较大的手术前期望预测膝关节手术后两年疼痛和功能改善
Brandon Leon1, Evan L Honig1, Samir Kaveeshwar1
1Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Journal of orthopaedics
|October 10, 2025
概括
在膝关节手术前,患者期望的更高预测了更好的长期疼痛缓解和功能. 优化这些期望可能会显著改善两年后的结果,骨科手术.
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:
- 手术前的患者期望会影响骨科手术后的早期结果.
- 这些预期对膝关节手术结果的长期影响尚不清楚.
- 这项研究研究了手术前期望和手术后两年结果之间的关联.
研究的目的:
- 为了确定更高的手术前期望是否预测了膝盖手术后两年患者报告的更好的疼痛和功能.
- 评估患者对功能恢复和疼痛水平的期望的长期预测价值.
- 评估手术前期望与两年随访期间患者报告的各种结果指标之间的关系.
主要方法:
- 对460名接受膝关节手术的患者进行了回顾性审查.
- 使用患者报告结果测量信息系统 (PROMIS) 领域,IKDC,NPS,TAS和MARS进行结果评估.
- 使用MODEMS测量了手术前期望,通过SSQ-8测量了满意度,随后进行了统计分析.
主要成果:
- 更高的手术前期望与更好的两年PROMIS身体功能,PROMIS疼痛干扰和IKDC分数相关.
- 更高的预期预测了疼痛干扰和膝盖功能 (IKDC) 的显著改善.
- 术前期望也与改善PROMIS疲劳,PROMIS焦虑和整体满意度有关.
结论:
- 较高的手术前期望是膝关节手术后两年疼痛和功能改善的独立预测.
- 患者期望对膝关节手术结果的积极影响是长期持续的.
- 在手术前优化患者的期望对于最大限度地提高术后结果至关重要.
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