影响患者对整体关节置换手术满意度的因素
Dhrupad Ponnamaneni1, Rohan Mangal2, Murdoc Gould3
1Moorestown Friends School, Morristown, NJ.
Orthopedic reviews
|February 12, 2024
概括
老年患者报告说,他们对关节置换外科医生的满意度更高. 膝关节置换患者的并发症比部或肩部置换患者多,影响了整体满意度.
科学领域:
- 整形外科手术 整形外科手术
- 患者结局研究研究结果.
- 医疗服务研究 医疗服务研究
背景情况:
- 整体关节置换 (TJR) 手术的目的是恢复关节功能.
- 患者对TJR的满意度受到并发症,成本和外科医生互动的影响.
- 评估术后并发症,移动性和疼痛管理,可以了解TJR满意度.
研究的目的:
- 为了评估患者对整体关节置换手术 (TJR) 的满意度.
- 确定影响患者满意度的因素,包括术后并发症和流动性.
- 分析保险类型与TJR后照顾能力之间的关系.
主要方法:
- 在美国,对接受TJR的成年患者分发了一项匿名的基于网络的调查.
- 收集的数据包括患者人口统计,手术细节,并发症,流动性状况和财务问题.
- 进行了统计分析,以确定患者满意度和并发症的预测因素.
主要成果:
- 年龄较高是患者对外科医生的满意度较高的重要预测因素 (P=0.02340).
- 与关节或肩部置换相比,膝关节置换患者报告的感染,神经损伤,延迟愈合和血瘤的比率更高.
- 医疗补助,医疗保险或私人保险的患者报告说,比那些有雇主保险或没有保险的人更难负担护理费用.
结论:
- 年龄较大与TJR后外科医生满意度的提高有关.
- 膝关节关节整形与更高的术后并发症发生率有关.
- 保险类型显著影响患者负担TJR护理的能力.
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