Department of Orthopedic Surgery, Royal Infirmary of Edinburgh, Little France, Edinburgh, United Kingdom.
J Arthroplasty. 2011 Feb;26(2):209-13. doi: 10.1016/j.arth.2010.03.013. Epub 2010 May 11.
We conducted a prospective cohort study investigating the rate and predictors of dissatisfaction among patients after primary total hip arthroplasty (THA). Eight hundred fifty patients were assessed preoperatively and 1 year postoperatively using Patient Reported Outcome Measures. There was a 7% rate of dissatisfaction after THA. After univariate analysis, depression, preoperative Short Form 12 mental component score, and symptomatic arthritis of another major joint predicted dissatisfaction at 1 year, but after multivariate analysis, only symptomatic arthritis in another major joint was significant. The development of a major complication did not predict dissatisfaction. Satisfaction also correlates strongly with postoperative functional scores, relief of pain, restoration of function, and success in meeting patient expectations. Pain relief and expectation management are critical in maximizing patient satisfaction after THA.
我们进行了一项前瞻性队列研究，调查初次全髋关节置换术后患者的不满发生率及其预测因素。850 例患者分别在术前和术后 1 年使用患者报告的结局测量进行评估。THA 后不满的发生率为 7%。单因素分析后，抑郁、术前 12 项简明健康量表精神成分评分和另一个主要关节的症状性关节炎是术后 1 年时不满的预测因素，但多因素分析后，只有另一个主要关节的症状性关节炎有统计学意义。主要并发症的发生并不预测不满。满意度也与术后功能评分、疼痛缓解、功能恢复以及满足患者期望的程度密切相关。THA 后，疼痛缓解和期望管理对最大限度提高患者满意度至关重要。
