Patients' expectations and satisfaction with total hip arthroplasty
Patients' expectations and satisfaction with total hip arthroplasty
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DOI：
10.1016/s0883-5403(97)90194-7
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发表时间：
1997-06-01
影响因子：
3.5
通讯作者：
Charlson, ME
中科院分区：
文献类型：
--
作者：
Mancuso, CA;Salvati, EA;Charlson, ME
尽管有许多研究关注日益重要的患者满意度评估，但很少有研究专门针对全髋关节置换术（THA）的这一问题。本研究的目的是测量患者对THA的满意度，并评估期望和结果与患者满意度的关系。共180例患者在THA术后2 ~ 3年接受了调查，了解他们的THA经历。患者列举了45种不同的期望，这些期望被分为五类，反映了疼痛，行走，心理状态，必要活动和非必要活动的改善。总体而言，89%的患者对手术结果感到满意。在术前状况较好的患者（由外科医生用特殊外科医院髋关节量表测量）、预期非必要活动改善的患者和报告术后状况较差的患者（用髋关节评分问卷和医学结局研究简表一般健康调查自我评估）中，满意度较低。患者也被问到他们是如何来到THA的。近50%的患者首先由家人或朋友或根据自己的知识转诊到骨科医生。74%的人随后推荐其他人进行THA，或者如果他们知道有人患有髋关节疼痛，他们会这样做。这项研究表明，对THA的满意度是一个复杂的现象，受期望，结果以及患者从社区网络中了解的程序的影响。更好地了解THA满意度将使未来更好地选择患者和额外的结局维度，这两者对患者和付款人都很重要。
Although there have been many studies focusing on the increasingly important assessment of patients' satisfaction, few studies have specifically addressed this issue for total hip arthroplasty (THA). The goals of this study were to measure patients' satisfaction with THA and to evaluate the relationships of expectations and outcome to patients' satisfaction. A total of 180 patients were surveyed 2 to 3 years after THA about their experiences with THA. Patients cited 45 different expectations, which were grouped into five categories reflecting improvement in pain, walking, psychological state, essential activities, and nonessential activities. Overall, 89% of patients were satisfied with the results of surgery. Lower rates of satisfaction were found in patients who had a better preoperative condition (as measured by the surgeons with The Hospital for Special Surgery Hip Scale), in patients who expected improvement in nonessential activities, and in patients who reported worse postoperative condition (as measured by self-assessment with the Hip Rating Questionnaire and the Medical Outcomes Study Short-form General Health Survey). Patients were also asked how they came to THA. Nearly 50% of patients were first referred to an orthopaedist by family or friends or based on their own knowledge. Seventy-four percent either had subsequently referred others for THA or would have done so if they knew someone with hip pain. This study demonstrates that satisfaction with THA is a complex phenomenon, affected by expectations, outcome, and what patients know about the procedure from their community network. A better under standing of THA satisfaction will enable better future selection of patients and an additional dimension of outcome, both of which are important to patients and payers.