Faye Ethan R, Ball Jacob R, Mills Emily S, Wang Jeffrey, Hah Raymond J, Alluri Ram K
Department of Orthopaedic Surgery, University of Southern California Keck School of Medicine, Los Angeles, CA, USA.
Department of Orthopaedic Surgery, University of Southern California Keck School of Medicine, Los Angeles, CA, USA
Int J Spine Surg. 2023 Apr;17(2):309-317. doi: 10.14444/8429. Epub 2023 Mar 8.
The purpose of this review is to provide a brief history of previous attempts at developing patient screening tools and to further examine the definitions of these psychological concepts, relevance to clinical outcomes, and implications for spine surgeons during preoperative patient assessments.
A literature review was performed by 2 independent researchers to identify original manuscripts related to spine surgery and novel psychological concepts. The history of presurgical psychology screening was also studied, and definitions of frequently utilized metrics were detailed.
Seven manuscripts were identified that utilized psychological metrics for preoperative risk assessments and correlated outcomes with these scores. The metrics most frequently used in the literature included resilience, patient activation, grit, and self-efficacy.
Current literature favors resilience and patient activation as important metrics for preoperative patient screening. Available studies demonstrate significant associations between these character traits and patient outcomes. Further research is warranted to investigate the roles of preoperative psychological screening to optimize patient selection in spine surgery.
The purpose of this review is to provide clinicians with a reference for available psychosocial screening tools and their relevance to patient selection. This review also serves to guide future research directions given the importance of this topic.
本综述的目的是简要回顾以往开发患者筛查工具的尝试，并进一步审视这些心理概念的定义、与临床结果的相关性以及对脊柱外科医生术前患者评估的意义。
由两名独立研究人员进行文献综述，以识别与脊柱手术及新的心理概念相关的原始手稿。还研究了术前心理筛查的历史，并详细阐述了常用指标的定义。
共识别出七篇使用心理指标进行术前风险评估并将结果与这些分数相关联的手稿。文献中最常用的指标包括心理弹性、患者激活度、毅力和自我效能感。
当前文献倾向于将心理弹性和患者激活度作为术前患者筛查的重要指标。现有研究表明这些性格特质与患者预后之间存在显著关联。有必要进一步研究术前心理筛查在优化脊柱手术患者选择中的作用。
本综述的目的是为临床医生提供可用的社会心理筛查工具及其与患者选择相关性的参考。鉴于该主题的重要性，本综述还旨在指导未来的研究方向。
