患者的主要语言与结果之间的关联以及患者参与过程指标,用于全关节关节整形术
Rodnell Busigó Torres1, Mateo Restrepo Mejia, Brocha Z Stern
1From the Leni and Peter W. May Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY (Busigó Torres, Restrepo Mejia, Stern, Moucha, Poeran, and Hayden), and the Department of Population Health Science and Policy, Institute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, New York, NY (Stern and Poeran).
The Journal of the American Academy of Orthopaedic Surgeons
|October 28, 2024
概括
在关节和膝关节置换手术的患者参与方面存在语言差异,但手术结果仍然相似. 需要额外的资源来支持所有患者在他们的护理之旅.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 以前的研究表明,在部和膝盖关节整形术的总结果中,基于语言的差异存在.
- 本研究探讨了初级语言与患者的治疗结果以及参与大型卫生系统之间的联系.
研究的目的:
- 检查初级口语与外科手术后期结果之间的关联.
- 评估主要口语与患者参与度指标之间的关系.
主要方法:
- 对8220名接受选择性初级全关节或膝关节整形手术 (2018-2022) 的患者进行了回顾性队列研究.
- 主要语言分类为英语,西班牙语或其他.
- 对术后结果和参与指标的分析 (术前课堂上课,患者报告的结果测量完成).
主要成果:
- 没有发现语言和大多数术后结果 (例如,出院,再入院,并发症) 之间的显著关联.
- 非英语的主要语言 (其他) 与延长逗留时间的几率降低有关.
- 观察到患者参与度的显著差异:西班牙语和其他语言使用者手术前上课和完成PROM的几率较低.
结论:
- 基于语言的差异在部和膝关节关节整形术后的患者参与度量显而易见,而不是手术结果.
- 与之前的研究相比,机构特定的支持系统可能会影响研究结果.
- 增加资源是必要的,以促进患者积极参与所有语言群体的护理.
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