膝骨关节炎三种术式患者满意度的术前影响因素

Influencing factors of patient satisfaction in three types of surgery for knee osteoarthritis

膝骨关节炎是老年人常见的骨科退行性疾病,患者常伴有明显疼痛及活动受限,严重影响日常生活质量。随着技术的进步及阶梯化治疗理念的深入,目前针对膝骨关节炎的手术方式不再仅限于全膝置换,而是包括截骨矫形、单髁置换以及全膝置换等。手术的主要目的是来减轻疼痛和改善膝关节功能。在评价不同手术方式的疗效时,患者满意度是患者报告结果测量中重要的一个参考指标,被认为是评价手术是否成功的核心标准之一。患者的术前因素往往影响其术后的满意度,但目前还没有针对三种手术方式在术后满意度方面进行系统的综述,因此本文将有关三种手术方式满意度及术前影响因素的研究进行综述整理及分析,期望能够更好地梳理不同手术方式的术前影响因素,为提高患者的术后满意度提供新的思路与证据支持。

Knee osteoarthritis is a common orthopedic degenerative disease in the elderly.Patients are often accompanied by obvious pain and limited activity,which seriously affects the quality of daily life.With the advancement of technology and the deepening of the concept of stepped treatment,the current surgical methods for knee osteoarthritis are no longer limited to total knee replacement,but include osteotomy orthopedics,unicompartmental knee arthroplasty and total knee arthroplasty.The main purpose of surgery is to relieve pain and improve knee function.Duringevaluating the efficacy of different surgical methods,patient satisfaction is an important reference index in the patient reported outcome measures,and is considered as one of the core criteria for evaluating the success of surgery.Preoperative factors of patients often affect their postoperative satisfaction,but there has been no systematic review on the postoperative satisfaction of the three surgical methods.Therefore,this article summarized and analyzed the studies on the satisfaction of the three surgical methods and their preoperative influencing factors,hoping to better sort out the preoperative influencing factors of different surgical methods.It may provide new ideas and evidence support for improving patients'postoperative satisfaction.