Wright J G, Rudicel S, Feinstein A R
Yale University School of Medicine, New Haven, Connecticut 06510.
J Bone Joint Surg Br. 1994 Mar;76(2):229-34.
We aimed to assess individual differences in complaints in patients just before total hip replacement (THR) and the importance attached to the relief of each of them. In a pilot study, using open-ended interviews, we identified 16 main complaints, four of which (night pain, unequal leg length and discomfort during sexual and recreational activities) were not included in any of the six hip-rating scales in general use. Each of the 16 complaints was then assessed in 72 patients and rated for severity and the relative importance of relief. From this we calculated a severity-importance rating for each complaint and a patient-specific score for all complaints. The 72 patients had a mean age of 64 years (17 to 92) and 51% were men. The most important reasons for wanting a THR were day pain and walking difficulty, but the complaints mentioned above and not included in standard hip scores were also important. Greater attention to the individual requirements of patients might improve evaluation of the outcome of orthopaedic treatments.
我们旨在评估全髋关节置换术（THR）前患者主诉的个体差异，以及对缓解每种主诉的重视程度。在一项试点研究中，我们通过开放式访谈确定了16项主要主诉，其中4项（夜间疼痛、腿长不等以及性活动和娱乐活动时的不适）未被纳入任何一种常用的六种髋关节评分量表。然后，对72名患者的16项主诉逐一进行评估，并对严重程度和缓解的相对重要性进行评分。据此，我们计算出每项主诉的严重程度-重要性评分以及所有主诉的患者特异性评分。这72名患者的平均年龄为64岁（17至92岁），51%为男性。希望进行全髋关节置换术的最重要原因是日间疼痛和行走困难，但上述未纳入标准髋关节评分的主诉也很重要。更加关注患者的个体需求可能会改善骨科治疗效果的评估。
