首页|重度膝骨性关节炎患者全膝关节置换术获益的预期现状及影响因素分析

重度膝骨性关节炎患者全膝关节置换术获益的预期现状及影响因素分析

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目的 调查重度膝骨性关节炎患者全膝关节置换术获益的预期现状,并分析其影响因素。方法 采用便利抽样法,选取 2021 年1月至2023 年 1月采用全膝关节置换术治疗的 120 例重度膝骨性关节炎患者作为研究对象。术前使用自制手术获益预期量表评估患者手术获益的预期现状,根据其手术获益预期情况分为正确预期组与错误预期组。比较两组的一般资料,使用Logistic回归分析探讨影响重度膝骨性关节炎患者全膝关节置换术获益预期的因素。结果 120例患者中,有58例存在错误的手术获益预期,占比为 48。33%。两组患者的性别、受教育程度、家庭年收入、医患关系、自我感受负担比较,差异具有统计学意义(P<0。05)。Logistic回归分析结果显示,男性、受教育程度高中及以下、家庭年收入<3 万元、医患关系一般、医患关系好以及轻度自我感受负担是重度膝骨性关节炎患者全膝关节置换术获益预期的影响因素(P<0。05)。结论 采用全膝关节置换术治疗的重度膝骨性关节炎患者中约有一半存在错误获益的预期,且性别、受教育程度、家庭年收入、医患关系、自我感受负担是影响其获益预期的相关因素。
Benefit expectation status and influencing factors of total knee arthroplasty in patients with severe knee osteoarthritis
Objective To investigate the benefit expectation status of total knee arthroplasty in patients with severe knee osteoarthritis,and to analyze its influencing factors.Methods Convenient sampling method was used to select 120 patients with severe knee osteoarthritis who underwent total knee arthroplasty from January 2021 to January 2023 as the study objects.The self-made surgical benefit expectation scale was used to evaluate the benefit expectation status of patients before surgery,and the patients were divided into correct expectation group and wrong expectation group according to the surgical benefit expectation.The general data of the two groups were compared,and Logistic regression test was used to analyze the influencing factors of the benefit expectation of total knee arthroplasty in patients with severe knee osteoarthritis.Results Among the 120 patients,58 cases had wrong surgical benefit expectation,accounting for 48.33%.There were significant differences in gender,education level,annual household income,doctor-patient relationship and self-perceived burden between the two groups(P<0.05).Logistic regression analysis results showed that male,education level of high school or below,annual household income<30 000 yuan,normal doctor-patient relationship,good doctor-patient relationship and mild self-perceived burden were the influencing factors for the benefit expectation of total knee arthroplasty in patients with severe knee osteoarthritis(P<0.05).Conclusion About half of the patients with severe knee osteoarthritis who underwent total knee arthroplasty have wrong benefit expectation,and gender,education level,annual household income,doctor-patient relationship and self-perceived burden are the related factors affecting their benefit expectation.

severe knee osteoarthritistotal knee arthroplastybenefit expectationinfluence factor

任文倩、宋瑞星

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郑州市骨科医院重症医学科,河南 郑州,450052

重度膝骨性关节炎 全膝关节置换术 获益预期 影响因素

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(11)
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