Patient satisfaction survey after anterior cruciate ligament reconstruction

doi:10.3969/j.issn.2095-4344.2017.24.009

Abstract

Abstract:

BACKGROUND: There are many methods for evaluating anterior cruciate ligament reconstruction. However, doctors always like to assess the outcome with the objective criteria, such as range of motion and imaging examinations, and patient satisfaction is little considered.
OBJECTIVE: To explore the factors that may influence the patient satisfaction after anterior cruciate ligament reconstruction.
METHODS: Ninety-eight patients undergoing anterior cruciate ligament reconstruction were enrolled, including 58 male and 40 female patients, and the average age was 27.4 years old. All patients were followed up (average 17.5 months) to investigate the patient satisfaction. The factors related to the satisfaction were analyzed, such as age, follow-up time, sex, injured knee, mental health, education, economic situation, postoperative athletic ability, and International Knee Documentation Committee scores.
RESULTS AND CONCLUSION: After the follow-up, 72.4% patients said that they were satisfied with the outcome, and 27.6% dissatisfied with the outcome. The mental health, economy situation, postoperative athletic ability, and International Knee Documentation Committee scores were significantly related to the patient satisfaction (P < 0.05). To conclude, improved living and medical standard, intensive communication and psychological counseling, as well as rational postoperative rehabilitation scheme can improve the patient satisfaction after anterior cruciate ligament reconstruction.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: Anterior Cruciate Ligament, Patient Satisfaction, Arthroplasty, Tissue Engineering

CLC Number:

R318

Tong Jian, Meng Jia, Bao Ni-rong, Zhao Jian-ning. Patient satisfaction survey after anterior cruciate ligament reconstruction[J]. Chinese Journal of Tissue Engineering Research, 2017, 21(24): 3821-3826.

Figures/Tables 1

2.1 患者数量分析纳入患者98例，全部进入结果分析。 2.2 前交叉韧带重建后患者的满意度本组男性58例，女性40例。满意组患者人数为71例(72%)，不满意组患者人数为27例(28%)。 2.3 受伤时的年龄、随访时间、性别和患侧满意组患者受伤时的平均年龄与不满意组比较差异无显著性意义(P > 0.05)；满意组患者平均随访时间与不满意组比较差异无显著性意义(P > 0.05)，见表1。方差分析提示患者受伤时的年龄和随访时间均与患者主观满意度之间不存在显著性差异(P > 0.05)。满意组患者男女性别比例与不满意组比较，差异无显著性意义；满意组患肢左右侧别比与不满意组比较差异无显著性意义；卡方分析提示患者的性别和患肢侧别与主观满意度之间不存在显著性差异(P > 0.05)，见表2。 2.4 心理素质状况满意组前交叉韧带重建患者的K-SES评分为(7.92±1.02)分，不满意组评分为(6.00±1.33)分，方差分析结果提示心理素质状况较好的患者有较高的术后满意度(F=57.662，P < 0.01)。 2.5 文化程度卡方检验提示文化程度与患者术后满意度之间不存在显著性差异性(P > 0.05)，见表3。 2.6 经济水平卡方检验提示经济水平与患者术后满意度之间存在显著性差异性(P < 0.05)，见表4。 2.7 术后运动水平患者依据术后是否恢复到受伤前运动水平分为两组，没有恢复者50例，其中满意30例，不满意20例；恢复者48例，满意组41例，不满意组7例，卡方检验提示术后运动水平与患者术后满意度之间存在显著性差异性(P < 0.05)，见表5。 2.8 术后IKDC评分统计满意组术后IKDC评分为(84.23±6.79)分，不满意组术后IKDC评分为(78.81±8.25)分，方差分析提示，术后IKDC评分较高的患者会有着较高的满意度(F=10.985，P < 0.001)。 2.9 多因素分析将可能影响患者主观满意度的因素都纳入统计，行logistic回归分析(选用backward ward方法)，结果提示患者心理素质(K-SES评分)、家庭收入、术后运动水平和IKDC评分都可以显著影响患者主观满意度(P < 0.05)，见表6。"

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