Luo Chun-Xiao, Yang Yang, Rong Li-Min, Liu Bin, Xie Pei-Gen, Zhang Liang-Ming, Feng Feng
Department of Spine Surgery, The Third Affiliated Hospital of Sun Yat-Sen University Guangzhou, Guangdong Province, China.
Int J Clin Exp Med. 2015 Oct 15;8(10):18523-7. eCollection 2015.
Objective of this study is to analyze preoperative concerns of patients suffering from spinal degenerative disease in a Chinese population. A total of 94 patients with spinal degenerative disease were included, and they were divided into four groups: male and female group, older (≥60 year-old) and younger group (<60 year-old). Questionnaire was designed through patients counseling, preliminary formulation, pilot test and final revision. Each patient was required to select three items of greatest concern. "Attention rate" (AR) was defined as ratio of selected times of one item upon case number within the group. AR of three most concerned items between male and female group, as well as older and younger group were compared and analyzed. All participants selected "recurrence of symptoms following operation" (41/94), "clinical outcome" (35/94) and "postoperative rehabilitation and daily activity" (30/94) as their three top items of concern. Both male and female groups selected "recurrence of symptoms following operation" (22/47, 19/47), "clinical outcome" (21/47, 14/47), "postoperative rehabilitation and daily activity" (15/47, 15/47) and "limb paralysis" (13/47, 14/47) as their most concerned items, revealing no statistical difference (P>0.05). Older group chose "clinical outcome" (17/46) as their most concerned item, followed by "limb paralysis" (14/46), "postoperative rehabilitation and daily activity" (14/46) and "recurrence of symptoms following operation" (12/46). Younger group chose "recurrence of symptoms following operation" (29/48), "clinical outcome" (18/48) and "postoperative rehabilitation and daily activity" (16/48) as their three top concerned items. AR of "recurrence of symptoms following operation" between older and younger group demonstrated statistical difference (P<0.001), while AR of remaining items of greatest concern between both groups were not statistically different (P>0.05). For Chinese patients, high level concerns are associated with surgical outcome and most of them reveal no gender-associated or age-associated difference. Assessing preoperative concerns empowers better preoperative counseling between surgeons and patients and more informed decision for patients.
本研究的目的是分析中国人群中患有脊柱退行性疾病患者的术前担忧。共纳入94例脊柱退行性疾病患者，并将他们分为四组：男性组和女性组、老年组（≥60岁）和年轻组（<60岁）。通过患者咨询、初步制定、预试验和最终修订来设计问卷。要求每位患者选择三项最关心的事项。“关注率”（AR）定义为某一事项被选中的次数与该组病例数的比值。比较并分析了男性组和女性组以及老年组和年轻组中三项最关心事项的AR。所有参与者均选择“术后症状复发”（41/94）、“临床结局”（35/94）和“术后康复及日常活动”（30/94）作为他们最关心的三项事项。男性组和女性组均选择“术后症状复发”（22/47，19/47）、“临床结局”（21/47，14/47）、“术后康复及日常活动”（15/47，15/47）和“肢体瘫痪”（13/47，14/47）作为他们最关心的事项，差异无统计学意义（P>0.05）。老年组选择“临床结局”（17/46）作为他们最关心的事项，其次是“肢体瘫痪”（14/46）、“术后康复及日常活动”（14/46）和“术后症状复发”（12/46）。年轻组选择“术后症状复发”（29/48）、“临床结局”（18/48）和“术后康复及日常活动”（16/48）作为他们最关心的三项事项。老年组和年轻组之间“术后症状复发”的AR有统计学差异（P<0.001），而两组之间其余最关心事项的AR无统计学差异（P>0.05）。对于中国患者，高度关注与手术结局相关，且大多数患者不存在性别或年龄相关差异。评估术前担忧有助于外科医生与患者之间进行更好的术前咨询，并使患者做出更明智的决定。
