办公室手部手术后第二天的担忧相关因素。

IF 2.1 2区 医学 Q2 ORTHOPEDICS Journal of Hand Surgery-American Volume Pub Date : 2025-03-01 DOI:10.1016/j.jhsa.2023.09.006
Abraham Bankole MD , Raul Tejada BSA , David Ring MD, PhD , Sina Ramtin MD
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引用次数: 0

摘要

目的:手部小手术后的疼痛可能被误解为一个问题。可能出了问题的感觉加剧了痛苦。一些外科医生预见到了这些感觉,并在手术后的晚上或第二天给患者打电话,指导他们完成康复过程。对术后第二天的常规电话进行研究可以帮助确定担忧的频率和相关因素。我们问:1)办公室手部手术后的第二天,哪些因素与担忧有关?2) 哪些因素与疼痛强度、对护理的满意度以及患者在办公室手部手术后第二天的康复轨迹有关?方法:在一项横断面研究中,82名接受办公室手部和上肢手术的患者完成了一项调查,记录了年龄、性别、保险、收入水平、抑郁和焦虑症状的测量、对疼痛的灾难性思维的测量、疼痛强度和护理满意度的10分顺序评分,患者是否关心他们的手(是或否),以及他们是否觉得自己的康复正在正轨上(是或不是)。结果:10例(12%)患者关心自己的手。在双变量分析中,手术后第二天的担忧与更大的灾难性思维和男性有关。更大的疼痛强度与更大的灾难性思维有关。满意度没有足够的变化,也没有感觉到恢复正在进行有意义的分析。结论:在小型办公室手部手术后的第二天,人们的担忧很常见,这一发现支持了联系患者寻求支持的做法,并有助于重新定位无益的灾难性想法。研究类型/证据水平:预后IV。
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Factors Associated With Concerns the Day After Office Hand Surgery

Purpose

Pain after minor hand surgery can be misinterpreted as a problem. The sense that something may be wrong intensifies the pain. Some surgeons anticipate these feelings and call patients the evening or day after surgery to guide them through the recovery process. A study of routine, next day, postoperative phone calls can help determine the frequency of concerns and associated factors. We asked: 1) What factors are associated with concern the day after office hand surgery? 2) What factors are associated with pain intensity, satisfaction with care, and patient’s perceived recovery trajectory the day after office hand surgery?

Methods

In a cross-sectional study, 82 patients who had office hand and upper extremity surgery completed a survey recording age, gender, insurance, income level, measures of symptoms of depression and anxiety, a measure of catastrophic thinking regarding pain, 10-point ordinal ratings of pain intensity and satisfaction with care, whether the patient was concerned about their hand (yes or no) and whether they felt their recovery was on track (yes or no).

Results

Ten patients (12%) were concerned about their hand. In bivariate analysis, concern the day after surgery was associated with greater catastrophic thinking and male gender. Greater pain intensity was associated with greater catastrophic thinking. There was insufficient variation in satisfaction or a sense that recovery was on track for a meaningful analysis.

Conclusions

The finding that concerns were common the day after minor office hand surgery supports the practice of contacting patients for support and helping to reorient unhelpful catastrophic thoughts.

Type of study/level of evidence

Prognostic IV.
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来源期刊
CiteScore
3.20
自引率
10.50%
发文量
402
审稿时长
12 weeks
期刊介绍: The Journal of Hand Surgery publishes original, peer-reviewed articles related to the pathophysiology, diagnosis, and treatment of diseases and conditions of the upper extremity; these include both clinical and basic science studies, along with case reports. Special features include Review Articles (including Current Concepts and The Hand Surgery Landscape), Reviews of Books and Media, and Letters to the Editor.
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