Krupic Ferid, Rolfson Ola, Nemes Szilard, Kärrholm Johan
a Department of Orthopaedics , Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg , Gothenburg .
b The Swedish Hip Arthro plasty Register , Gothenburg , Sweden .
Acta Orthop. 2016 Jun;87(3):218-24. doi: 10.3109/17453674.2015.1135664. Epub 2016 Feb 5.
Background and purpose - In preparing patients for total hip replacement surgery, providing thorough information helps to reduce anxiety, manage postoperative pain, prevent complications, and better engage patients in their rehabilitation. However, patient characteristics may have an influence on the ability to comprehend and assimilate the information given. We investigated differences in patients born in Sweden and those born outside Sweden regarding how they perceived the information given before THR, and if this was associated with different patient-reported outcomes one year after surgery. Patients and methods - From Sahlgrenska University Hospital, we recruited 150 patients born in Sweden and 50 patients born outside Sweden who were to undergo THR. We retrieved routinely collected data from the Swedish Hip Arthroplasty Register including basic demographic variables and patient-reported outcome measures, both preoperatively and at 1-year follow-up. In a separate survey carried out 1-2 weeks after surgery, patients were asked about the information provided in connection with the operation. Results - Patients born outside Sweden more frequently reported that they were poorly informed about possibilities to treat pain and about the operation itself. 1 year after the operation, patients born outside Sweden who, 1-2 weeks after the operation, had reported that they were poorly informed also reported having worse outcomes. Poorer results were found for the questions self-care and anxiety/depression in the EQ-5D questionnaire, pain on a visual analog scale (VAS), EQVAS, and EQ-5D index compared to those patients born in Sweden who had received at least some information of acceptable quality. Interpretation - One quarter of the patients were not satisfied with the information provided before and after THR. These patients more commonly reported perioperative anxiety and they were more often born outside Sweden. Poorly informed patients who had come from countries outside Sweden were more likely to report inferior outcome 1 year after the operation.
背景与目的——在为患者准备全髋关节置换手术时，提供全面的信息有助于减轻焦虑、控制术后疼痛、预防并发症，并更好地促使患者参与康复。然而，患者的特征可能会影响其理解和吸收所提供信息的能力。我们调查了瑞典出生的患者与瑞典以外出生的患者在接受全髋关节置换术前对所提供信息的认知差异，以及这是否与术后一年不同的患者报告结局相关。
患者与方法——我们从萨尔格伦斯卡大学医院招募了150名瑞典出生的患者和50名瑞典以外出生的患者，他们即将接受全髋关节置换术。我们从瑞典髋关节置换登记处检索了常规收集的数据，包括基本人口统计学变量以及术前和术后1年随访时患者报告的结局指标。在术后1 - 2周进行的一项单独调查中，询问患者有关手术相关信息的情况。
结果——瑞典以外出生的患者更频繁地报告称，他们对疼痛治疗可能性和手术本身的信息了解不足。手术后1年，那些在术后1 - 2周报告信息了解不足的瑞典以外出生的患者，其结局也较差。与至少获得了一些质量尚可信息的瑞典出生的患者相比，在EQ - 5D问卷中的自我护理、焦虑/抑郁问题、视觉模拟量表（VAS）疼痛评分、EQVAS和EQ - 5D指数方面的结果更差。
解读——四分之一的患者对全髋关节置换术前和术后提供的信息不满意。这些患者更常报告围手术期焦虑，且他们更多是在瑞典以外出生。来自瑞典以外国家且信息了解不足的患者在术后1年更有可能报告结局较差。
