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文章:

基底细胞癌手术患者面部疤痕的美学评估:一项前瞻性纵向试点研究及立陶宛语版POSAS 2.0的验证

Aesthetic Evaluation of Facial Scars in Patients Undergoing Surgery for Basal Cell Carcinoma: A Prospective Longitudinal Pilot Study and Validation of POSAS 2.0 in the Lithuanian Language

原文发布日期:30 May 2024

DOI: 10.3390/cancers16112091

类型: Article

开放获取: 是

 

英文摘要:

Facial basal cell carcinoma (BCC) surgery enhances the quality of life (QoL) but leaves patients with inferior QoL, presumably caused by scarring, emphasizing the need to understand post-surgery aesthetic satisfaction. This study aimed to validate the Lithuanian version of the Patient and Observer Scar Assessment Scale (POSAS) 2.0 and utilise it to identify scar evaluation differences and correlations among POSAS scores and specific aesthetic facial regions, age, gender, surgery types, and short- and long-term QoL. Employing a prospective longitudinal design, 100 patients with facial scars after surgical BCC removal were enrolled. The validation phase confirmed the translated POSAS 2.0 psychometric properties, while the pilot phase used statistical analyses to compare scores among demographic and clinical groups and evaluate correlations between scar assessment and QoL. The findings indicate that the translated Lithuanian version of POSAS 2.0 exhibits good psychometric properties, revealing insights into aesthetic satisfaction with post-surgical facial scars and their impact on QoL. The Lithuanian version of the POSAS 2.0 was established as a valid instrument for measuring post-surgical linear scars. QoL with scar assessment statistically significantly correlates, 6 months after surgery, with worse scores, particularly notable among women, younger patients, and those with tumours in the cheek region.

 

摘要翻译: 

面部基底细胞癌(BCC)手术虽能提升患者的生活质量(QoL),但术后疤痕可能导致其生活质量仍处于较低水平,这凸显了理解术后美学满意度的重要性。本研究旨在验证立陶宛语版患者与观察者疤痕评估量表(POSAS)2.0的有效性,并利用该量表分析疤痕评估差异,探讨POSAS评分与特定面部美学区域、年龄、性别、手术类型以及短期和长期生活质量之间的相关性。研究采用前瞻性纵向设计,纳入了100名接受BCC手术切除后面部留有疤痕的患者。验证阶段确认了翻译版POSAS 2.0的心理测量学特性,而试点阶段则通过统计分析比较了不同人口统计学和临床组别的评分,并评估了疤痕评估与生活质量之间的相关性。研究结果表明,翻译后的立陶宛语版POSAS 2.0具有良好的心理测量学特性,为术后面部疤痕的美学满意度及其对生活质量的影响提供了深入见解。立陶宛语版POSAS 2.0被确立为评估术后线性疤痕的有效工具。术后6个月,生活质量与疤痕评估在统计学上呈显著负相关,评分较差的情况在女性、年轻患者以及颊部肿瘤患者中尤为明显。

 

原文链接:

Aesthetic Evaluation of Facial Scars in Patients Undergoing Surgery for Basal Cell Carcinoma: A Prospective Longitudinal Pilot Study and Validation of POSAS 2.0 in the Lithuanian Language

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