Chen Andrew L, Bain Elizabeth B, Horan Marilee P, Hawkins Richard J
Littleton Orthopaedics, Littleton, USA.
J Shoulder Elbow Surg. 2007 Jan-Feb;16(1):25-30. doi: 10.1016/j.jse.2006.04.013. Epub 2006 Nov 9.
The purpose of this investigation was to identify the determinants of patient satisfaction with outcome after hemiarthroplasty and total shoulder arthroplasty. Seventy patients who underwent shoulder arthroplasty were studied to determine predictors of patient satisfaction. Patient satisfaction was graded on an ordinal scale from 1 to 10. There was a significant association between patient satisfaction and age (P = .010) and between patient satisfaction and worker's compensation status (P = .018). There was no significant decrease in patient satisfaction for patients with rotator cuff tears. Patient satisfaction was significantly associated with all pain and function variables at follow-up (P < .05). The American Shoulder and Elbow Surgeons score was significantly correlated with patient satisfaction (P = 0.680, P < .05). Independent predictors of satisfaction included pain with activities of daily living, painless use of the arm above the shoulder, and difficulty with toileting (R(2) = 0.555). Subjective variables associated with pain were independent predictors of patient satisfaction. Thus, in assessing patient satisfaction after shoulder arthroplasty, we emphasize the importance of patient-derived subjective assessment of symptoms and function.
本研究的目的是确定半关节成形术和全肩关节置换术后患者对治疗结果满意度的决定因素。对70例行肩关节置换术的患者进行研究，以确定患者满意度的预测因素。患者满意度采用1至10的序数评分。患者满意度与年龄之间存在显著关联（P = 0.010），与工伤赔偿状况之间也存在显著关联（P = 0.018）。肩袖撕裂患者的满意度没有显著下降。随访时患者满意度与所有疼痛和功能变量显著相关（P < 0.05）。美国肩肘外科医生评分与患者满意度显著相关（P = 0.680，P < 0.05）。满意度的独立预测因素包括日常生活活动时的疼痛、肩部以上无痛使用手臂以及如厕困难（R² = 0.555）。与疼痛相关的主观变量是患者满意度的独立预测因素。因此，在评估肩关节置换术后的患者满意度时，我们强调患者对症状和功能的主观评估的重要性。
