坚和自我控制是否与脊椎手术后患者报告的结果有关?
Marcel Dupont1, Kasra Araghi1, Daniel Shinn1
1Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
HSS journal : the musculoskeletal journal of Hospital for Special Surgery
|September 16, 2024
概括
坚和自我控制与脊柱手术后患者报告的结果没有显著的关联. 虽然发现了一些心理健康和特定疼痛改善的联系,但总的来说,这些特征并不总是预测手术成功.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 心理学 心理学 心理学
背景情况:
- 坚 (力/激情) 和自我控制 (冲动调节) 预示着职业上的成功.
- 它们对医疗保健结果,特别是脊柱手术的影响还不太清楚.
研究的目的:
- 调查脊椎手术后坚,自我控制和患者报告的结果测量 (PROM) 之间的关联.
- 为了比较那些获得实质性临床益处的患者与没有获得实质性临床益处的患者的勇气和自我控制水平.
主要方法:
- 对129名接受椎或腰椎手术的成年患者进行了回顾性审查.
- 耐力和自我控制得分是在手术后1年收集的;PROM是在手术前和6个术后时间点收集的.
- 两变量分析以评估坚/自我控制和PROM之间的关联,包括得分的变化和实质性的临床益处.
主要成果:
- 获得心理健康实质性临床益处的患者的坚度得分明显更高.
- 自制与微创性减压 (MI-D) 中改善腿部疼痛有关.
- 坚和自我控制在某些术后间隔显示出与特定PROM的有限关联.
结论:
- 坚和自我控制与大多数脊柱手术后的PROM没有显著的关联.
- 研究结果表明,在这种情况下,这些心理特征在预测患者整体结果方面发挥的作用有限.
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