Pre- and postoperative evaluation of the effect of reconstructive surgery on patient quality of life and self-esteem: a prospective study of 52 patients

Introduction: Benign and malignant skin lesions can affect patients' quality of life and self-esteem; thus, reconstructive plastic surgery is important for these individuals. The objective is to assess the effect of reconstructive plastic surgery on the quality of life (QoL) and self-esteem in...

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Main Authors: Victor Felipe dos Santos Tejada, Raúl Andrés Mendoza Sassi, Luciano Zogbi Dias, Susi Heliene Lauz Medeiros
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2018-06-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/2049/en_v33n2a16.pdf
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author Victor Felipe dos Santos Tejada
Raúl Andrés Mendoza Sassi
Luciano Zogbi Dias
Susi Heliene Lauz Medeiros
author_facet Victor Felipe dos Santos Tejada
Raúl Andrés Mendoza Sassi
Luciano Zogbi Dias
Susi Heliene Lauz Medeiros
author_sort Victor Felipe dos Santos Tejada
collection DOAJ
description Introduction: Benign and malignant skin lesions can affect patients' quality of life and self-esteem; thus, reconstructive plastic surgery is important for these individuals. The objective is to assess the effect of reconstructive plastic surgery on the quality of life (QoL) and self-esteem in patients with benign or malignant skin lesions. Methods: This quasi-experimental "pre-post study" measured QoL using the 36-Item Short Form Health Survey (SF-36) questionnaire. For the measure of self-esteem, the Rosenberg Self-Esteem Scale was used. The changes in scores of both instruments were measured before and after surgery, and the statistical significance of the difference was evaluated using a paired sample t test. The proportion of individuals with an increased QoL score and self-esteem according to sociodemographic variables, lesion or disease characteristics, surgical treatment classification, and stressful events was measured, whereas the statistical significance was assessed using the chi-square test. Results: Fifty-two patients were interviewed. After the surgical intervention, significant improvement in QoL score in most SF-36 domains (emotional, physical, social, pain, general health, and mental health aspects) and improvement in the Rosenberg Self-Esteem Scale score were noted. The factors associated with a higher probability of improvements in QoL and self-esteem after surgery were age =60 years, white skin color, higher education level, occurrence of a stressful event, and malignant neoplasia. Conclusions: Reconstructive surgery positively affected several domains of QoL and self-esteem, showing other improvements in patient health beyond its technical and clinical benefits.
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spelling doaj-art-251c1358f05d4e2cab6af9869facc1202025-08-20T03:33:10ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352018-06-01330224225010.5935/2177-1235.2018RBCP0102Pre- and postoperative evaluation of the effect of reconstructive surgery on patient quality of life and self-esteem: a prospective study of 52 patientsVictor Felipe dos Santos Tejada0Raúl Andrés Mendoza Sassi1Luciano Zogbi Dias2Susi Heliene Lauz Medeiros3Universidade Federal do Rio Grande, Rio Grande, RS, Brazil.Universidade Federal do Rio Grande, Rio Grande, RS, Brazil.Universidade Federal do Rio Grande, Rio Grande, RS, Brazil.Universidade Federal do Rio Grande, Rio Grande, RS, Brazil.Introduction: Benign and malignant skin lesions can affect patients' quality of life and self-esteem; thus, reconstructive plastic surgery is important for these individuals. The objective is to assess the effect of reconstructive plastic surgery on the quality of life (QoL) and self-esteem in patients with benign or malignant skin lesions. Methods: This quasi-experimental "pre-post study" measured QoL using the 36-Item Short Form Health Survey (SF-36) questionnaire. For the measure of self-esteem, the Rosenberg Self-Esteem Scale was used. The changes in scores of both instruments were measured before and after surgery, and the statistical significance of the difference was evaluated using a paired sample t test. The proportion of individuals with an increased QoL score and self-esteem according to sociodemographic variables, lesion or disease characteristics, surgical treatment classification, and stressful events was measured, whereas the statistical significance was assessed using the chi-square test. Results: Fifty-two patients were interviewed. After the surgical intervention, significant improvement in QoL score in most SF-36 domains (emotional, physical, social, pain, general health, and mental health aspects) and improvement in the Rosenberg Self-Esteem Scale score were noted. The factors associated with a higher probability of improvements in QoL and self-esteem after surgery were age =60 years, white skin color, higher education level, occurrence of a stressful event, and malignant neoplasia. Conclusions: Reconstructive surgery positively affected several domains of QoL and self-esteem, showing other improvements in patient health beyond its technical and clinical benefits.http://www.rbcp.org.br/export-pdf/2049/en_v33n2a16.pdfquality of lifeself-conceptsurgical reconstructive proceduressurveys and questionnaires
spellingShingle Victor Felipe dos Santos Tejada
Raúl Andrés Mendoza Sassi
Luciano Zogbi Dias
Susi Heliene Lauz Medeiros
Pre- and postoperative evaluation of the effect of reconstructive surgery on patient quality of life and self-esteem: a prospective study of 52 patients
Revista Brasileira de Cirurgia Plástica
quality of life
self-concept
surgical reconstructive procedures
surveys and questionnaires
title Pre- and postoperative evaluation of the effect of reconstructive surgery on patient quality of life and self-esteem: a prospective study of 52 patients
title_full Pre- and postoperative evaluation of the effect of reconstructive surgery on patient quality of life and self-esteem: a prospective study of 52 patients
title_fullStr Pre- and postoperative evaluation of the effect of reconstructive surgery on patient quality of life and self-esteem: a prospective study of 52 patients
title_full_unstemmed Pre- and postoperative evaluation of the effect of reconstructive surgery on patient quality of life and self-esteem: a prospective study of 52 patients
title_short Pre- and postoperative evaluation of the effect of reconstructive surgery on patient quality of life and self-esteem: a prospective study of 52 patients
title_sort pre and postoperative evaluation of the effect of reconstructive surgery on patient quality of life and self esteem a prospective study of 52 patients
topic quality of life
self-concept
surgical reconstructive procedures
surveys and questionnaires
url http://www.rbcp.org.br/export-pdf/2049/en_v33n2a16.pdf
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