远距离半径骨折后患者期望和结果的评估
Anna H Green1, Todd H Alter1, Bobby B Varghese1
1Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Hand (New York, N.Y.)
|April 12, 2024
概括
患者对远半径骨折治疗的期望往往超过实际结果. 虽然观察到功能改善,但整体结果并不符合患者的预期,特别是在老年人中.
科学领域:
- 整形外科 整形外科 整形外科
- 患者报告的结果
- 肌肉骨损伤 肌肉骨损伤 肌肉骨损伤
背景情况:
- 患者的期望显著影响肌肉骨损伤后的结果.
- 了解这些期望对于管理患者报告的结果至关重要.
研究的目的:
- 调查远端半径骨折患者治疗前期望和结果之间的相关性.
- 分析年龄和治疗方式如何影响这种相关性.
主要方法:
- 75名患有远半径骨折的患者被纳入了潜在的非手术和手术队列.
- 创伤预期因子-创伤结果测量 (TEF-TOM) 评分评估了基线和3,6,12个月的预期和结果.
- 还收集了手臂,肩膀和手的快速残疾 (qDASH) 和患者指定的手腕评估 (PRWE) 评分.
主要成果:
- 总体结果比预期更差 (P < .01).
- 年轻患者 (<65岁) 的预期高于老年患者 (65岁以上,P=0.02).
- 老年患者在6个月和12个月的结果明显比预期更糟 (P = .04,P < .01). 在年龄或治疗组之间没有发现功能结果 (qDASH/PRWE) 的显著差异.
结论:
- 距离半径骨折治疗结果在这个队列中不符合患者的预期.
- 老年患者 (65岁以上) 的预期较低,但预测结果并不比年轻患者更好.
- 尽管没有达到预期,但功能结果在所有组都得到改善,无论年龄或治疗方法如何.
更多相关视频
09:01Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
11.8K
05:07Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
1.6K
相关概念视频
01:11Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
01:27Fractures: Bone Repair
3.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.2K