考虑脊柱手术的患者的信息需求、期望和治疗偏好:一项病例对照调查

IF 1.5 Q3 NURSING
William Wing-Kuen Lam , Alice Yuen Loke , Chun-Kwan Wong , Bronya Hi-Kwan Luk
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引用次数: 1

摘要

研究设计:病例对照调查。目的探讨影响退行性腰痛患者手术决定的个人因素。方法于2018年9月至2019年5月对患者进行问卷调查。决定(病例)而拒绝手术(对照组)的患者后来从医疗记录中得到证实。结果共纳入75例患者。男性患者(75.0%,p = 0.019)、已婚患者(78.7%,p = 0.0045)、有配偶照顾者(89.2%,p <0.0001)更有可能决定手术。所有决定手术的患者都表示需要了解“脊柱状况的严重程度”(p = 0.039)。选择手术的患者对“睡得更舒服”的期望值没有选择手术的患者高(4.71比4.91,p = 0.022)。经logistic回归分析,影响手术决定的预测因素为:男性(OR = 3.23, 95% CI: 1.19 ~ 8.77, p = 0.021);已婚(或= 5.231,95%置信区间CI: 1.87 - -14.61, p = 0.002);有配偶照顾者(OR = 1.85, 95% CI: 0.198-3.89, p = 0.031);以及倾向于通过药物治疗/治愈脊柱疾病的患者(OR = 2.77, 95% CI: 1.02-7.50, p = 0.045)。结论选择手术的患者有可能表示需要与其病情相关的医学信息。患者希望能更好地缓解身体症状,特别是与睡眠舒适有关的症状。当保守治疗不再有效时,患者会从保守治疗升级到手术治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Information needs, expectations, and treatment preference of patients considering spinal surgery: A case-control survey

Study design

Case-control survey.

Objectives

To explore intrapersonal factors associated with decision of patients with degenerative back pain for surgery.

Methods

From September 2018 to May 2019 patients were invited to complete a questionnaire. Patients who decided on (case) and declined surgery (control) were later confirmed from medical records.

Results

Seventy-five patients were recruited. Male patients (75.0%, p = 0.019), those who were married (78.7%, p = 0.0045), and had spousal care-givers (89.2%, p < 0.0001) were more likely to decide for surgery. All patients who decided on surgery expressed need for information on “the severity of their spine conditions” (p = 0.039). Those who decided on surgery did not have as the high expectation on “to sleep more comfortably” as those who declined (4.71 vs. 4.91, p = 0.022). The predictive factors for surgery decision by logistic regression analysis were: male gender (OR = 3.23, 95% CI: 1.19–8.77, p = 0.021); married (OR = 5.231, 95% CI: 1.87–14.61, p = 0.002); with available spousal care-giver (OR = 1.85, 95% CI: 0.198–3.89, p = 0.031); and those who preferred to treat/cure the spine disorder by pharmacological treatment (OR = 2.77, 95% CI: 1.02–7.50, p = 0.045).

Conclusion

Patients who decided on surgery were likely to indicate need of medical information related to their condition. Patients were in hope of better relief of physical symptoms, especially related to sleep comfort. Patients would escalate their treatment from conservative to surgery when conservative treatments were no longer effective.

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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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