结合手术前期望和术后期望,预测膝关节手术后患者报告的结果
Brandon Leon1, Dominic J Ventimiglia1, Evan L Honig1
1Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Journal of orthopaedics
|February 10, 2025
概括
对于膝盖手术患者来说,在手术后满足预期显著影响了结果,远远超过最初的预期. 专注于在术后满足患者的期望是获得更好的结果的关键.
科学领域:
- 整形外科手术 整形外科手术
- 患者报告的结果
- 健康心理学 心理健康心理学
背景情况:
- 手术前期望和术后期望独立地影响患者报告的非关节整形膝关节手术后的结果 (PRO).
- 这些预期对PRO的综合影响仍然不太清楚,需要进一步调查.
研究的目的:
- 根据手术前期的预期和术后期的预期,确定聚类非关节整形膝关节手术患者的预后意义.
- 分析这些期望集群对患者报告结果的影响.
主要方法:
- 在一个学术机构对638名接受非关节整形膝关节手术的患者进行分析.
- 集群分析将患者分为四个类别,基于手术前和两年术后的预期:高高,低高,高低和低低.
- 后勤回归用于评估实现物流回归的可能性.
- 完全更好,完全更好.
- 情况. 状态.
主要成果:
- 具有高满足期望的患者报告了更好的两年PRO,不管他们手术前的期望如何.
- 高的手术前期望只会在术后实现时带来更好的结果.
- 低的手术前期望并不能阻止良好的结果,如果它们得到满足.
- 非常高的群体显示了获得成功的可能性增加.
- 完全更好,完全更好.
- 与其他组相比的地位 (p < .05).
- 高低组的成功几率降低了.
- 完全更好,完全更好.
- 与LOW-LOW组 (OR = 0.31,p = 0.01) 相比,他们的状态较低.
结论:
- 满足预期似乎是非关节整形膝关节手术中术后结果的更强有力的预测因素,而不是仅仅是术前预期.
- 通过设定切实可行的术前目标并确保在术后实现这些目标来管理患者的期望,对于改善患者报告的结果至关重要.
- 这些发现为临床医生在有效管理患者期望方面提供了宝贵的见解.
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