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Abstract：
Background Post-surgical scars (PSS) are an expected consequence of surgery. Several factors have previously been associated with PSS satisfaction including patient age and time elapsed post-operative. Little data are available regarding patient attitudes toward orthopaedic PSS. Knowledge of patient attitudes and the various associated factors may allow physicians to administer peri-operative care to mitigate the potential negative effects of PSS. Our study aims to investigate the attitudes of patients toward their PSS using quantitative scar assessment scales and to identify factors associated with PSS satisfaction. Methods We conducted a retrospective study with a follow-up. We included all patients with orthopaedic PSS on their upper or lower limbs between two and 18 weeks postoperative attending Cork University Hospital, Ireland, between February and August 2022. Patients completed an initial baseline questionnaire and then a follow-up questionnaire six months post-operative. The Patient and Observer Scar Assessment Scale (POSAS) evaluated PSS satisfaction. The European Quality of Life 5 Domain (EQ-5D), alongside several Likert scales, evaluated the patient\'s quality of life (QoL). Results In total, 91 patients were included. The mean POSAS score was 28.41 (95% CI, 25.85-30.97). Younger patient age (p=0.045) and decreased time passed post-operatively (p=0.002) were associated with poorer PSS satisfaction. Patients reporting their PSS appearing worse than expected were more likely to agree that their QoL had been adversely affected by it (p=0.001). Conclusion Most patients were satisfied with their orthopaedic PSS. This study identified several factors associated with poor PSS satisfaction. Our finding, which associated patient scar expectations and QoL, is novel and has not been previously examined. Accordingly, peri-operative interventions, including scar expectation management, may be implemented to mitigate scar-related QoL impact.
摘要：
背景技术手术后的疤痕(PSS)是手术的预期结果。先前有几个因素与PSS满意度相关，包括患者年龄和术后经过的时间。关于患者对骨科PSS的态度的数据很少。患者态度和各种相关因素的知识可以允许医生进行围手术期护理以减轻PSS的潜在负面影响。我们的研究旨在使用定量瘢痕评估量表调查患者对PSS的态度，并确定与PSS满意度相关的因素。方法回顾性研究并随访。我们纳入了科克大学医院术后2到18周的上肢或下肢骨科PSS患者，爱尔兰,2022年2月至8月。患者在术后六个月完成了初始基线问卷，然后完成了随访问卷。患者和观察者疤痕评估量表（POSAS）评估PSS满意度。欧洲生活质量5域(EQ-5D)除了几个李克特音阶，评估患者的生活质量（QoL）。结果总计,包括91例患者。平均POSAS评分为28.41(95%CI,25.85-30.97)。患者年龄较小（p=0.045）和术后时间减少（p=0.002）与PSS满意度较差相关。报告他们的PSS比预期的更差的患者更有可能同意他们的QoL受到了它的不利影响(p=0.001)。结论大多数患者对骨科PSS满意。这项研究确定了与PSS满意度差相关的几个因素。我们的发现,将患者的疤痕期望和QoL相关联，是新颖的，以前没有检查过。因此，围手术期干预措施，包括疤痕期望管理，可以实施以减轻与疤痕相关的QoL影响。
