a(0:最差外观,10:最佳外观)。ROE评分在0 ~ 100之间计算。为了检验测量之间的关系并确定影响总体ROE得分的最强大项目,进行了路径分析,并计算了路径系数。结果:手术前后VAS-O和VAS-A平均评分分别为6.85和4.36,3.91和7.22 (p<0.001)。VAS-A的均值差绝对值(-3.31)大于VAS-O的均值差绝对值(-2.49),这也意味着外观评分受到的影响更广泛。平均ROE评分由46.36±9.28分上升至78.85±11.70分。VAS-A评分对总ROE评分有显著影响(β=0.782, p=0.001),而VAS-O评分无影响。对整体ROE得分影响最小的项目是项目2 (β=0.445),而与审美结果相关的其他项目具有更高的Path系数。结论:虽然鼻中隔成形术在功能和美观方面都取得了令人满意的效果,但患者对美容效果更满意。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Functional and Aesthetic Factors on Patient Satisfaction in Septorhinoplasty
Objective: This study aimed to differentiate the functional or aesthetic factors affecting the result of septorhinoplasty and to determine the most important factor related to patient satisfaction. Methods: Rhinoplasty Outcome Evaluation (ROE) and Visual Analog Scale (VAS) for obstruction (VAS-O) and for appearance (VAS-A) were administered to fifty-five patients undergoing septorhinoplasty preoperatively and six months after the surgery. VAS scores were evaluated as follows: VAS-O (0: unblocked, 10: completely blocked) and VAS-A (0: worst appearance, 10: best appearance). ROE scores were calculated between 0 and 100. In order to examine the relationship between the measurements and determine the most powerful item that affects the overall ROE score, path analysis was performed, and the path coefficients were calculated. Results: The mean VAS-O and VAS-A scores before and after surgery were 6.85 and 4.36, and 3.91 and 7.22, respectively (p<0.001). The absolute value of mean difference was greater for VAS-A (-3.31) than VAS-O (-2.49), which also means appearance scores were more widely affected. The mean ROE score was increased from 46.36±9.28 to 78.85±11.70. VAS-A score had a significant impact on the overall ROE score (β=0.782, p=0.001), while the VAS-O score had no impact. The least effective item on the overall ROE score was item 2 (β=0.445), while the other items related to aesthetic outcome had higher Path coefficients. Conclusion: Although septorhinoplasty provides satisfactory results in both functional and aesthetic aspects, patients are more satisfied with the cosmetic outcomes.
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