术前与术后患者的结果和整体关节形术的恢复预期
Siddhartha Dandamudi1, Kyleen Jan1, Madelyn Malvitz1
1Department of Orthopaedics, Rush University Medical Center, Chicago, IL, USA.
Arthroplasty today
|March 3, 2025
概括
患者对全关节整形术 (TJA) 的期望往往与现实有所不同,特别是在疼痛和物理治疗需求方面. 改善术后沟通是提高患者满意度和在TJA后遵守后续计划的关键.
科学领域:
- 整形外科 整形外科 整形外科
- 患者报告的结果
- 外科手术的结果
背景情况:
- 整体关节整形术 (TJA) 后的患者不满是一个持续的问题,即使有成功的临床结果.
- 了解患者的期望与经验对改善TJA结果至关重要.
研究的目的:
- 评估患者在初级TJA之前和之后的期望和经验.
- 识别关于手术风险,疼痛,移动性和康复的期望中的差异.
主要方法:
- 对接受TJA的术前和术后患者进行了一项调查.
- 该调查评估了与手术风险,物流,物理治疗 (PT) 和疼痛管理相关的期望.
- 从108名手术前和344名术后患者收集了反应.
主要成果:
- 术前患者在识别TJA风险方面更准确,但对术后疼痛和移动性有不切实际的期望.
- 绝大多数术后患者想要的物理治疗比最初预期的要多.
- 许多患者在TJA后缺乏明确的长期随访计划.
结论:
- 患者对TJA结果的期望,包括疼痛和恢复时间表,通常与实际经验不一致.
- 加强外科手术期间的沟通对于管理预期至关重要,可能会提高患者满意度和后续遵守.
- 解决延长物理治疗的需要和确保建立长期后续计划对于TJA的成功至关重要.
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