关节镜下肩袖修复术后患者满意度的相关因素:是否因年龄而异?

IF 1.8 Q2 ORTHOPEDICS
Clinics in Shoulder and Elbow Pub Date : 2024-09-01 Epub Date: 2024-08-07 DOI:10.5397/cise.2024.00283
Jung-Han Kim, Soo-Hwan Jung, Dae-Hyun Park, Yong-Uk Kwon, Hyo-Young Lee
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引用次数: 0

摘要

背景:有几项研究调查了影响关节镜下肩袖修复术(ARCR)后患者满意度的因素,但这些因素是否随年龄而变化尚不清楚。因此,本研究旨在评估 70 岁及以上患者与年轻患者对 ARCR 满意度的相关因素:在连续接受 ARCR 的 319 名患者中,纳入了 173 人。患者被分为老年组(≥70 岁)和年轻组(结果:老年组和年轻组患者的满意度均高于老年组):老年组和年轻组的满意率分别为 75.41% 和 79.47%。在年轻患者中,满意亚组和不满意亚组的常量和美国肩肘外科医生评分的平均变化有显著差异(分别为 P=0.031 和 P=0.012)。在老年患者中,医院焦虑抑郁量表抑郁分量表(P=0.031)和医院焦虑抑郁量表焦虑分量表(P=0.044)评分的平均变化在满意和不满意亚组之间存在显著差异:ARCR术后影响患者满意度的因素因年龄而异。心理改善对老年患者更为重要,而恢复功能对年轻患者更为重要。疼痛缓解对两个年龄组的患者都很重要。证据等级:III.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors associated with patient satisfaction after arthroscopic rotator cuff repair: do they differ by age?

Background: Several studies have investigated factors affecting patient satisfaction after arthroscopic rotator cuff repair (ARCR); however, it is unknown if these factors vary according to age. Therefore, this study aimed to evaluate the factors associated with satisfaction of ARCR in individuals 70 years and older versus younger patients.

Methods: Among 319 consecutive patients who underwent ARCR, 173 were included. Patients were divided into an old age group (≥70 years) and a young age group (<70 years), and the two age groups were further divided into satisfied and unsatisfied subgroups. Patient satisfaction was evaluated at the final follow-up visit using a binary question (yes or no). Clinical outcomes were assessed preoperatively and at the final follow-up.

Results: Satisfaction rates in the older and younger age groups were 75.41% and 79.47%, respectively. Mean changes in Constant and American Shoulder and Elbow Surgeons scores were significantly different between the satisfied and unsatisfied subgroups (P=0.031 and P=0.012, respectively) in the young patients. In the old patients, there was a significant difference in the mean change in depression subscale of the Hospital Anxiety and Depression Scale (P=0.031) and anxiety subscale of the Hospital Anxiety and Depression Scale (P=0.044) scores between the satisfied and unsatisfied subgroups.

Conclusions: Factors affecting patient satisfaction after ARCR differed according to age. Psychological improvement was more important to elderly patients, whereas restoration of function was more important to younger patients. Pain relief was important for both age groups. Level of evidence: III.

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来源期刊
CiteScore
0.30
自引率
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审稿时长
15 weeks
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