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脊柱畸形矫正后的满意度:文化和地区对结果的影响。

Satisfaction following correction of spinal deformity: Cultural and regional effects on outcome.

作者信息

Yagi Mitsuru, Mizukoshi Ryo, Fujita Naruhito, Funao Haruki, Ebata Shigeto

机构信息

Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, 286-8520, 852 Hatakeda Narita, Chiba, Japan.

Department of Orthopaedic Surgery, International University of Health and Welfare (IUHW) Narita Hospital, 286-8520, 852 Hatakeda Narita, Chiba, Japan.

出版信息

N Am Spine Soc J. 2024 Feb 24;18:100319. doi: 10.1016/j.xnsj.2024.100319. eCollection 2024 Jun.

DOI:10.1016/j.xnsj.2024.100319
PMID:38559577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10973180/
Abstract

Corrective spine surgery for spinal deformities, such as adolescent idiopathic scoliosis (AIS) and adult spinal deformity (ASD), aims to enhance the quality of life by addressing physical impairments. However, the extent of patient satisfaction after surgery, which includes pain management, functional recovery, and psychological contentment, exhibits considerable variation across different cultural and geographical landscapes. This review describes the influence of cultural and regional disparities on postoperative satisfaction in AIS and ASD surgery with a particular emphasis on the disparities between the US and Japan. This review underscores the intricate relationship between surgical outcomes and patient-reported satisfaction metrics. The investigation reveals significant contrasts in patient satisfaction and clinical results between these 2 countries, attributed to divergent cultural expectations, lifestyle adaptations, and perceptions of bodily image. These distinctions are crucial for healthcare professionals to recognize, as they necessitate a culturally nuanced approach to patient care. This comparative review not only enhances the understanding of patient experiences across cultures but also provides valuable guidance for physicians in customizing their strategies to align with the varied expectations of their patients, thereby improving postoperative satisfaction and overall quality of life. This review emphasizes the necessity of a tailored and culturally sensitive approach to managing spinal deformities, underscoring the need to factor in cultural and regional elements to enhance patient satisfaction and surgical outcomes.

摘要

用于治疗脊柱畸形(如青少年特发性脊柱侧凸(AIS)和成人脊柱畸形(ASD))的脊柱矫正手术旨在通过解决身体损伤问题来提高生活质量。然而,手术后患者的满意度,包括疼痛管理、功能恢复和心理满足感,在不同的文化和地理环境中存在很大差异。本综述描述了文化和地区差异对AIS和ASD手术术后满意度的影响,特别强调了美国和日本之间的差异。本综述强调了手术结果与患者报告的满意度指标之间的复杂关系。调查显示,这两个国家在患者满意度和临床结果方面存在显著差异,这归因于不同的文化期望、生活方式适应以及对身体形象的认知。这些差异对于医疗保健专业人员来说至关重要,因为它们需要一种具有文化细微差别的患者护理方法。这种比较性综述不仅增进了对不同文化背景下患者体验的理解,还为医生提供了有价值的指导,帮助他们调整策略以符合患者的不同期望,从而提高术后满意度和整体生活质量。本综述强调了采用量身定制且具有文化敏感性的方法来管理脊柱畸形的必要性,强调需要考虑文化和地区因素以提高患者满意度和手术效果。