The relationship between self-esteem and hair transplantation satisfaction in male androgenetic alopecia patients
The relationship between self-esteem and hair transplantation satisfaction in male androgenetic alopecia patients
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男性雄激素性脱发患者自尊与植发满意度的关系
DOI：
10.1111/jocd.12839
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发表时间：
2019
影响因子：
2.3
通讯作者：
Hu Zhiqi
中科院分区：
文献类型：
--
作者：
Liu Fang;Miao Yong;Li Xingdong;Qu Qian;Liu Yang;Li Kaitao;Feng Chuanbo;Hu Zhiqi
背景雄激素性脱发（AGA）患者对令人尴尬的外表感到沮丧，生活质量差，自尊心低。此外，多项研究表明自尊是影响整容手术效果的重要因素。目的本回顾性研究旨在探讨毛发移植对患者自尊和外观满意度的影响，以及自尊与患者满意度（包括术前和术后满意度）之间的关系。方法采用罗森伯格自尊量表（RSES）和术前满意度指标（外观满意度、视力年龄和预期视力）评估术前和术后9个月的自尊。年龄）通过 Face-Q 量表进行评估。同时，还重新评估术后满意度指标（外观满意度、视龄、决策满意度、心理健康和社会功能）。 结果 在 1106 名男性 AGA 患者中，875 人完成了 9 个月的术后问卷调查。与术前相比，术后自尊评分和外观满意度评分分别提高了1.56和30.25（P<0.05）。亚组分析显示，与低自尊水平和一般自尊水平的患者相比，高自尊水平的患者术后外观满意度（P=0.129）、心理健康（P=0.168）、社会功能（P=0.027）和决策满意度（P=0.043）得分较高。结论植发显着提高了AGA患者的自尊水平和外观满意度。与此同时，自尊水平较低的患者术后满意度往往较差。因此，整形医生在保证手术质量的同时，还应根据患者的心理状态进行指导，以提高术后满意度。
BackgroundFrustrated with the embarrassing appearance, patients with androgenetic alopecia (AGA) suffer from poor quality of life and low self‐esteem. Moreover, several researches indicate that self‐esteem is an important factor affecting outcomes of cosmetic surgery.ObjectiveThis retrospective study aims to investigate the impact of hair transplantation on patients’ self‐esteem and satisfaction with appearance, as well as relationship between self‐esteem and patient satisfaction which includes preoperative and postoperative satisfaction.MethodsThe preoperative and 9‐month postoperative self‐esteem were evaluated by Rosenberg Self‐Esteem Scale (RSES), and preoperative satisfaction indicators (satisfaction with appearance, visual age and expected visual age) were assessed by Face‐Q scale. At the same time, postoperative satisfaction indicators (satisfaction with appearance, visual age, satisfaction with decision, psychological well‐being, and social function) were reevaluated as well.ResultsOf the 1106 male AGA patients, 875 completed a 9‐month postoperative questionnaire. Compared with preoperative scores, postoperative scores of self‐esteem and satisfaction with appearance showed an increase of 1.56 and 30.25 respectively (P< 0.05). Subgroup analysis showed that patients with high self‐esteem level trended to have higher scores of postoperative satisfaction with appearance (P= 0.129), psychological well‐being (P= 0.168), social function (P= 0.027), and satisfaction with decision (P= 0.043) compared with patients with low and average self‐esteem level.ConclusionHair transplantation significantly elevated self‐esteem level and increased satisfaction with appearance of AGA patients. Meanwhile, patients with low self‐esteem level trended to have worse postoperative satisfaction. Thus, apart from ensuring the quality of operation, plastic surgeons should offer guidance based on patients’ psychological state to improve postoperative satisfaction.