Sense of coherence as a predictor for patients’ quality of recovery after total hip or knee arthroplasty - A descriptive cohort study

Dorthe Hasfeldt , Jimmy Højberg Holm , Martin Lindberg-Larsen , Søren Overgaard
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Abstract

Background

Patients' postoperative quality of recovery (QOR) is an important outcome measurement and predicting and preventing impaired quality of recovery is essential. In this study, we aimed to investigate if patients Sense of Coherence (SOC) could be a potential predictor and screening instrument for impaired quality of recovery. We hypothesized that patients’ SOC is positively related to their QOR.

Material and methods

The study was performed as a descriptive single-center prospective cohort study. Data was collected using digital questionnaires. Patients undergoing total hip (THA) or knee arthroplasty (TKA) received the SOC13 questionnaire prior to their surgery to establish their SOC and a questionnaire on postoperative day 2 and 7, respectively, establishing their QOR. Multiple linear regression was used to fit a model for the QOR score using SOC, age, sex, and type of surgery as potential explanatory variables.

Results

206 patients were included in the study analysis. The results showed a highly significant positive correlation between patients’ SOC and their postoperative QOR on both postoperative day 2 and 7 (p < 0.01). Patients with a lower SOC score also presented a significantly lower QOR score, meaning they experienced impaired QOR compared to patients with a higher SOC score.

Conclusions

The results indicate that a weak SOC (low SOC score) can be considered a clinically important indicator for risk of impaired QOR (low QOR score) after THA and TKA. The SOC13 questionnaire may be a potential screening instrument identifying patients in risk of impaired postoperative QOR based on a low SOC score.

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一致性感是全髋关节或膝关节置换术后患者康复质量的预测因素--一项描述性队列研究
背景患者的术后恢复质量(QOR)是一项重要的结果测量指标,预测和预防恢复质量受损至关重要。在本研究中,我们旨在探讨患者的一致性感觉(SOC)是否可以作为潜在的康复质量受损预测和筛查工具。我们假设患者的 SOC 与他们的 QOR 呈正相关。使用数字问卷收集数据。接受全髋关节置换术(THA)或膝关节置换术(TKA)的患者在手术前接受 SOC13 问卷调查,以确定其 SOC,并分别在术后第 2 天和第 7 天接受问卷调查,以确定其 QOR。以 SOC、年龄、性别和手术类型为潜在解释变量,采用多元线性回归拟合 QOR 评分模型。结果显示,在术后第 2 天和第 7 天,患者的 SOC 与术后 QOR 之间均存在高度显著的正相关性(p < 0.01)。结果表明,SOC 弱(SOC 得分低)可被视为 THA 和 TKA 术后 QOR 受损(QOR 得分低)风险的重要临床指标。SOC13 问卷可作为一种潜在的筛查工具,根据低 SOC 得分识别术后 QOR 受损风险的患者。
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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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