Department of Orthopaedic Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea.
Clin Orthop Surg. 2012 Dec;4(4):278-83. doi: 10.4055/cios.2012.4.4.278. Epub 2012 Nov 16.
To specify what patients want and worry preoperatively is important in orthopedic practice. The aim of the current study was to analyze the patient characteristics of rotator cuff disease in Korean population who were willing to undergo arthroscopic surgery, and to evaluate the differences in expectations and concerns by age and gender.
We prospectively enrolled 303 patients who underwent rotator cuff surgery between April 2004 and August 2008. Three questionnaires were completed before surgery: the first one addressing preoperative patient's expectation, the second one focusing on concerns by covering 64 items using a visual analogue scale, and the third one evaluating patient's demographic characteristics. The characteristics of preoperative expectation, concern, and demographic data were evaluated according to gender and age group.
Female patients had lower level of sports activity (p = 0.007) and lower levels of information (p = 0.028). Gender specific worries are about a caregiver during hospital stay, operating on the working side, fear about ugly scars, postoperative pain, applying makeup or combing hair. The older group responded that they can't be willing to change activities of daily living (p = 0.001), are not living with a spouse (p = 0.002), had previous shoulder operation history (p = 0.008), and had a lower level of information (p = 0.007). They especially worried about medical bills, worried about the physician being too young and inexperienced, postoperative pain, loss of arm function, and hospital food.
Our data showed what Korean patients wanted and were concerned about prior to rotator cuff surgery. This can empower patients to formulate realistic expectations and make informed decisions. We feel that we can achieve higher levels of postoperative satisfaction by analyzing expectations and concerns in depth and addressing these proactively.
明确患者术前的需求和担忧对于骨科实践非常重要。本研究旨在分析韩国人接受关节镜下肩袖修复术患者的临床特征，评估不同年龄和性别患者的期望和担忧的差异。
我们前瞻性纳入了 2004 年 4 月至 2008 年 8 月期间接受肩袖手术的 303 例患者。患者术前完成了 3 份问卷：第 1 份问卷旨在评估患者术前的期望，第 2 份问卷聚焦于 64 项使用视觉模拟评分法评估的担忧，第 3 份问卷评估患者的人口统计学特征。根据性别和年龄组评估术前期望、担忧和人口统计学数据的特征。
女性患者的运动水平较低（p = 0.007），信息获取水平较低（p = 0.028）。不同性别患者的担忧包括住院期间需要护理人员、在工作侧手术、害怕难看的疤痕、术后疼痛、化妆或梳头。年龄较大的患者更不愿意改变日常生活活动（p = 0.001）、不与配偶同住（p = 0.002）、有既往肩部手术史（p = 0.008）、信息获取水平较低（p = 0.007）。他们特别担心医疗费用、担心医生太年轻且缺乏经验、术后疼痛、手臂功能丧失和医院食物。
本研究结果显示了韩国患者在接受肩袖手术前的需求和担忧。这可以使患者制定切合实际的期望并做出明智的决策。我们认为，通过深入分析并主动解决期望和担忧，可以提高术后满意度。
