摘要
目的:探讨中、晚期骨关节炎患者是否采纳全膝关节置换术意愿的影响因素。方法:选择2019年9月-2020年10月石河子大学医学院第一附院骨科中心门诊以及住院确诊的中、晚期骨关节炎患者为研究对象,通过收集基线资料、美国特种外科医院膝关节评分(HSS)、视觉模拟评分法(VAS)及生存质量量表(SF-12)问卷进行分析。以是否有手术意愿为标准,将有全膝关节置换(TKA)意愿的患者分为意愿组,无TKA的患者分为非意愿组。进行基本构成比比较、手术意愿的单因素比较及多因素回归分析。结果:本次研究共回收370份问卷,其中有效问卷362份,有效率97.84%。两组间年龄、文化程度,骨关节炎分期,HSS评分,VAS评分,躯体健康因子和心理健康因子比较,差异均有统计学意义(P<0.05),性别、体重指数、既往史比较,差异无统计学意义(P>0.05)。结论:年龄、文化程度、VAS评分1~4分、VAS评分8~10分、骨关节炎分期、HSS评分、SF-12躯体健康及SF-12心理健康与患者手术意愿密切相关;性别、BMI、既往史对患者手术意愿无直接影响。
Objective:To explore the factors influencing the willingness of patients with intermediate and advanced osteoarthritis to undergo total knee arthroplasty.Methods:From September 2019 to October 2020,the outpatient and inpatients with intermediate and advanced osteoarthritis diagnosed in the Orthopedic Center of the First Affiliated Hospital of Shihezi University School of Medicine were selected as the study subjects.By collecting baseline data,American Hospital for Special Surgery(HSS)knee joint score,visual analogue scale(VAS)and quality of life scale(SF-12)questionnaires,the patients were analyzed.Based on the willingness of surgery,the patients who were willing to perform total knee arthroplasty(TKA)were divided into the willing group,and the patients without TKA were divided into the unwilling group.The basic composition ratio comparison,univariate comparison and multivariate regression analysis of surgical willingness were performed.Results:A total of 370 questionnaires were retrieved in this study,of which 362 were valid questionnaires,with an effective rate of 97.84%.There were statistically significant differences in age,education level,osteoarthritis stage,HSS score,VAS score,physical health factor and mental health factor between the two groups(P<0.05),while there were no statistically significant differences in gender,body mass index,and past history(P>0.05).Conclusion:Age,education level,VAS score of 1 to 4,VAS score of 8 to 10,OA stage,HSS score,SF-12 MCS and SF-12 PCS are closely related to patients'willingness for surgery.The gender,BMI and past history have no direct impact on patients'willingness to undergo surgery.
作者
李彦奇
康治林
戴毅
陈家翰
王鑫
王维山
史晨辉
Li Yan-qi;Kang Zhi-lin;Dai Yi;Chen Jia-han;Wang Xin;Wang Wei-shan;Shi Chen-hui(Orthopedic Center,The First Affiliated Hospital of Shihezi University School of Medicine,Shihezi 823000,Xinjiang Uygur Autonomous Region,China)
出处
《中国社区医师》
2022年第17期40-42,共3页
Chinese Community Doctors
关键词
骨关节炎
全膝关节置换术
手术意愿
影响因素
Osteoarthritis
Total knee arthroplasty
Willingness to surgery
Influencing factors
