接受过TKA的患者的高期望与满意度无关
Nicole Vogel1,2,3, Raphael Kaelin2, Thomas Rychen2
1Practice Mein Knie, Hirslanden Klinik Birshof, Münchenstein, Switzerland.
Clinical orthopaedics and related research
|February 28, 2024
概括
膝关节整形术 (TKA) 的术前预期并不能预测患者的满意度. 虽然患者对改善移动性有很高的期望,但这些与TKA后的结果没有相关性.
科学领域:
- 整形外科手术 整形外科手术
- 患者报告的结果.
- 膝盖关节整形术 (TKA) 是指全膝关节整形术.
背景情况:
- 对TKA结果的不满影响了大量患者群体.
- 了解患者期望和满意度之间的联系对于改善TKA结果至关重要.
研究的目的:
- 研究术前患者期望与术后TKA后患者满意度之间的相关性.
- 检查期望,患者特征和患者报告的结果指标 (PROM) 之间的关系.
- 确定与患者相关的具体期望领域.
主要方法:
- 对193名接受TKA的患者进行了回顾性观察性研究.
- 使用特殊手术医院膝关节置换期望调查评估的术前期望.
- 在4个月和12个月后评估的术后满意度和各种PROM (例如KOOS,FJS,HSAS,EQ-5D-3L,KSS).
- 使用皮尔森或斯皮尔曼测试分析的双变线性相关性.
主要成果:
- 在4个月或12个月的术前期望和术后满意度之间没有发现显著的相关性.
- 预期与患者特征或任何术前/术后PROM或膝关节协会评分没有相关性.
- 患者满意度与术后PROM和膝关节协会得分有很强的相关性.
- 关键的期望包括改善步行和爬楼梯的能力.
结论:
- 在TKA患者中,术前期望不能预测术后满意度或PROMs.
- 外科医生应该承认患者的高期望,但认识到它们对满意度的影响有限.
- 专注于现实的期望和功能成果对于TKA的成功至关重要.
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