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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >A Comparison of the Effect of the Aesthetics of Digital Cosmetic Prostheses on Body Image and Well-Being
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A Comparison of the Effect of the Aesthetics of Digital Cosmetic Prostheses on Body Image and Well-Being

机译：数字美容假体美学对人体形象和健康影响的比较

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The aims of this study were to investigate patient satisfaction with silicon and polyvinylchloride (PVC) digital prostheses, and to examine the relationship between subjective body image and emotional status. Subjects included all patients with digital or partial hand amputation (n = 17) in the database of the Disablement Services Centre at Freeman Hospital, Newcastle-upon-Tyne, England, United Kingdom. A database analysis identified the subjects. Their records were analyzed, demographic details extracted, and the method of injury documented, and individuals were divided into two groups, according to the type of prosthesis with which they had been provided. A postal survey was conducted comprising the Attitude to Artificial Limbs Questionnaire (AALQ), the adapted Body Image Questionnaire (BIQ), and the Hospital Anxiety and Depression (HAD) scale. The results were then subjected to statistical analysis. In the AALQ, a comparison of the means showed lower scores in the PVC group (p = 0.579). In the BIQ, there was little difference between the means (p - 0.665). In the HAD, the mean scores for anxiety and depression were lower in the silicon group (p = 0.109 and p = 0.009, respectively). Conclusions were: 1) most digital amputations are performed in males after industrial injuries; 2) patients with silicon digital prostheses clinically have a better attitude toward their prostheses; 3) there was little difference in body image; 4) patients with silicon digital prostheses experienced less anxiety and depression, but only depression was statistically significant. These results suggest that enhanced cosmesis implies greater psychological well-being independently of body image. Enhanced cosmesis also raises the importance of clinical significance over statistical significance, especially in small studies.
机译：这项研究的目的是调查患者对硅和聚氯乙烯（PVC）数字假体的满意度，并研究主观身体图像与情绪状态之间的关系。受试者包括英国英格兰泰恩河畔纽卡斯尔弗里曼医院残障服务中心数据库中的所有手部或部分截肢患者（n = 17）。数据库分析确定了受试者。根据提供假体的类型，分析了他们的记录，提取了人口统计的详细信息，并记录了受伤的方法，并将个人分为两组。进行了一次邮政调查，包括对人造肢体态度调查表（AALQ），适应性身体图像调查表（BIQ）和医院焦虑与抑郁（HAD）量表。然后对结果进行统计分析。在AALQ中，均值的比较显示PVC组得分较低（p = 0.579）。在BIQ中，均值之间几乎没有差异（p-0.665）。在HAD中，硅组的焦虑和抑郁平均得分较低（分别为p = 0.109和p = 0.009）。结论是：1）大多数数字截肢手术是在男性发生工伤后进行的; 2）临床上使用数字硅假体的患者对假体的态度更好; 3）身体形象差异不大; 4）带有硅树脂数字假肢的患者焦虑和抑郁感较轻，但仅抑郁症具有统计学意义。这些结果表明，美容增强意味着独立于身体形象的更大的心理健康。美容效果增强也使临床意义比统计学意义更为重要，尤其是在小型研究中。

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