在等待全膝关节关节整形手术的个体中,与期望相关的因素
Kathleen C Madara1, Moiyad Aljehani2,3, Adam Marmon4
1From the: Rehabilitation Sciences, Moravian University, Bethlehem, Pennsylvania, United States.
Physiotherapy Canada. Physiotherapie Canada
|September 22, 2023
概括
一个新的问卷可靠地衡量患者在全膝关节整形手术 (TKA) 之前的期望. 更高的手术前功能,而不是更年轻的年龄,与对TKA结果的更高期望有关.
科学领域:
- 整形外科 整形外科 整形外科
- 康复科学 康复科学 康复科学
- 患者报告的结果
背景情况:
- 患者的期望显著影响膝关节整形术 (TKA) 后的结果和满意度.
- 目前对影响TKA预期的因素的理解,例如年龄和术前功能,缺乏共识.
- 开发可靠的工具来衡量这些期望对于个性化的患者护理和手术规划至关重要.
研究的目的:
- 开发和验证一个新的问卷,评估患者对全膝关节整形术 (TKA) 的期望.
- 评估术前期望与患者关键特征 (包括年龄和功能状态) 之间的关系.
- 在TKA的背景下提供可靠的仪器来衡量患者的期望.
主要方法:
- 开发了一个新的问卷来评估对TKA后的流动性,疼痛,参与和康复率的期望.
- 55名参与者完成了问卷和手术前6分钟的行走测试.
- 在17名参与者中评估了测试重复测试的可靠性;等级线性回归分析了患者特征和预期之间的关系.
主要成果:
- 开发的问卷显示了良好至高的测试复试可靠性 (ICC = 0.84).
- 最终的回归模型是显著的 (p = 0.017),表明患者的特征预测了预期得分.
- 较高的手术前功能状态 (6分钟步行测试) 与较年轻的年龄相比,与更高的期望更强烈相关.
结论:
- 新的问卷是一个可靠的工具,用于测量在接受TKA.患者的手术前期望.
- 手术前的功能状态是患者对TKA结果的期望的重要预测因素.
- 需要进一步的研究,以充分理解TKA规划中的年龄,功能和期望的相互作用.
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