对风湿手的结果评估
Susanna Stjernberg-Salmela1, Jorma Ryhänen1
1Department of Musculoskeletal and Plastic Surgery, Helsinki University Hospital, Helsinki, Finland.
Hand clinics
|November 9, 2024
概括
缺少类风湿性关节炎手部功能的标准化结果措施. 将客观的临床试验与患者报告的结果相结合,对于有效的评估和术后护理至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
背景情况:
- 类风湿性关节炎显著损害了手的功能和生活质量.
- 缺乏标准化的结果衡量标准阻碍了比较研究和治疗评估.
- 传统的临床评估包括运动范围,握力和功能测试,如杰布森-泰勒手部功能测试.
研究的目的:
- 突出标准化结果措施在类风湿性关节炎手评估的重要性.
- 讨论客观临床评估和患者报告的结果措施的作用.
- 强调在评估治疗疗效和术后护理时需要采用综合方法.
主要方法:
- 审查现有的临床评估工具对于类风湿性关节炎手功能.
- 讨论基于表现的测试 (例如,运动范围,握力,杰布森-泰勒手动功能测试).
- 评估患者报告的结果措施 (例如,科手部残疾量表,密歇根手部结果问卷) 和通用仪器.
主要成果:
- 基于绩效的测试对于评估治疗效果至关重要,特别是在手术后.
- 患者报告的结果措施对于评估手术结果越来越重要.
- 无论是疾病特异性的还是全方位的患者报告的结果措施,都在随访中具有价值.
结论:
- 对类风湿性关节炎手部患者的全面评估需要将客观的临床措施与患者报告的结果整合起来.
- 这种综合方法对于有效的术后护理和治疗评估至关重要.
- 结果测量的标准化仍然是风湿性关节炎手部研究的关键需求.
关键词:
功能 功能 功能 功能手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...患者评级的结果衡量患者的结果.类风湿性关节炎 类风湿性关节炎 类风湿性关节炎
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