本文選題：整形美容受術者 + 滿意度　； 參考：《華北理工大學》2017年碩士論文

【摘要】：目的以在華北理工大學附屬醫(yī)院整形外科就診的求術者為研究對象,收集臨床病例,分析影響整形外科術后滿意度的因素。方法于2015年3月至2017年1月收集華北理工大學附屬醫(yī)院整形外科就診的768名求術者的一般人口社會學資料,并囑咐受術者于術后1個月及3個月復診,于術后3個月復診時進行術后滿意度評價的采集,其中排除因院方手術失誤及操作不當?shù)纫蛩卦斐傻男g后不滿意情況。術后滿意度評價根據(jù)很滿意、比較滿意、不太滿意及很不滿意四個等級進行劃分,囑不滿意組患者進一步填寫艾森克人格問卷(Eysenck Personality Questionnaire,EPQ)和90項癥狀清單(90 Symptom Scale,SCL-90)問卷,從滿意組中隨機抽取100人作為對照同樣填寫EPQ和SCL-90人格心理問卷。對于艾森克人格問卷及SCL-90評分問卷采用均數(shù)加減標準差進行統(tǒng)計學描述,獨立樣本t檢驗進行統(tǒng)計學分析。一般資料采用秩和檢驗進行單因素相關分析,對有意義的指標再進行多因素有序回歸分析。結(jié)果通過對整形美容受術者一般人口社會學因素與術后滿意度關系的分析比較發(fā)現(xiàn),受術者年齡因素和婚姻狀況因素在其術后滿意度評價構(gòu)成上的差異有統(tǒng)計學意義(P0.05),而其手術類型、擇院途徑、家庭背景、職業(yè)、性別、受教育的程度、來源地區(qū)等因素、既往手術史等因素的差異沒有統(tǒng)計學意義(P0.05)。通過EPQ和SCL-90評分的測量,發(fā)現(xiàn)滿意組在精神質(zhì)、軀體化、焦慮、偏執(zhí)方面的評分明顯低于不滿意組(P0.05),而在內(nèi)外傾向、掩飾性、強迫、人際關系、憂慮、敵對、恐怖、精神疾病及其他方面評分的比較,兩組之間差異無統(tǒng)計學意義(P0.05)。結(jié)論1)在人口社會學因素方面,經(jīng)多因素有序回歸分析得出,整形美容患者術后滿意度影響因素包括年齡和婚姻狀況,年齡60歲以上患者滿意度評價最低,18-30歲患者滿意度評價最高�；橐鰻顩r上,離異患者滿意度評價最低,已婚患者滿意度評價最高。2)心理因素方面,軀體化、焦慮、精神質(zhì)及偏執(zhí)是影響美容整形手術患者術后滿意度的主要因素,隨著上述評分提高,患者滿意度呈下降趨勢。
[Abstract]:Objective to collect the clinical cases and analyze the factors influencing the satisfaction of plastic surgery in the hospital affiliated to North China University of Science and Technology. Methods from March 2015 to January 2017, the general demographic and sociological data of 768 patients seeking surgical treatment in the affiliated hospital of North China University of Technology were collected, and the patients were instructed to return to hospital at 1 month and 3 months after operation. The evaluation of postoperative satisfaction was collected 3 months after operation, and the postoperative dissatisfaction caused by hospital error and improper operation was excluded. The evaluation of postoperative satisfaction was based on satisfaction, dissatisfaction and dissatisfaction. The patients in the dissatisfied group were asked to fill out the Eysenck Personality questionnaire (Eysenck Personality questionnaire) and the 90 symptom list (90 symptom Scales SCL-90), and were asked to fill out the Eysenck Personality questionnaire (Eysenck Personality questionnaire) and the 90 symptom list (SCL-90). A total of 100 persons were randomly selected from the satisfactory group as controls to fill out EPQ and SCL-90 personality questionnaire. The Eysenck Personality questionnaire and SCL-90 scale were statistically described by the standard deviation of mean addition and subtraction, and the independent sample t-test was used for statistical analysis. The rank sum test was used to analyze the single factor correlation, and the multivariate sequential regression analysis was carried out for the meaningful indexes. Results the relationship between general demographic and sociological factors and postoperative satisfaction was analyzed and compared. There were significant differences in the factors of age and marital status in the evaluation of postoperative satisfaction (P 0.05). However, the type of operation, the way of choosing hospital, family background, occupation, sex, education level, source area, and so on. There was no significant difference in factors such as previous operation history (P 0.05). By measuring the scores of EPQ and SCL-90, it was found that the scores of psychoticism, somatization, anxiety and paranoid ideation in satisfaction group were significantly lower than those in dissatisfied group (P 0.05), while in internal and external tendency, concealment, compulsion, interpersonal relationship, anxiety, hostility, terror, etc. There was no significant difference in scores of mental illness and other aspects between the two groups (P 0.05). Conclusion 1) in terms of demographic and sociological factors, it is concluded that the influencing factors of postoperative satisfaction of cosmetic patients include age and marital status by multivariate sequential regression analysis. Patients over 60 years of age had the lowest evaluation of satisfaction and 18-30 years of age had the highest degree of satisfaction. Marital status, divorce patients satisfaction evaluation is the lowest, married patients satisfaction evaluation is the highest. 2) in terms of psychological factors, somatization, anxiety, psychoticism and paranoid ideation are the main factors that affect the postoperative satisfaction of cosmetic plastic surgery patients. With the improvement of the above scores, patient satisfaction showed a downward trend.
【學位授予單位】：華北理工大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R622

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