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首页> 外文学位 >Self-image outcomes and presurgical radiographic, pain, and mental health measures predicting post-surgical satisfaction among adolescents with idiopathic scoliosis undergoing spinal fusion surgery.
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Self-image outcomes and presurgical radiographic, pain, and mental health measures predicting post-surgical satisfaction among adolescents with idiopathic scoliosis undergoing spinal fusion surgery.

机译：自我影像结果和术前放射线照相，疼痛和心理健康状况可预测接受脊柱融合手术的特发性脊柱侧凸青少年的手术后满意度。

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摘要

Objective: The overall goal of this study was to examine the relationship between preoperative, 1-year post-operative, and 2-year postoperative self-image in adolescents with idiopathic scoliosis undergoing spinal fusion surgery. In addition, a minor goal was to examine the relationship between pre-surgical mental health and post-surgical self-image and satisfaction. Additionally, spinal curvature and preoperative pain were explored in relation to the effect of pre-surgical mental health on post-surgical self-image. Analyses were performed in order to better understand the relationship of corrective surgery to self-image, and self-image's relationship to persistent postoperative pain, which has been recognized as a common clinically significant problem.;Methods: The Scoliosis Research Society Questionnaire-30 and Spinal Appearance Questionnaire were administered to 219 patients enrolled in the Prospective Pediatric Scoliosis study at pre-operative, 1-year post-operative, and 2-year post-operative time points. A subset (n=163) of these patients had complete data. The Scoliosis Research Society Questionnaire-30 includes pain and mental health subscales, which were examined preoperatively for the purpose of this study. Measurements of preoperative curve (Cobb) angle percentage correction were used in the analysis of this data, which were determined using operative notes. The Spinal Appearance Questionnaire (SAQ) includes self-image appearance and expectations subscales, which were examined at the preoperative, 1-year postoperative, and 2-year postoperative time points.;Results: There were significant improvements in self-image after surgical intervention in children with idiopathic scoliosis undergoing spinal fusion surgery. Cobb angle percentage correction, preoperative pain scores as determined by the SRS-30, and preoperative mental health scores as determined by the SRS-30 were not significant predictors of postoperative self-image as measured by the SAQ. There is little to no correlation between the preoperative measures and postoperative self-image. Conclusions: Prior studies have confirmed that pediatric persistent postsurgical pain is a significant health concern, and that presurgical mental health and self-image are factors that contribute to a pediatric patient's longitudinal experience with postsurgical pain. This study shows that there are clinically significant improvements in self-image after surgical intervention in patients with adolescent idiopathic scoliosis undergoing spinal fusion surgery. These findings suggest that preoperative pain, degree of spinal curvature correction, and preoperative mental health are not determinative of postoperative self-image in pediatric populations. Future studies should be conducted on more diverse populations, and take into account measures that may be predictors of poor postoperative self-image, specifically depression and anxiety. In summary it is important to explore the biological mechanisms pertaining to pediatric post-surgical chronic pain and their relation to differences in somatosensory phenotypes in this patient population.
机译：目的：本研究的总目标是检查接受脊柱融合手术的特发性脊柱侧凸青少年患者术前，术后1年和术后2年自我影像之间的关系。此外，一个次要目标是检查手术前心理健康与手术后自我形象和满意度之间的关系。此外，还探讨了脊柱弯曲和术前疼痛与术前心理健康对术后自我形象的影响。为了更好地了解矫正手术与自我影像的关系以及自我影像与持续性术后疼痛的关系进行了分析，这已被认为是临床上常见的重要问题。方法：脊柱侧弯研究学会问卷30和在手术前，手术后1年和手术后2年的时间点，对参加前瞻性小儿脊柱侧凸研究的219例患者进行了脊髓外观调查问卷。这些患者的一部分（n = 163）具有完整的数据。脊柱侧弯研究协会问卷30包括疼痛和心理健康分量表，为进行本研究目的，在术前进行了检查。术前曲线（Cobb）角度百分比校正的测量值用于分析该数据，这些数据是通过手术记录确定的。脊髓外观问卷（SAQ）包括自我形象外观和期望量表，在术前，术后1年和术后2年的时间点进行了检查；结果：手术干预后自我形象有了显着改善接受脊柱融合手术的特发性脊柱侧弯患儿。 Cobb角百分比校正，SRS-30确定的术前疼痛评分和SRS-30确定的术前心理健康评分不是SAQ衡量的术后自我影像的重要预测指标。术前措施与术后自我形象之间几乎没有关联。结论：先前的研究已经证实，小儿持续性手术后疼痛是一个重要的健康问题，并且术前心理健康和自我形象是导致小儿患者手术后纵向经历的因素。这项研究表明，接受脊柱融合手术的青春期特发性脊柱侧凸患者，在进行外科手术后，自我形象在临床上有显着改善。这些发现表明，术前疼痛，脊柱弯曲矫正程度和术前心理健康状况并不决定小儿人群术后自我形象。未来的研究应在更多样化的人群中进行，并考虑可能预示术后不良自我形象（尤其是抑郁和焦虑）的指标。总之，重要的是要探索与小儿手术后慢性疼痛有关的生物学机制，以及它们与该患者人群中体感表型差异的关系。

著录项

  • 作者

    Manalo, Gem M.;

  • 作者单位

    Boston University.;

  • 授予单位 Boston University.;
  • 学科 Psychology General.;Health Sciences Surgery.
  • 学位 M.S.
  • 年度 2014
  • 页码 66 p.
  • 总页数 66
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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