关联于术后后果的心理社会因素 在关节镜旋转手腕修复后的术后结果
Kensuke Oba1, Kohei Nishikawa1, Naoki Oikawa1,2
1Department of Rehabilitation, Hitsujigaoka Hospital, Sapporo, Japan.
JSES international
|October 6, 2025
概括
心理社会因素如运动恐惧症和疼痛灾难化可能会影响关节镜旋转手套修复 (ARCR) 后的恢复. 这些领域的得分较低与更好的功能结果有关,这表明改善患者结果的潜在目标.
科学领域:
- 整形外科 整形外科 整形外科
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 关节镜旋转袖口修复 (ARCR) 是旋转袖口撕裂的常见程序.
- 手术后的结果受到各种因素的影响,但心理社会因素的作用尚未完全理解.
- 这项研究研究了心理社会因素与ARCR后功能恢复之间的关联.
研究的目的:
- 探索心理社会因素 (疼痛灾难化,运动恐惧症,疼痛自我效能) 与ARCR后的术后功能结果之间的关系.
- 为了确定患者的特征和与ARCR后更好的结果相关的手术技术.
主要方法:
- 一个回顾性研究的患者接受ARCR全厚超脊椎撕裂.
- 收集的数据包括人口统计,病变特征,手术技术和心理社会因素 (TSK-11,PCS,疼痛自我效能问卷).
- 多重线性回归分析用于评估术后美国肩膀和肘部外科医生 (ASES) 评分的预测因素.
主要成果:
- 在ASES,TSK-11,PCS和疼痛自我有效性得分 (P < .01) 中,术后显著改善.
- 男性性别,没有糖尿病,修复技术,更高的手术前ASES分数,更低的TSK-11和PCS分数独立地与更高的术后ASES分数相关.
- 该模型解释了手术后ASES得分差异的约10% (调整后R2 = 0.10,P < .01).
结论:
- 心理社会因素,特别是运动恐惧症和疼痛灾难化,显示了ARCR后功能恢复的潜在关联.
- 运动恐惧症 (TSK-11) 和疼痛灾难化 (PCS) 的较高得分与术后功能结果较差有关.
- 需要进一步的研究来探索针对心理社会因素的干预措施,以提高ARCR后的康复和患者满意度.
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