In:
Advances in Skin & Wound Care, Ovid Technologies (Wolters Kluwer Health), Vol. 31, No. 10 ( 2018-10), p. 470-477
Abstract:
To identify changes in body image in patients with surgical wound dehiscence. DESIGN AND SETTING: This cross-sectional, descriptive, analytical study was conducted in a university hospital and nursing care center in Brazil. PATIENTS AND INTERVENTION: Sixty-one adult surgical patients of both genders from different inpatient wards or receiving outpatient care were selected. Forty-one participants had surgical wound dehiscence, and 20 had achieved complete wound healing (controls). MAIN OUTCOME MEASURE: The Body Dysmorphic Disorder Examination (BDDE), Body Investment Scale (BIS), and a questionnaire assessing clinical and sociodemographic characteristics of patients were used for data collection. MAIN RESULTS: Surgical wound dehiscence defects were 0.5 to 30 cm in length, located on the arms, legs, and chest. They were significantly associated with being white ( P = .048), number of children ( P = .024), and presence of comorbid conditions ( P = .01). Overall, men reported higher BIS scores (positive feelings about the body) than women ( P = .035). Patients with wound dehiscence had higher BDDE scores (negative body image) than controls ( P = .013). The BDDE scores were associated with presence of surgical wound dehiscence ( P = .013), number of children ( P = .009), and wound length ( P = .02). There were significant correlations between BIS scores in men with wound dehiscence ( P = .042), number of children ( P 〈 .001), and BDDE scores ( P 〈 .001) and between BDDE scores and number of children ( P = .031), wound length ( P = .028), and BIS scores ( P 〈 .001). CONCLUSION: Surgical wound dehiscence had a negative impact on body image.
Type of Medium:
Online Resource
ISSN:
1538-8654
,
1527-7941
DOI:
10.1097/01.ASW.0000544616.95630.ac
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2018
detail.hit.zdb_id:
2053383-4
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