在接受全膝关节关节整形手术的患者共享决策后,与决策后悔相关的因素
Yu-Chieh Lo1, Yu-Pin Chen2,3, Hui En Lin2
1Department of Orthopedics, Taichung Veterans General Hospital, Taichung 407219, Taiwan.
Healthcare (Basel, Switzerland)
|July 12, 2025
概括
许多全膝关节整形术患者经历后悔,即使是在共同决策之后. 后悔与术后疼痛增加和流动性降低相关,强调需要更好地管理患者的期望.
科学领域:
- 整形外科手术 整形外科手术
- 患者的决策制定 患者的决策
- 健康 结果 研究 研究 结果
背景情况:
- 膝关节整形术 (TKA) 是治疗膝关节疼痛的常见手术,但患者的满意度各不相同.
- 共享决策 (SDM) 旨在提高患者的满意度,并减少医疗程序后的遗憾.
- 了解影响TKA后决策后悔的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 在初级TKA之后,使用决策遗憾量表 (DRS) 评估决策遗憾.
- 评估共享决策 (SDM) 对TKA患者后悔的影响.
- 确定决策后悔和术后结果之间的相关性.
主要方法:
- 一项涉及118名患者的研究,他们在2020年3月至2022年5月期间接受了初级TKA.
- 使用决策遗憾量表 (DRS) 来衡量决策遗憾.
- 在手术后的疼痛和运动能力被评估使用Lequesne指数在三个月的随访.
主要成果:
- 近一半的TKA患者 (49%) 报告没有后悔,而26%的患者经历了中度至严重的后悔.
- 决策后悔的更高水平与术后疼痛的增加有显著的相关性 (Lequesne指数).
- 后悔也与术后移动性和膝关节运动范围较差有很强的相关性.
结论:
- 很大一部分TKA患者经历后悔,即使之前接受了SDM咨询.
- 决策后悔与手术后的不良疼痛和移动性结果有关.
- 告知患者潜在的TKA风险和管理预期对于减少遗憾至关重要.
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