支架相关压力对青少年特发性脊柱侧凸支架依从性的影响:一项使用客观依从性测量和支架相关压力的单中心比较研究。

IF 1.2 Q3 SURGERY
Tomoyuki Asada, Toshiaki Kotani, Tsuyoshi Sakuma, Yasushi Iijima, Keita Nakayama, Kazuhide Inage, Yasuhiro Shiga, Tsutomu Akazawa, Shohei Minami, Seiji Ohtori, Masao Koda, Masashi Yamazaki
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引用次数: 0

摘要

摘要:本研究旨在探讨具有不同程度托具相关心理压力的青少年特发性脊柱侧凸(AIS)患者的托具依从性及临床背景。方法:纳入45例Cobb角在25°~ 45°之间的患者。接受支架治疗的AIS患者接受支架相关压力问卷(即日本版Bad Sobernheim压力问卷-brace [JBSSQ-brace])。根据评分,我们将患者分为两个应激组:轻度应激组(≥16分)和中下应激组(结果:45例患者中有41例完成了研究。随访1个月、4个月和1年,JBSSQ-brace评分分别为18.7±5.1分、19.1±5.2分和18.7±5.0分。使用支具处方1年后,jbssq -支具评分无显著变化(P=0.332)。在支架处方的第一个月内,不同季节的支架依从性无差异(P=0.252)。两组整体支具依从性相当(中度以下:17.1±7.1 h/天vs轻度:20.4±3.0 h/天;P = 0.078)。在工作日,轻度应激组的依从性优于次中度应激组(次中度:17.0±6.9 h/d vs.轻度:20.5±2.8 h/d;P=0.048)和夜间(中度以下:82.3%±27.0%/夜vs轻度:93.8%±12.4%/夜;P = 0.008)。结论:总体而言,不同支具相关应激组患者的支具依从性具有可比性,但轻度应激组患者在工作日和夜间的支具依从性明显更好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related Stress.

Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related Stress.

Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related Stress.

Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related Stress.

Introduction: This study aimed to investigate the brace compliance and clinical background of patients with adolescent idiopathic scoliosis (AIS) who demonstrate different degrees of psychological brace-related stress.

Methods: Forty-five patients initiating brace treatment with a Cobb angle between 25° and 45° were included. Patients receiving brace treatment for AIS were administered a questionnaire for brace-related stress (i.e., the Japanese version of the Bad Sobernheim Stress Questionnaire-Brace [JBSSQ-brace]). Based on their scores, we allocated the patients into two stress groups: mild-stress (≥16 points) and below-moderate-stress (<16 points). We investigated the character of brace compliance and brace-related psychological stress in all patients and compared the demographics and brace compliance between both groups.

Results: Forty-one of 45 patients completed the study. The mean JBSSQ-brace scores were 18.7±5.1, 19.1±5.2, and 18.7±5.0 points at the 1-month, 4-month, and 1-year follow-ups, respectively. There was no significant change in JBSSQ-brace scores over one year after the brace prescription (P=0.332). There was no difference in-brace compliance between seasons during the first month of brace prescription (P=0.252). Both groups' overall brace compliance was comparable (below-moderate: 17.1±7.1 h/day vs. mild: 20.4±3.0 h/day; P=0.078). The mild-stress group showed better compliance than the below-moderate-stress group on weekdays (below-moderate: 17.0±6.9 h/day vs. mild: 20.5±2.8 h/day; P=0.048) and at nighttime (below-moderate: 82.3%±27.0%/nighttime vs. mild: 93.8%±12.4%/nighttime; P=0.008).

Conclusions: Overall, brace compliance was comparable among patients with different brace-related stress, but brace compliance during weekdays and nighttime was significantly better in the mild-stress group.

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CiteScore
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