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心理状态会影响术后的生活质量,功能,以及经过围骨架骨切除术后的疼痛

Nele Wagener¹, Jannis Löchel¹, Christian Hipfl¹

¹Center for Musculoskeletal Surgery, Charité-University Medicine Berlin, Berlin, Germany.

Bone & joint open

|October 11, 2023

概括

心理困扰会对关节手术结果产生负面影响,降低生活质量和关节功能. 然而,患者对围骨架切除术 (PAO) 手术的满意度仍然没有受到影响.

科学领域:

整形外科手术整形外科手术
心理学心理学心理学
康复医学康复医学康复医学

背景情况:

心理状态是一个潜在的预测结果后的periacetabular骨切除术 (PAO).
了解心理痛苦对患者康复的影响对于优化治疗策略至关重要.

研究的目的:

调查心理困扰如何影响手术后与健康相关的生活质量,关节功能,疼痛感知和运动能力.
确定影响部手术后康复的特定心理因素.

主要方法:

一组101名为部发育性形 (DDH) 接受PAO治疗的患者在63个月后进行了术后评估.
使用简要症状清单 (BSI-18) 测量心理状态,评估全球严重性指数 (GSI),体化 (BSI Soma),抑郁 (BSI Depr) 和焦虑 (BSI Anx).
与健康相关的生活质量 (SF-36),关节功能 (iHOT-12,SHV,HOS),疼痛和满意度均使用经过验证的问卷进行评估. 用回归分析来确定心理因素的影响.

主要成果:

手术后的心理困扰,特别是GSI,BSI Soma和BSI Depr,与生活质量,功能和运动能力的SF-36分数,iHOT-12,SHV和HOS分数负相关.
身体化和抑郁症显著增加了术后疼痛感知.
患者对PAO手术的满意度没有受到心理痛苦的显著影响.

结论:

心理困扰,抑郁和体质化在PAO后显著损害与健康相关的生活质量,感知关节功能和体育能力.
身体化特别与手术后疼痛感知增加有关.
虽然心理因素影响功能结果和疼痛,但它们似乎不会减少患者对手术程序的整体满意度.

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