Autoimagem, autoestima, ansiedade e capacidade funcional em pacientes submetidas à rinoplastia aberta e estruturada
Data
2023-05-10
Autores
Motoki, Thamy Harumi Cardoso [UNIFESP]
Orientadores
Ferreira, Lydia Masako [UNIFESP]
Tipo
Tese de doutorado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: A rinoplastia é capaz de melhorar aspectos psicológicos negativos, como no transtorno dismórfico corporal leve a moderado, mas desconhecem-se as repercussões na autoimagem e qualidade de vida dos pacientes após o procedimento. Objetivo: Avaliar a autoimagem, autoestima, ansiedade e a capacidade funcional das pacientes submetidas à rinoplastia aberta e estruturada. Método: Realizou-se um estudo primário, analítico, clínico, longitudinal e prospectivo, em 30 mulheres, caucasianas, entre 18 e 50 anos, com nariz alongado e giba nasal, submetidas à rinoplastia aberta e estruturada. Os procedimentos foram realizados pelo Setor de Rinologia – DCP/ Unifesp. Foram aplicados os questionários traduzidos para o Português Escala de Autoestima de Rosenberg – EPM, BDSS, BDD-YBOCS, SF-36, SRQ-20 e o IDATE - T/E nos períodos pré-operatório e pós-operatório de seis, 12 e 18 meses. Resultados: Houve significância estatística entre o pré e pós-operatório para os escores de Saúde Mental (SF36, p=0,041), BDSS (p<0,001), Escala de Rosenberg – EPM (p=0,017), SRQ-20 (p=0,012), IDATE T (p=0,001) e BDD (p=0,006) nas análises gerais; bem como, significância estatística desses questionários entre os demais períodos pós-operatórios estratificados. Na análise qualitativa, verificou-se significância estatística apenas para o BDSS, no qual o índice “Ausente” (ausência de dismorfismo corporal) aumentou de 70,0% no pré-operatório para 96,7% em 18 meses de pós-operatório. Já o índice de “Presente” (presença de dismorfismo corporal) decresceu de 30,0% para 3,3% no mesmo período (p=0,001). Conclusão: A rinoplastia aberta e estruturada melhorou a autoestima, autoimagem, ansiedade e saúde mental das pacientes. Apesar de ter ocorrido melhora da capacidade funcional, esta não foi significante.
Introduction: Rhinoplasty is able to improve negative psychological aspects, such as mild to moderate body dysmorphic disorder, but the repercussions on the self-image and quality of life of patients after the procedure are unknown. Objective: To evaluate the self-image, self-esteem, anxiety and functional capacity of patients undergoing open structure rhinoplasty. Method: A primary, analytical, clinical, longitudinal and prospective study was carried out, which included 30 female patients, between 18 and 50 years old, with an elongated nose and nasal hump, who underwent open and structured rhinoplasty. All procedures were performed by the team from the Rhinology – DCP/ Unifesp. The Rosenberg Self-Esteem Scale - EPM, BDSS, BDD-YBOCS, SF-36, SRQ-20 and STAI (T/E) questionnaires were applied in the preoperative and postoperative periods of six, 12 and 18 months. Results: There was a statistical difference between the moments studied for the Mental Health (SF-36, p=0,041), BDSS (p<0,001), Rosenberg scale - EPM 9p=0,017), SRQ-20 (p=0,012), IDATE-T (p=0,001) and BDD (p=0,006) scores in general analyses; as well as the statistical significance of these questionnaires among the other stratified postoperative periods. In the qualitative analysis, it was found that there was only statistical significance for the classification of the BDSS score, where the “Absent”(absence of body dysmorphism) index increased from 70.0% in the pre to 96.7% in 18 months. The “Present”(presence of body dysmorphism) index fell from 30.0% to 3.3% in the same period (p-value = 0.001). Conclusion: In the population studied, it is proven that rhinoplasty recovered patients' self-image, self-esteem, anxiety and mental health. Although there was an improvement in functional capacity, this was not significant.
Introduction: Rhinoplasty is able to improve negative psychological aspects, such as mild to moderate body dysmorphic disorder, but the repercussions on the self-image and quality of life of patients after the procedure are unknown. Objective: To evaluate the self-image, self-esteem, anxiety and functional capacity of patients undergoing open structure rhinoplasty. Method: A primary, analytical, clinical, longitudinal and prospective study was carried out, which included 30 female patients, between 18 and 50 years old, with an elongated nose and nasal hump, who underwent open and structured rhinoplasty. All procedures were performed by the team from the Rhinology – DCP/ Unifesp. The Rosenberg Self-Esteem Scale - EPM, BDSS, BDD-YBOCS, SF-36, SRQ-20 and STAI (T/E) questionnaires were applied in the preoperative and postoperative periods of six, 12 and 18 months. Results: There was a statistical difference between the moments studied for the Mental Health (SF-36, p=0,041), BDSS (p<0,001), Rosenberg scale - EPM 9p=0,017), SRQ-20 (p=0,012), IDATE-T (p=0,001) and BDD (p=0,006) scores in general analyses; as well as the statistical significance of these questionnaires among the other stratified postoperative periods. In the qualitative analysis, it was found that there was only statistical significance for the classification of the BDSS score, where the “Absent”(absence of body dysmorphism) index increased from 70.0% in the pre to 96.7% in 18 months. The “Present”(presence of body dysmorphism) index fell from 30.0% to 3.3% in the same period (p-value = 0.001). Conclusion: In the population studied, it is proven that rhinoplasty recovered patients' self-image, self-esteem, anxiety and mental health. Although there was an improvement in functional capacity, this was not significant.