PATIENTS EXPECTATIONS IN RELATION TO OUTCOME OF TOTAL HIP-REPLACEMENT SURGERY

PATIENTS EXPECTATIONS IN RELATION TO OUTCOME OF TOTAL HIP-REPLACEMENT SURGERY
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DOI:
10.1136/ard.38.5.471
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发表时间:
1979-01-01
影响因子:
27.4
通讯作者:
RICHARDS, J
RICHARDS, J
中科院分区:
医学1区
文献类型:
--
作者:
BURTON, KE;WRIGHT, V;RICHARDS, J

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期望的重要性通过给予88名接受全髋关节置换术的患者一系列视觉模拟量表来提供疼痛评分,5分制量表来评估他们记住的期望,并通过访谈来建立临床,功能,社会和心理数据来评估。患者通常有很高的期望,但只有55%的人实现了他们的期望。尽管如此,86%的人声称手术是成功的,尽管当更仔细地询问时,患者注意到对结果有一定程度的不满。当样本被分成两组实现和未实现的期望时,显著的差异是前一组享受的生活质量比后一组享受的生活质量要高。显然,成功的概念并不像期望的概念那样有效作为全髋关节置换术结果的衡量标准。
The important of expectations was assessed by giving 88 patients who had undergone total hip relacement surgery a series of visual analog scales to provide a pain score, a 5-point rating scale to assess their remembered expectations, and an interview to establish clinical, functional, social and psychological data. Patients generally had high expectations, but only 55% had their expectations fulfilled. Despite this, 86% claimed the operation to be successful, though when questioned more closely, patients noted a certain amount of displeasure about the outcome. When the sample was split into 2 groups of fulfilled and unfulfilled expectations, significant differences were noted in that the quality of life enjoyed by the former group was greater than that enjoyed by the latter group. Apparently the notion of success is not as effective as the notion of expectations as a measure of the outcome of total hip replacement surgery.