经历胸腔巴手术对患者心理社会概况的影响
Samantha Rogers1, Neil Manson1,2,3,4, Erin Bigney2,4,5
1Dalhousie Medicine New Brunswick, Saint John, NB, Canada.
Global spine journal
|July 28, 2023
概括
胸腔巴手术改善了有意义的疼痛和残疾变化患者的心理健康. 那些没有显著改善的人没有表现出心理社会衰退,符合许多人的期望.
科学领域:
- 脊柱手术的结果 脊柱手术的结果
- 心理健康 心理社会健康
- 患者报告的结果
背景情况:
- 胸腔巴手术的目的是缓解疼痛和残疾.
- 了解对患者心理社会资料的影响对于综合护理至关重要.
- 心理社会因素会影响手术结果和康复.
研究的目的:
- 调查胸腔巴手术对患者心理社会资料的影响.
- 评估疼痛,残疾,运动恐惧症,疼痛灾难化和社会支持的变化.
- 评估患者对手术后精神健康的期望.
主要方法:
- 在177名胸腔巴手术患者的前性队列研究中.
- 在基线和手术后24个月收集的数据,包括MODI,NRS-B,NRS-L,PCS,TSK,CPAQ-8,MSPSS,MCS和预期.
- 根据疼痛和残疾的改善,患者被分为"有意义的变化"或"没有意义的变化"组.
主要成果:
- 实现有意义变化的患者在疼痛灾难化量表 (PCS),坦帕运动恐惧症量表 (TSK) 和慢性疼痛接受问卷-8 (CPAQ-8) 中显著改善.
- 在有意义的变化组中,没有观察到多维感知社会支持 (MSPSS) 尺度的显著变化.
- 心理组件总结 (MCS) 评分总体上有所改善,但在各组之间没有显著差异. 75.9%的人符合心理健康期望.
- 没有有意义变化的患者没有表现出任何心理社会改善,55.9%的患者符合预期.
结论:
- 胸腔巴手术显著改善了患者的心理社会变量,这些患者经历了有意义的疼痛和残疾减少.
- 在没有取得有意义的外科治疗结果的患者中,心理健康不会恶化.
- 手术可以对心理健康产生积极影响,特别是对于那些具有实质性的功能收益的人来说.
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