Howard Bailey, Aneizi Ali, Nadarajah Vidushan, Sajak Patrick M J, Ventimiglia Dominic J, Burt Cameran I, Zhan Min, Akabudike Ngozi M, Henn R Frank
Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Department of Orthopaedic Surgery and Rehabilitation, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.
J Clin Orthop Trauma. 2020 Oct;11(Suppl 5):S823-S828. doi: 10.1016/j.jcot.2020.06.037. Epub 2020 Jun 27.
The healthcare industry is shifting its focus from traditional clinical outcome measures to patient satisfaction metrics. This change has caused orthopaedic surgeons to become increasingly interested in factors influencing patient satisfaction, which would allow them to potentially modify these factors in an effort to increase postoperative satisfaction. The objective of this study was to identify factors associated with patient satisfaction two weeks following extremity orthopaedic surgery.
Patients completed questionnaires preoperatively to assess demographics, activity, pain, expectations, and Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive testing for Physical Function, Pain Interference, Social Satisfaction, Depression, Anxiety, and Fatigue. Two weeks after their operation, patients completed the same questionnaires in addition to an Improvement Survey and Met Expectations. Satisfaction was assessed with the Surgical Satisfaction Questionnaire.
Greater surgical satisfaction two weeks following orthopaedic surgery was associated with higher education, alcohol use, better scores on all PROMIS domains at baseline and two weeks, greater activity levels at baseline and two weeks, less bodily pain at baseline and two weeks, less pain in the surgical site at two weeks, greater met expectations, and greater improvement (p < 0.05).
This study provides important information about patient satisfaction two weeks after orthopaedic surgery.
医疗行业正将重点从传统的临床结果指标转向患者满意度指标。这一变化使骨科医生对影响患者满意度的因素越来越感兴趣，这将使他们有可能改变这些因素以提高术后满意度。本研究的目的是确定四肢骨科手术后两周与患者满意度相关的因素。
患者在术前完成问卷调查，以评估人口统计学、活动情况、疼痛、期望，以及针对身体功能、疼痛干扰、社会满意度、抑郁、焦虑和疲劳的患者报告结果测量信息系统（PROMIS）计算机自适应测试。术后两周，患者除了完成改进调查和达到期望调查外，还完成相同的问卷。使用手术满意度问卷评估满意度。
骨科手术后两周更高的手术满意度与更高的教育程度、饮酒、基线和两周时所有PROMIS领域的更好得分、基线和两周时更高的活动水平、基线和两周时更少的身体疼痛、两周时手术部位更少的疼痛、更高的达到期望程度以及更大的改善相关（p < 0.05）。
本研究提供了有关骨科手术后两周患者满意度的重要信息。
