在接受成人脊椎形脊柱重建的患者中,心理困扰并不预测决策后悔
Jesse Shen1, Philip Louie2, Takeshi Fujii2
1Faculty of Medicine, Department of Surgery, CHUM, University of Montreal, Montreal, QC, Canada. jesse.shen@umontreal.ca.
BMC musculoskeletal disorders
|December 2, 2024
概括
在成年脊柱形手术患者中,手术前的心理困扰并不能显著预测手术后的遗憾. 虽然许多患者报告有些遗憾,但在本研究中,痛苦水平不是可靠的指标.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 心理上的痛苦 心理上的痛苦
- 患者的治疗结果.
背景情况:
- 成年脊柱形 (ASD) 手术的目的是改善生活质量.
- 手术后的决策遗憾是复杂手术患者的一个担忧.
- 了解影响后悔的因素对于患者护理至关重要.
研究的目的:
- 在ASD手术患者中调查术前心理痛苦和术后决策遗憾之间的关联.
- 为了确定手术前更高的痛苦是否与手术后更高的遗憾相关.
- 在接受标准化ASD外科手术程序的队列中评估这种关系.
主要方法:
- 对112名成年脊柱形手术患者的回顾性分析,随访时间至少为2年.
- 使用分类级别 (绿色,黄色,黄色负) 评估手术前的心理痛苦.
- 通过Decision Regret Scale和SRS-22问题22评估手术后遗憾,对年龄和性别进行逻辑回归控制.
主要成果:
- 在手术前的心理痛苦水平和手术后的决策遗憾之间没有发现显著的相关性.
- 41%的患者使用决策后悔量表报告没有后悔;63%使用SRS-22.2.
- "黄减"痛苦组显示出对遗憾的趋势,特别是那些没有接受骨切除术的人.
结论:
- 在成人脊柱形手术中,手术前的心理痛苦并不是术后遗憾的重要预测因素.
- 很大一部分患者经历了一定程度的术后遗憾,但其预测因素仍然不清楚.
- 需要进一步的研究来确定影响决策后悔的因素.
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