Department of Pediatric Orthopaedics, Poznan University of Medical Sciences, Poznan, Poland.
Med Sci Monit. 2011 Feb;17(2):CR83-90. doi: 10.12659/msm.881392.
Psychopathological symptoms occur more often in chronically ill patients than in healthy populations. The aim of this study was to analyze the associations between different types of treatment and stress levels.
MATERIAL/METHODS: The study group consisted of 69 females, of whom 35 were treated conservatively with a Cheneau brace; the other 34 subjects were treated operatively and, after correction of scoliosis with thoracoplasty, wore a brace for 12 weeks during the postoperative period. Patients completed the Polish versions of the Bad Sobernheim Stress Questionnaire-Deformity and the Bad Sobernheim Stress Questionnaire-Brace.
Patients who were treated surgically felt a moderate level of stress connected with wearing the brace and with body deformation. The group treated conservatively felt moderate stress connected with wearing the brace, but a low level of stress in relation to body deformation. The groups differed significantly statistically in the level of stress felt regarding body deformation (p=0.004). In the group treated conservatively, the correlation between the level of stress, the age at which treatment was initiated, and degree of apical translation proved to be significant.
Patients treated surgically in comparison with patients treated conservatively report higher stress levels connected with body deformation. A higher level of stress depends on the degree of trunk deformation on the frontal plane; stress is also higher in patients who begin conservative treatment at a later age.
慢性疾病患者比健康人群更容易出现精神病理症状。本研究旨在分析不同治疗类型与压力水平之间的关联。
材料/方法：研究组包括 69 名女性，其中 35 名接受 Cheneau 支具保守治疗，其余 34 名接受手术治疗，术后通过胸廓成形术矫正脊柱侧弯后，在术后 12 周期间佩戴支具。患者完成了波兰语版的 Bad Sobernheim 畸形压力问卷和 Bad Sobernheim 支具压力问卷。
接受手术治疗的患者感到中度压力，与佩戴支具和身体变形有关。接受保守治疗的组感到中度压力与佩戴支具有关，但身体变形的压力水平较低。两组在身体变形方面的压力水平存在显著统计学差异（p=0.004）。在保守治疗组中，压力水平、开始治疗的年龄和顶椎平移程度之间存在显著相关性。
与保守治疗的患者相比，接受手术治疗的患者报告了更高的与身体变形相关的压力水平。压力水平与躯干在前平面上的变形程度有关；开始保守治疗较晚的患者压力水平也更高。
