Resilience, self-efficacy, social support, and quality of life in patients with skin defects of the lower extremity after flap transplantation.

BACKGROUND: Lower extremity trauma is one of the most common emergency presentations. It may cause skin and muscle tissue defects, and in severe cases, it may also be accompanied by bone, tendon, and neurovascular exposure. Pedicled flap transfer is the most important treatment for this type of lower extremity trauma. The purpose of the study is to investigate the relevant factors affecting resilience and provide a theoretical basis of improving resilience in patients after skin flap transplantation.

METHODS: In this study, the convenience sampling method was used to conduct a questionnaire survey on patients with skin defects of the lower extremity after flap transplantation. The patient underwent inpatient surgery in the First Affiliated Hospital of Soochow University from January 2018 to June 2020. This study investigated the current status of resilience, self-efficacy, social support, and quality of life in patients with skin defects of the lower extremity after flap transplantation. The correlation between resilience, self-efficacy, social support, and quality of life were examined.

RESULTS: The score for self-efficacy was positively correlated with the score for social support (P<0.05). The score for quality of life was positively correlated with the self-efficacy score and the score for social support (P<0.05). Resilience level was affected by age, marital status, self-efficacy, social support, and quality of life (P<0.05).

CONCLUSIONS: Patients who had undergone flap transplantation of the lower limbs reported a low level of resilience. Self-efficacy, social support, and quality of life are important factors that affect the resilience of patients.