ESTETİK CERRAHİNİN PSİKOSOSYAL ETKİLERİ VE HEMŞİRELİK GİRİŞİMİ

Yıl 2011, Cilt: 13 Sayı: 3, 71 - 77, 01.12.2011

Perihan Güner-küçükkaya

Öz

Fiziksel çekiciliğin çok önem kazandığı günümüzde, fizikselgörünümünden memnun olmayan kişi sayısının da giderek arttığıgörülmektedir. Bunun sonucu olarak, literatürde fiziksel görünümündenmemnun olmama nedeniyle estetik cerrahiye başvuran hasta sayısı vebu alanda yapılan harcamaların dikkate değer ölçüde arttığı ifadeedilmektedir. Estetik cerrahi sonrası, hastaların beden görünümündeve benlik kavramında değişim gibi pozitif sonuçlar ortaya çıkarken,fiziksel ve psikososyal alanlarda birçok olumsuz sonuçlar da ortayaçıkabilmektedir. Son yıllardaki çalışmalar, psikososyal sorunların,fiziksel sorunlarla aynı sıklıkta ya da daha fazla olduğunu ve busorunların estetik cerrahi öncesi, sırası ve sonrasında olabileceğinigöstermektedir. Hastalardaki psikososyal sorunların göz ardı edilmesi,uyum problemleri, ameliyat sonucundan memnuniyetsizlik, kendilerineve sağlık personeline zarar verme davranışı gibi yeni sorunlara yolaçabilmektedir. Bu nedenle estetik cerrahi hastalarında, psikososyalbakımın fiziksel bakımın ayrılmaz bir parçası olarak kabul edilmesigerektiği ve bu konuda hemşirelerin sorumluluğunun çok önemliolduğu ifade edilmektedir

Anahtar Kelimeler

Estetik cerrahi, psikososyal sorunlar, hemşirelikyaklaşımı

Psychosocial Implications and Nursing Intervention in Cosmetic Surgery

Öz

Recently, besides increased concern about physical appearance, thenumber of people dissatisfied with his/her body image seems to berising. As a result, it is stated in the literature that, the number ofpatients applying for a cosmetic surgery due totheir dissatisfaction with his/her appearance andthe money spent in this field is increasedsignificantly. Even though there are positiveoutcomes in terms of body image and selfconcept following the cosmetic surgery, theremay also many physical and psychosocialproblems occur. Recent studies indicate that,psychosocial problems are either equal to ormore than physical problems and may occurbefore, during or after the cosmetic surgery.Disregarding these patients’problems, may lead to other issues such asadaptation problems, dissatisfaction with theoutcome, and harmful behavior towards the selfor health care personnel. Therefore, it is statedthat, recognizing psychosocial care as theinseparable part of the physical care in cosmeticsurgery patients and responsibility of nurses inthis sense is crucial to the subject. psychosocial

Anahtar Kelimeler

Cosmetic surgery, psychosocialissues, nursing intervention, surgery nursing

Kaynakça

• American Society of Plastic Surgeons(2008) 2000/2007/2008 National Plastic Surgery Statistics. Retrieved August 19, 2009, from http://www.plastic- surgery.org/Media/stats/2008-cosmetic-reconstruc- tive-plastic-surgery-minimally-invasive-statistics.pdf. Borah G, Rankin M, Wey P(1999) Psychological complications in 281 plastic surgery practices. Journal of American Society of Plastic and Reconstructive Surgery 104(5), 1241-1246.
• Castle DJ, Honigman RJ, Phillips KA(2002) Does cosmetic surgery improve psychosocial wellbeing? Medical Journal of Australia 176, 601-604.
• Castle DJ, Molton M, Hoffman K, Preston NJ, Phillips KA(2004) Correlates of dysmorphic concern in people seeking cosmetic enhancement. Australian and New Zealand Journal of Psychiatry 38, 439-444. Ching S, Thoma A, McCabe RE, Antony MM (2003) Measuring outcomes in aesthetic surgery: A comprehensive review of the literature. Plastic and Reconstructive Surgery 111, 469-480.
• Cook SA, Rosser R, Salmon P(2006) Is cosmetic surgery an effective psychotherapeutic intervention? A systematic review of the evidence. Journal of Plastic, Reconstructive & Aesthetic Surgery 59, 1133-1151.
• Crerand CE, Infield AL, Sarwer DB(2009) Psychological considerations in cosmetic breast augmentation. Plastic Surgical Nursing 29(1), 49-57. Garner DM(1997) Body image survey. Psychology Today 30, 30-84.
• Haas CF, Champion A, Secor D(2008) Motivating factors for seeking cosmetic surgery. Plastic Surgical Nursing 28(4), 177-182.
• Holly P, Kennedy P, Taylor A, Beedie A( 2003) Immediate breast reconstruction and psychological adjustment in women who have undergone surgery for breast cancer: a preliminary study. Psychology, Health & Medicine 8, 441-452.
• Honigman RJ, Phillips KA, Castle DJ(2004) A review of psychosocial outcomes for patients seeking cosmetic surgery. Plastic and Reconstructive Surgery 113(4), 1229-1237.
• Ishigooka J, Iwao M, Suzuki M, Fukuyama Y, Murasaki M, Miura S (1998) Demographic features of patients seeking cosmetic surgery. Psychiatry and Clinical Neurosciences 52, 283-287.
• Kamburoğlu HO, Özgür F(2007) Postoperative satisfaction and the patient’s body image, life satisfaction, and self-esteem: A Retrospective study comparing adolescent girls and boys after cosmetic surgery. Aesthetic Plastic Surgery 31, 739-745.
• Kulik JA, Shelby D, Cooper RNC (2000) The effects of fellow patients on the emotional well-being and satisfaction with care of postoperative cosmetic surgery patients. Plastic and Reconstructive Surgery 106, 1407-1414.
• Malick F, Howard J, Koo J ( 2008) Understanding the psychology of the cosmetic patients. Dermatologic Therapy 21, 47-53.
• Parker PA, Davison BJ, Tishelman C , Brundage MD( 2005) What do we know about facilitating patient communication in the cancer care setting?. Psycho-Oncology 14, 848-858.
• Rankin M, Mayers PM(2008) Core curriculum for plastic surgical nursing: Psychosocial care of the plastic surgical patient. Plastic Surgical Nursing 28(1), 12-24. Rankin M, Borah G (2006)
• Psychological complications: National plastic surgical nursing sur- vey. Plastic Surgical Nursing 26(4), 178-183.
• Razavi D, Delvaux N, Marchal S, De Cock M, Farvacques C, Slachmuylder JL( 2000) Testing health care professionals’ communication skills: the usefulness of highly emotional standardized role- playing sessions with simulators. Psycho-Oncology 9(4), 293-302.
• Ritvo EC, Melnick I, Marcus Gr, Glick ID(2006) Psychiatric conditions in cosmetic surgery patients. Facial Plastic Surgery 22, 194-197.
• Sarwer DB, Nordmann JE, Herbert JD(2000) Cosmetic Breast Augmentation Surgery: A Critical Overview. Journal of Women’s Health & Gender- Based Medicine 9(8), 843-856.
• Sarwer DB, Pertschuk MJ, Wadden TA, Whitaker LA(1998) Psychological investigations in cosmetic surgery: A look back and a look ahead. Journal of the American Society of Plastic and Reconstructive Surgery 101(4), 1136-1142.
• Stewart MA(1996) Effective physician-patient communication and health outcomes: a review. Canadian Medical Association Journal 152, 1423-33. Sykes JM(2009) Managing the psychological aspects of plastic surgery patients. Current Opinion in Otolaryngology & Head and Neck Surgery 17, 321- 325.
• Thorpe SJ, Ahmed B, Steer K (2004) Reasons for undergoing cosmetic surgery: A retrospective study. Sexualities, Evolution & Gender 6 (2), 75-96
• Valente SM (2009) Visual disfigurement and depression. Plastic Surgical Nursing 29(1), 10-16.