腕管综合征的护理质量和患者报告结局：一项前瞻性观察研究。
Quality of care and patient-reported outcomes in carpal tunnel syndrome: A prospective observational study.
机构信息
RAND Corporation, 1776 Main Street Santa Monica, California, 90407, USA.
Division of General Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
出版信息
Muscle Nerve. 2018 Jun;57(6):896-904. doi: 10.1002/mus.26041. Epub 2018 Feb 1.
INTRODUCTION
Higher quality care for carpal tunnel syndrome (CTS) may be associated with better outcomes.
METHODS
This prospective observational study recruited adults diagnosed with CTS from 30 occupational health centers, evaluated physicians' adherence to recommended care processes, and assessed results of the Boston Carpal Tunnel Questionnaire (BCTQ) and Short Form Health Survey version 2 (SF-12v2) at recruitment and at 18 months.
RESULTS
Among 343 individuals, receiving better care (80th vs. 20th percentile for adherence) was associated with greater improvements in BCTQ Symptom Severity scores (-0.18, 95% confidence interval [CI] -0.32 to -0.05), BCTQ Functional Status scores (-0.21, 95% CI -0.34 to -0.08), and SF12-v2 Physical Component scores (1.75, 95% CI 0.33-3.16). Symptoms improved more when physicians assessed and managed activity, patients underwent necessary surgery, and employers adjusted job tasks.
DISCUSSION
Efforts should be made to ensure that patients with CTS receive essential care processes including necessary surgery and activity assessment and management. Muscle Nerve 57: 896-904, 2018.
简介
为腕管综合征（CTS）提供更高质量的治疗可能与更好的治疗结果相关。
方法
这项前瞻性观察性研究从 30 个职业健康中心招募了被诊断为 CTS 的成年人，评估了医生对推荐的治疗过程的遵循情况，并在招募时和 18 个月时评估了波士顿腕管问卷（BCTQ）和健康调查简表 2 版（SF-12v2）的结果。
结果
在 343 名患者中，接受更好的治疗（遵守率处于第 80 百分位与第 20 百分位之间）与 BCTQ 症状严重程度评分（-0.18，95%置信区间 -0.32 至 -0.05）、BCTQ 功能状态评分（-0.21，95%置信区间 -0.34 至 -0.08）和 SF12-v2 生理成分评分（1.75，95%置信区间 0.33-3.16）的更大改善相关。当医生评估和管理活动、患者接受必要的手术以及雇主调整工作任务时，症状改善得更多。
讨论
应努力确保患有 CTS 的患者接受包括必要手术、活动评估和管理在内的基本治疗过程。肌肉神经 57: 896-904, 2018.
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