背景:由于叙利亚战争,许多军人失去了四肢。虽然军人和平民中与创伤有关的截肢手术之间存在差异,这两种情况都会导致改变生活的伤害。
目的:探索身体形象与身体形象之间的关系,自尊,与创伤相关的重大截肢后的生活质量(QOL)领域。这将是叙利亚第一个关于自尊和身体形象之间相关性的研究。这将有助于提高我们的护理质量,以满足患者的需求并增加幸福感,这反过来将有助于解决身体形象,自尊,和QOL。
方法:一项横断面研究,在拉塔基亚和塔尔图的两个中心和两个军事医院招募了235名截肢士兵。患者接受了81项问卷,其中包括截肢者身体形象量表(ABIS),罗森博格自尊(RSE)量表,WHOQOL-BREF问卷,和一维疼痛措施。方差分析测试,学生的t检验,多元线性回归,内部一致性,和重测信度用于统计分析。
结果:身体形象之间有很强的关系,自尊,和QOL,身体形象的存在与较低的自尊得分和较低的生活质量得分显着相关(p=0.001)。幻痛感觉患者的自尊显著降低(p=0.001),更大的身体形象关注(p=0.001),和较低的分数在所有领域的QOL。我们发现身体形象和自尊影响了心理,社会,和环境领域。在控制疼痛水平和共病条件的数量后,身体形象和自尊不能预测WHOQOL-BREF分数,除了环境领域,没有痛苦和低自尊预测更好的环境领域分数。
结论:患者的身体形象和自尊受到下肢截肢的极大影响。此外,幻影疼痛进一步影响了自尊,身体形象,和QOL。身体的形象对心理产生了深远的影响,社会,和环境领域,自尊几乎受到QOL所有方面的影响。
BACKGROUND: Numerous military soldiers have lost limbs as a result of the Syrian War. While there are variations between trauma-related amputations in military and civilian populations, both scenarios result in life-changing injuries.
OBJECTIVE: To explore the relationship between body image, self-esteem, and quality of life (QOL) domains following trauma-related major amputation. It will be the first study in Syria on the correlation between self-esteem and body image. It will help improve our quality of care to meet patient needs and increase well-being, which in turn will help to address body image, self-esteem, and QOL.
METHODS: A cross-sectional study that recruited 235 soldiers with amputations in two centers and two military hospitals in Latakia and Tartous. Patients were given an 81-item questionnaire that included the Amputee Body-Image Scale (ABIS), the Rosenberg Self-esteem (RSE) scale, the WHOQOL-BREF questionnaire, and unidimensional pain measures. The ANOVA test, a student\'s t-test, multiple linear regression, internal consistency, and test-retest reliability were utilized for statistical analysis.
RESULTS: There was a strong relationship between body image, self-esteem, and QOL, with the presence of body image concerns significantly associated with lower self-esteem scores and lower QOL scores (p=0.001). Patients with phantom pain sensation had significantly reduced self-esteem (p =0.001), greater body image concerns (p =0.001), and lower scores in all domains of QOL. We found that body image and self-esteem impacted the psychological, social, and environmental domains. After controlling for pain level and number of co-morbid conditions, body image and self-esteem did not predict WHOQOL-BREF scores, with the exception of the environmental domain, where no pain and low self-esteem predicted better environmental domain scores.
CONCLUSIONS: Patients\' body image and self-esteem were greatly impacted by lower-limb amputations. Additionally, phantom pain further impacted self-esteem, body image, and QOL. The image of the body had a profound effect on psychological, social, and environmental domains, and self-esteem was influenced by almost all aspects of QOL.