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术前患者社会经济状况与肩袖修复患者疼痛相关结局、疼痛及功能之间的关联

Associations between Preoperative Patient Socioeconomic Status and Pain-Related Outcomes with Pain and Function in Patients Undergoing Rotator Cuff Repairs.

作者信息

Perez-Dominguez Borja, Perpiña-Martinez Sara, Garcia-Isidoro Sara, Escobio-Prieto Isabel, Rodriguez-Rodriguez Alvaro Manuel, Blanco-Diaz Maria

机构信息

Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain.

Faculty of Nursing and Physiotherapy Salus Infirmorum, Pontifical University of Salamanca, 28015 Madrid, Spain.

出版信息

Healthcare (Basel). 2023 Oct 21;11(20):2786. doi: 10.3390/healthcare11202786.

Abstract

BACKGROUND

Patients undergoing rotator cuff repairs commonly experience postoperative pain and functional limitations. Various socioeconomic and pain-related factors have been recognized as influential in the prognosis of such patients. This study aims to investigate the associations between postoperative pain and functionality and preoperative pain-related outcomes and socioeconomic status in patients undergoing rotator cuff repairs.

METHODS

This cross-sectional study examines the relationship between the outcomes of rotator cuff repairs and participants' socioeconomic status and pain-related measures. Socioeconomic status was assessed through indicators such as educational level, monthly household income, and occupation. Pain-related outcomes included measures of kinesiophobia and pain self-efficacy.

RESULTS

A total of 105 patients (68 male, 37 female) were included in the analysis. The findings revealed no significant association between postoperative pain or functionality and the patients' socioeconomic status ( > 0.05). However, postoperative pain levels demonstrated a significant association with preoperative kinesiophobia ( < 0.05) and pain self-efficacy ( < 0.013). In contrast, functionality did not exhibit a significant association with these measures ( < 0.072 and 0.217, respectively).

CONCLUSIONS

Preoperative pain-related outcomes play a role in postoperative pain levels among patients undergoing rotator cuff repairs. However, they do not appear to be related to functionality. Additionally, socioeconomic status does not significantly impact either pain or functionality.

摘要

背景

接受肩袖修复术的患者通常会经历术后疼痛和功能受限。各种社会经济因素和与疼痛相关的因素已被认为对这类患者的预后有影响。本研究旨在调查接受肩袖修复术患者的术后疼痛与功能以及术前与疼痛相关的结果和社会经济地位之间的关联。

方法

这项横断面研究考察了肩袖修复术的结果与参与者的社会经济地位及与疼痛相关的指标之间的关系。社会经济地位通过教育水平、家庭月收入和职业等指标进行评估。与疼痛相关的结果包括运动恐惧和疼痛自我效能的测量。

结果

共有105名患者(68名男性,37名女性)纳入分析。研究结果显示,术后疼痛或功能与患者的社会经济地位之间无显著关联(>0.05)。然而,术后疼痛水平与术前运动恐惧(<0.05)和疼痛自我效能(<0.013)之间存在显著关联。相比之下,功能与这些指标无显著关联(分别为<0.072和0.217)。

结论

术前与疼痛相关的结果在接受肩袖修复术患者的术后疼痛水平中起作用。然而,它们似乎与功能无关。此外,社会经济地位对疼痛或功能均无显著影响。

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