前交叉韧带重建后的满意度调查

发布时间：2018-08-13 08:56

【摘要】：背景:目前评估前交叉韧带重建术疗效的方法有很多种,而医生总是习惯以客观指标为参考标准(比如膝关节活动度、影像学资料)来评价手术的成功与否,而很少从患者自身主观满意度出发来评估疗效。目的:分析影响前交叉韧带重建术后患者主观满意度的可能因素。方法:行前交叉韧带重建的患者98例,男性58例,女性40例,平均年龄为27.4岁,平均随访时间为17.5个月,随访调查所有患者对前交叉韧带重建术后的满意度,对可能影响的因素(包括年龄、随访时间、性别、患肢、心理素质、文化水平、经济状况、术后运动水平、术后膝关节IKDC评分)与患者主观满意度之间进行统计学分析,确定其影响作用。结果与结论:(1)98例患者均获随访,72%的患者对手术愈后表示满意,28%的患者表示不满意。(2)统计学分析发现,患者的心理素质、经济状况、术后运动水平和IKDC评分与患者的主观满意度之间有显著性差异(P0.05);(3)结果提示,提高人民的生活水平,加大对医疗行业的投入,良好的术前沟通,心理辅导和合理的康复计划都可以提高前交叉韧带重建患者的满意度。
[Abstract]:Background: there are many methods to evaluate the outcome of anterior cruciate ligament reconstruction, and doctors are used to use objective criteria (such as knee motion, imaging data) to evaluate the success of the operation. Patients' subjective satisfaction is rarely used to evaluate the efficacy. Objective: to analyze the possible factors influencing subjective satisfaction after anterior cruciate ligament reconstruction. Methods: 98 patients (58 males and 40 females) underwent anterior cruciate ligament reconstruction (ACL) with an average age of 27.4 years and an average follow-up time of 17.5 months. The possible influencing factors (including age, follow-up time, sex, affected limb, psychological quality, education level, economic status, postoperative movement level, postoperative IKDC score of knee joint) and subjective satisfaction of patients were statistically analyzed. Determine its impact. Results and conclusions: (1) all 98 patients were followed up. 72% of the patients were not satisfied with the outcome of the operation. (2) the psychological quality and economic status of the patients were found by statistical analysis. There was significant difference between postoperative exercise level and IKDC score and patients' subjective satisfaction (P0.05); (3). The results suggested that the living standard of the people should be improved, the investment in the medical profession should be increased, and the preoperative communication should be good. Psychological counseling and reasonable rehabilitation programs can improve the satisfaction of patients with anterior cruciate ligament reconstruction.
【作者单位】：南京大学医学院附属金陵医院(南京军区总医院)骨科;
【基金】：全军医学科技青年培育项目(14QNP034)~~
【分类号】：R687.4

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