较高的手术前患者期望预测了关节透视术后患者报告的更好的心理社会健康结果
Leah E Henry1, Brandon Leon1, Dominic J Ventimiglia1
1Department of Orthopaedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Journal of orthopaedics
|December 10, 2024
概括
更高的手术前期望与关节镜术后患者报告的更好的结果相关,特别是在疲劳,焦虑和社会满意度方面. 设定积极的期望可能会改善术后的社会心理健康.
科学领域:
- 整形外科手术 整形外科手术
- 心理健康 心理社会健康
- 患者报告的结果.
背景情况:
- 在骨科中,术前期望显著影响患者报告的结果 (PROs).
- 手术前期望对关节镜术后结果的具体影响尚不清楚.
研究的目的:
- 为了研究手术前患者期望和关节透视术后2年后的PROs之间的关系.
- 确定手术前期望是否可以独立预测术后的结果.
主要方法:
- 一项前性研究包括接受关节透视术的患者.
- 使用MODEMS预期域,评估了手术前的预期.
- 术后结果 (PROMIS领域,NPS,MARS) 在2年后进行评估.
- 进行了斯皮尔曼相关性和线性回归分析.
主要成果:
- 更高的术前期望与更好的术后疲劳,焦虑,抑郁,疼痛和活动水平相关.
- 期望较高的患者更有可能在PROMIS疲劳和MARS活动中实现临床重要差异.
- 手术前的预期独立预测了PROMIS疲劳,社会满意度和焦虑得分的改善.
结论:
- 术前期望的提升是优越心理社会结果的独立预测因素. 关节镜术后2年.
- 在手术前优化患者的期望可能会提高术后的心理社会福祉.
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