组织工程与重建外科杂志2025，Vol.21Issue(6)：538-542,5.DOI:10.3969/j.issn.1673-0364.2025.06.004
非手术治疗联合健康教育对面部瘢痕疙瘩患者心理健康的影响
The effect of non-surgical treatment combined with health education on the mental health of patients with facial keloids
摘要
Abstract
Objective To evaluate the psychological outcomes associated with non-surgical treatment combined with health education in patients with facial keloids.Methods A prospective longitudinal cohort study was conducted with 61 consecutively enrolled patients undergoing multimodal non-surgical therapy,including procedural modalities(laser therapy,intralesional corticosteroid injections,radiation therapy and patient education)between January 2023 and April 2024.A triphasic assessment protocol was implemented,featuring semi-structured interviews via Generalized Anxiety Disorder-7(GAD-7),Patient Health Questionnaire-9(PHQ-9),Modified Vancouver Scar Scale(MVSS),Social Impact Scale(SIS),General Self-Efficacy Scale(GSES)and Health Literacy Inventory at baseline,mid-treatment(week 4),and one-month post-treatment,to assess the degree of anxiety and depression,scar status,social influence,self-efficacy and health knowledge acquisition.Results During the treatment process,the patient experienced a psychological transformation from low self-esteem and anxiety to gradually regaining confidence and facing life positively.Scores of GAD-7,PHQ-9,MVSS and SIS were significantly lower after treatment(P<0.05).The score of GSES and rates of health knowledge acquisition were significantly higher than those before treatment(P<0.05).Conclusion The non-surgical treatment combined with health education exerts a progressive effect of"appearance improvement-cognitive reconstruction-social adaptation",which not only optimizes facial appearance but also improves psychological status,providing a theoretical basis for clinical formulation of targeted psychological intervention strategies.关键词
瘢痕疙瘩/非手术治疗/健康教育/心理健康Key words
Keloid/Non-surgical treatment/Health education/Psychological health分类
医药卫生引用本文复制引用
杜林,张贞,朱琦,许玮..非手术治疗联合健康教育对面部瘢痕疙瘩患者心理健康的影响[J].组织工程与重建外科杂志,2025,21(6):538-542,5.基金项目
上海交通大学医学院附属第九人民医院护理科研院级基金(JYHL2022MS19). （JYHL2022MS19）
