在切合实际的期望上进行手术前的教育并不能持续改善膝关节整形术后患者的满意度? 一个随机对照试验与连续评估
Seung Hoon Lee1,2, Hyun Jin Yoo1,3, Hee Seung Nam1
1Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam-si, South Korea.
概括
现实的期望教育在一年内改善了全膝关节整形术 (TKA) 后的患者满意度,特别是在高度集中敏感的人群中. 早些时候已经注意到对疼痛和硬等次要结果的影响,但并没有长期持续.
科学领域:
- 整形外科手术 整形外科手术
- 患者教育 患者教育
- 疼痛管理 疼痛管理
背景情况:
- 膝关节整形术 (TKA) 后的患者满意度对于成功的结果至关重要.
- 中心敏感性可能会影响TKA后的恢复和满意度.
- 优化手术前教育对于管理患者期望至关重要.
研究的目的:
- 评估手术前教育与现实的期望模块是否提高了TKA后的患者满意度.
- 确定这种干预措施是否有利于具有高中心敏感度的患者.
- 评估对患者满意度和临床结果的长期影响.
主要方法:
- 一个单中心,随机对照试验,涉及172名TKA患者.
- 干预组接受了标准教育以及一个现实的期望模块.
- 包括患者满意度,SF-36和WOMAC在内的结果被评估为术后2年.
主要成果:
- 干预组的患者满意度在1年 (p=0.01) 显著更高,但在2年后却没有.
- 在6个月后观察到SF-36和WOMAC疼痛/度的改善,WOMAC疼痛在1年内持续存在.
- 中心敏感度高的患者 (前25%的CSI) 在干预组1年后表现出更高的满意度 (p=0.01).
结论:
- 专注于现实的预期的术前教育可以积极影响患者的满意度和TKA后的次要结果,特别是在短期到中期.
- 益处,特别是对患者满意度和高度敏感的个体的益处,在1年后的术后标志上最明显.
- 长期影响超过1年并未始终观察到,这表明需要进一步研究持续干预措施.
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