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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >A critical literature review: the impact of reconstructive surgery following massive weight loss on patient quality of life
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A critical literature review: the impact of reconstructive surgery following massive weight loss on patient quality of life

机译：批判性文献综述：大量减肥后的重建手术对患者生活质量的影响

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A critical literature review: the impact of reconstructive surgery following massive weight loss on patient quality of life Aim. To critically review published papers on the impact of reconstructive surgery following weight loss on patient quality of life and identify areas of patient dissatisfaction. Background. The global obesity epidemic is a major health problem and a growing number of morbidly obese patients are seeking surgical solutions such as bariatric surgery. Massive weight loss often leads to excess of lax, overstretched skin causing physical dysfunction and psychosocial problems which impact on patient quality of life. Reconstructive surgery is a major growth intervention for body improvement and provides significant functional and aesthetic benefit following such massive loss. However, little collective evidence exists regarding the impact of body contouring on patient quality of life and psychosocial function. Design. Literature review conducted between May 2010 and July 2010. Methods. Database searches of CINAHL, Psychinfo, EMBASE and the Cochrane library using various keyword combinations related to reconstructive surgery following massive weight loss was performed. Results. A total of 10 papers matching the inclusion criteria were identified. The literature revealed that many patients reported an improved quality of life following reconstructive surgery such as improved well-being related to self-image and capacity, and some participants reported dissatisfaction with cosmetic results and health complications. Conclusion. Massive weight loss results in excess redundant skin creating physical, functional and psychosocial problems that impact on quality of life. There is ground for believing that possible long-term change in massive weight loss patient management will make its sustained appearance when national guidelines and policy recommend an 'ideal' care pathway for patients following reconstructive surgery. Relevance to clinical practice. The ...
机译：一篇重要的文献综述：大量减肥后的重建手术对患者生活质量的影响目的。要认真审查关于减肥后重建手术对患者生活质量的影响的已发表论文，并确定患者不满意的领域。背景。全球肥胖病流行是一个主要的健康问题，越来越多的病态肥胖患者正在寻求外科手术解决方案，例如减肥手术。大量的体重减轻通常会导致松弛过度，皮肤过度拉伸，从而导致身体机能障碍和社会心理问题，从而影响患者的生活质量。重建外科手术是改善身体状况的一项重要生长干预措施，在遭受如此巨大的损失后，重建外科手术可提供明显的功能和美学益处。但是，关于身体轮廓对患者生活质量和社会心理功能影响的集体证据很少。设计。在2010年5月至2010年7月之间进行文献回顾。方法。使用大量与减肥后的重建手术相关的关键字组合，对CINAHL，Psychinfo，EMBASE和Cochrane库进行了数据库搜索。结果。共鉴定出符合入选标准的10篇论文。文献表明，许多患者报告了重建手术后生活质量的改善，例如与自我形象和能力有关的幸福感，一些参与者报告了对美容效果和健康并发症的不满。结论。大量的体重减轻会导致多余的多余皮肤，造成身体，功能和心理问题，从而影响生活质量。有理由相信，当国家指南和政策为重建手术后的患者提供“理想”的护理途径时，大规模减肥患者管理的可能长期变化将持续出现。与临床实践有关。的...

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