美观度及社会经济因素对关节手术患者微创治疗意愿的影响

The Influence of Aesthetic and Socioeconomic Factors on the Willingness of Minimally Invasive Treatment in Patients Undergoing Joint Surgery

目的:探讨美观度及社会经济因素对关节手术患者微创治疗意愿的影响。方法:将笔者医院2020年8月-2021年2月216例行关节手术患者作为研究对象,采用自制一般资料调查表进行问卷调查,按照微创治疗意愿分为意愿组和非意愿组,比较两组人口学特征、美观因素、社会经济因素等,应用Logistic回归模型分析影响关节手术患者微创治疗意愿的相关因素。结果:216例患者中,剔除无效问卷2例,最终纳入214例,其中164例愿意接受微创治疗,占76.64%;50例不愿意接受微创治疗,占23.36%。两组体质量指数、婚姻状况、既往关节手术史、家庭经济水平、职业类型、费用来源、文化背景、重视术后生活质量及担心术后复发情况比较差异无统计学意义(P>0.05);年龄、性别、社会支持度、健康知识来源、医生对微创术式推荐及重视美观度情况比较差异具有统计学意义(P<0.05)。多因素Logistic分析显示,年龄(OR=0.941,P=0.004)、健康知识来源互联网(OR=4.468,P=0.002)、医生对微创术式推荐(OR=2.493,P=0.014)、重视美观度(OR=2.365,P=0.019)及社会支持度(OR=1.063,P=0.045)是关节手术患者微创治疗的独立影响因素。结论:年龄、社会支持度、健康知识来源互联网、医生对微创术式推荐和美观度是影响关节手术患者微创治疗意愿的相关因素。

Objective To explore the influence of aesthetic and socioeconomic factors on the willingness of minimally invasive treatment of joint surgery patients.Methods Taked 216 patients undergoing joint surgery in our hospital from August 2020 to February 2021 as the research object,a self-made general information questionnaire was used to conduct a questionnaire survey.According to the intention of minimally invasive treatment,they were divided into the willing group and the unwilling group.The demographic characteristics,aesthetic factors,socioeconomic factors,etc.of the two groups were compared,and the logistic regression model was used to analyze the relevant factors that affect the willingness of minimally invasive treatment of joint surgery patients.Results 2 cases were excluded from 216 patients and 214 cases were finally included.164 cases were willing to receive minimally invasive treatment,accounting for 76.64%.50 cases were unwilling to receive minimally invasive treatment,accounting for 23.36%.There was no significant difference between the two groups in body mass index,marital status,previous joint surgery history,family economic level,occupation,source of expenses,cultural background,attention to postoperative quality of life and fear of postoperative recurrence (P>0.05).There were statistically significant differences in age,gender,social support,health knowledge sources,doctors’ recommendation for minimally invasive surgery and attention to aesthetics (P<0.05).Multivariate logistic analysis showed that age (OR=0.941,P=0.004),internet of health knowledge sources (OR=4.468,P=0.002),doctors’ recommendation for minimally invasive surgery (OR=2.493,P=0.014),attention to aesthetics (OR=2.365,P=0.019) and social support (OR=1.063,P=0.045) were independent influencing factors of minimally invasive treatment for patients with joint surgery.Conclusion Age,social support,health knowledge comes from the internet,doctors’ recommendation for minimally invasive surgery and aesthetics are related factors that affect the willingness of joint surgery patients to treat minimally invasively.