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Tytuł: The impact of perioperative care on the speed of soft tissue regeneration after selected procedures in plastic surgery

Abstrakt:

Plastic surgery is a very well-developing branch of general surgery. Although it is mainly associated with procedures aimed at improving the figure or with procedures delaying the aging process, it also combines reconstructive surgery, treatment of burns, congenital and acquired defects. Every year, there is a trend of increasing the number of plastic surgery procedures performed worldwide. According to ISAPS (International Society of Aesthetic Plastic Surgery), it was estimated that in 2023, nearly 34.9 billion plastic surgery procedures were performed worldwide. The huge increase in the number of procedures performed, as well as their diversity, also favors the emergence of more and more complications. They mainly affected local soft tissues, less often they concerned entire systems, or shocks or even death. Considering the fact that the natural structure of soft tissues was damaged to a greater or lesser extent during surgery, their regeneration is very important. The perioperative procedures of the therapeutic team significantly influence the regeneration of soft tissues, which was the subject of the study. The aim of the study was to assess the impact of comprehensive actions undertaken before and after selected plastic surgery procedures on the rate of soft tissue regeneration in the patient and the impact of these procedures on the quality of life of patients. The study ; was conducted from 25/02/2022 to 01/06/2022. The study group consisted of 230 patients who underwent plastic surgery and 121 members of the therapeutic team who provided perioperative care for the patient, i.e. doctors, nurses, physiotherapists. Requests for consent to conduct the study on their premises, along with a detailed description of the study, were sent by e-mail to the centers where plastic surgery procedures are performed. The study was approved by the Bioethics Committee No. 1072.6120.35.2022 dated February 23, 2022. The selection of the study subjects was purposeful. The study was cross-sectional and multicenter. It was conducted using the diagnostic survey method, the research tools were survey questionnaires (two original survey questionnaires addressed to patients before and after the procedure, the Quality of Life SF-36 questionnaire, an original questionnaire addressed to members of the interdisciplinary team, a job satisfaction questionnaire - Minnesota Satisfaction Questionnaire, i.e. a job satisfaction questionnaire MSQ SF and a questionnaire of perceived stress at work (PswP). In order to compare the values of qualitative variables in two groups, the Chi- square test was used (with Jates correction for 2x2 tables), while quantitative variables were compared using the U-Mann Whitney test. The analysis of correlation was performed using the rho-Spearman test ; , and the verification of hypotheses about the distribution of variables using the Kolgomorov-Smirnov test. The equality of medians was verified using the Wilcoxon test. The distribution of variables in individual groups was examined using the Kruskal-Wallis test. The statistical analysis also used the Pearson Chi-square test to check the independence of variables and the Games- Howell test to make multiple comparisons of group means. The study involved 230 patients between 18 and 65 years of age. The average age of the respondents was 36.6. The vast majority were women (88.7%). The patients underwent procedures such as liposuction, abdominoplasty and arm plastic surgery, breast and buttock implants, and others. The quality of life deteriorated after the surgery. A decrease in the quality of life was observed in seven out of eight categories. Only the domain concerning the patients' sense of mental health after the procedure increased slightly. Neither access to members of the interdisciplinary team, motivation for the procedure, nor rehabilitation procedures had an impact on the change in the quality of life after the procedure (p>0.05). The vast majority of patients - 85.22% assessed the care provided as very good. After the procedure, 92.61% of patients had healed wounds, no swelling and no pain. The most frequently chosen physiotherapy procedure after plastic surgery was cl ; assic massage. Almost the entire sample, i.e. 92.61%, stated that peri-procedural care significantly contributes to the speed of soft tissue regeneration after plastic surgery procedures. Perioperative care contributes to a faster rate of soft tissue regeneration after plastic surgery procedures through daily dressing changes, short-term maintenance of skin sutures, appropriately selected physiotherapy for the type of procedure, and contact providing support and education for the patient. However, plastic surgery procedures contribute to a deterioration of the quality of life among patients.

Miejsce wydania:

Kraków

Stopień studiów:

2 - studia doktoranckie

Dyscyplina:

pielęgniarstwo ; chirurgia

Instytucja nadająca tytuł:

Rada Dyscypliny Nauki o zdrowiu

Promotor:

Gniadek, Agnieszka ; Matuszyk, Aleksandra

Data wydania:

2025

Identyfikator:

oai:dl.cm-uj.krakow.pl:6125

Sygnatura:

ZB-143969

Język:

pol

Prawa dostępu:

tylko w bibliotece

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Data ostatniej modyfikacji:

24 mar 2026

Data dodania obiektu:

18 mar 2026

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