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《Chinese Journal of Bone and Joint Injury》 2017-08
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Influence factors for patients' satisfaction with revision hip arthroplasty

PANG Xin-gang;BAO Ni-rong;ZHAO Jian-ning;Department of Orthopaedics, Nanjing General Hospital;  
Objective To investigate the subjective satisfaction and its influencing factors of patients after revision total hip arthroplasty. Methods A retrospective study was conducted on 40 cases of unilateral hip revision in Nanjing General Hospital from January 2010 to April 2015. The preoperative expectation score, preoperative and postoperative SF-36 score,postoperative Harris score, and collected preoperative pain score and postoperative Harris score were recorded through the electronic medical record system. Results Of the 40 cases, 34 cases were satisfied with their procedure while the others were not. The subjective satisfaction rate was 85%. All the cases underwent unilateral hip revision. And the hip stability was keeping well till the last follow-up date. Compared with the preoperative Harris score(40.5±3.76), the Harris score one year after surgery(81.6 ±5.54) increased significantly(P 0.05). And two-tailed independent t-tests showed that preoperative expectation level, postoperative functional status, role emotional and pain level were significantly different between satisfied and dissatisfied groups(P 0.05). Rank correlation regression analysis showed that the satisfaction of patients was positively related to postoperative Harris score(r =0.347, P =0.028), postoperative RE score(r =0.584, P 0.001) and preoperative RE score(r =0.443, P =0.004), while it was negatively related to postoperative pain scores(r =-0.451, P =0.003) and preoperative expectation score(r =-0.330, P =0.038). Conclusion Preoperative expectation level, postoperative functional status, role emotional and pain level have significant influence on patient satisfaction. Pain-relieving, functional recovery, emotional support and reasonable expectation would help development of the patients' satisfaction to the surgery. Identifying and addressing expectations, particularly possibly unrealistic expectations, and giving patients emotional support can contribute much to improving patient's satisfaction to the surgery.
【Fund】: 江苏省自然科学基金面上研究项目(BK20161385)
【CateGory Index】: R687.4
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