Dandenong Hospital, Dandenong, VIC, Australia.
Glasgow Royal Infirmary, Glasgow, UK.
J Hand Surg Eur Vol. 2020 Feb;45(2):147-152. doi: 10.1177/1753193419866400. Epub 2019 Aug 12.
We studied whether mental health status is significantly correlated to patient reported functional outcomes and satisfaction after carpal tunnel release. Over a 7-year period, 809 patients completed Short Form-12 (SF-12) questionnaires which allowed calculation of the SF-12 mental component summary 1 year postoperatively, 780 (96%) completed a satisfaction questionnaire and 777 (96%) completed a QuickDisabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Median QuickDASH score was 55 preoperatively (interquartile range [IQR] 28) and 14 postoperatively (IQR 32). A total of 674 patients were satisfied. Patients with mental disability had worse QuickDASH scores (median 34, IQR 41) and a higher incidence of dissatisfaction (52/245, 21%) than those without mental disability (n = 9, IQR 20, 10%, both < 0.001). Regression analyses indicated scores in the SF-12 mental component summary were significantly related to postoperative QuickDASH score ( < 0.001) and satisfaction ( = 0.02). We concluded that patients with mental disability report poorer outcomes and lower satisfaction rates; however, the majority still exhibit significant improvements and are satisfied. II.
我们研究了心理健康状况是否与腕管松解术后患者报告的功能结果和满意度显著相关。在 7 年期间，809 例患者完成了简短形式 12 项（SF-12）问卷，该问卷允许计算 SF-12 精神成分综合量表术后 1 年，780 例（96%）完成了满意度问卷，777 例（96%）完成了快速上肢、肩部和手部残疾问卷（QuickDASH）。术前中位 QuickDASH 评分为 55（四分位距[IQR]28），术后为 14（IQR32）。共有 674 例患者满意。有精神残疾的患者 QuickDASH 评分较差（中位数 34，IQR41），不满意率较高（52/245，21%），而非精神残疾患者（n=9，IQR20，10%，均 < 0.001）。回归分析表明，SF-12 精神成分综合量表的评分与术后 QuickDASH 评分（ < 0.001）和满意度（ = 0.02）显著相关。我们得出结论，有精神残疾的患者报告的结果较差，满意度较低；然而，大多数患者仍表现出显著的改善并感到满意。
