William Wing-Kuen Lam , Alice Yuen Loke , Chun-Kwan Wong , Bronya Hi-Kwan Luk
{"title":"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","authors":"William Wing-Kuen Lam , Alice Yuen Loke , Chun-Kwan Wong , Bronya Hi-Kwan Luk","doi":"10.1016/j.ijotn.2022.100979","DOIUrl":null,"url":null,"abstract":"<div><h3>Study design</h3><p>Case-control survey.</p></div><div><h3>Objectives</h3><p>To explore intrapersonal factors associated with decision of patients with degenerative back pain for surgery.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>Seventy-five patients were recruited. Male patients (75.0%, <em>p</em> = 0.019), those who were married (78.7%, <em>p</em> = 0.0045), and had spousal care-givers (89.2%, <em>p</em> < 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” (<em>p</em> = 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, <em>p</em><span><span> = 0.022). The predictive factors for surgery decision by </span>logistic regression analysis were: male gender (OR = 3.23, 95% CI: 1.19–8.77, </span><em>p</em> = 0.021); married (OR = 5.231, 95% CI: 1.87–14.61, <em>p</em> = 0.002); with available spousal care-giver (OR = 1.85, 95% CI: 0.198–3.89, <em>p</em><span> = 0.031); and those who preferred to treat/cure the spine disorder by pharmacological treatment (OR = 2.77, 95% CI: 1.02–7.50, </span><em>p</em> = 0.045).</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Information needs, expectations, and treatment preference of patients considering spinal surgery: A case-control survey\",\"authors\":\"William Wing-Kuen Lam , Alice Yuen Loke , Chun-Kwan Wong , Bronya Hi-Kwan Luk\",\"doi\":\"10.1016/j.ijotn.2022.100979\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Study design</h3><p>Case-control survey.</p></div><div><h3>Objectives</h3><p>To explore intrapersonal factors associated with decision of patients with degenerative back pain for surgery.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>Seventy-five patients were recruited. Male patients (75.0%, <em>p</em> = 0.019), those who were married (78.7%, <em>p</em> = 0.0045), and had spousal care-givers (89.2%, <em>p</em> < 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” (<em>p</em> = 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, <em>p</em><span><span> = 0.022). The predictive factors for surgery decision by </span>logistic regression analysis were: male gender (OR = 3.23, 95% CI: 1.19–8.77, </span><em>p</em> = 0.021); married (OR = 5.231, 95% CI: 1.87–14.61, <em>p</em> = 0.002); with available spousal care-giver (OR = 1.85, 95% CI: 0.198–3.89, <em>p</em><span> = 0.031); and those who preferred to treat/cure the spine disorder by pharmacological treatment (OR = 2.77, 95% CI: 1.02–7.50, </span><em>p</em> = 0.045).</p></div><div><h3>Conclusion</h3><p>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.</p></div>\",\"PeriodicalId\":45099,\"journal\":{\"name\":\"International Journal of Orthopaedic and Trauma Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2022-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Orthopaedic and Trauma Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1878124122000594\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Orthopaedic and Trauma Nursing","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878124122000594","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
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.