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首页> 外文期刊>Journal of shoulder and elbow surgery >The relationship between positive or negative phrasing and patients' coping with lateral epicondylitis
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The relationship between positive or negative phrasing and patients' coping with lateral epicondylitis

机译：正面或负面的措辞与患者应对上lateral上炎的关系

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Background: Research suggests that phrases with negative content can affect patients' response to medical procedures and how they cope with medical illnesses. We hypothesized that patients with lateral epicondylitis who describe their condition in positive phrases cope better than those who do not. Methods: We prospectively followed up 91 patients with lateral epicondylitis for 12months. The patients indicated their baseline coping status based on the Pain Catastrophizing Scale (PCS) and were discharged with a wait-and-see policy. During follow-up interviews, the patients described the nature of their condition in their own words and were then categorized into either positive or negative phrasing groups. We compared these two groups regarding current coping status and whether they had sought additional treatment. We also analyzed for the factors associated with these outcomes. Results: There were no significant differences in baseline PCS scores between the two groups. At follow-up, patients in the positive phrasing group (n=62) had significantly lower PCS scores and were less likely to seek additional treatment than those in the negative phrasing group (n=29). Multivariable analyses showed that positive phrasing and low pain levels were independently associated with improvement in PCS scores and that negative phrasing and depression were independently associated with patients' seeking additional treatment. Conclusion: Patients' positive phrasing about their condition are associated with improvement in their coping status and with less use of medical resources in the case of lateral epicondylitis. This study suggests that patients with more positive attitudes toward their illness cope and comply better when a wait-and-see treatment is recommended by their physicians.
机译：背景：研究表明，带有负面内容的短语会影响患者对医疗程序的反应以及他们如何应对医疗疾病。我们假设用正面短语描述自己状况的外侧上con炎患者比那些没有表达的患者更好。方法：我们对91例外侧上con炎患者进行了为期12个月的随访。患者根据疼痛灾难性量表（PCS）表示他们的基线应对状态，并在等待治疗的情况下出院。在随访中，患者用自己的语言描述了病情的性质，然后分为正面或负面的短语组。我们比较了这两组人的当前应对状况以及他们是否寻求其他治疗。我们还分析了与这些结果相关的因素。结果：两组之间的基线PCS评分无显着差异。随访时，积极短语组（n = 62）的患者PCS评分显着降低，并且与否定短语组（n = 29）相比，寻求其他治疗的可能性较小。多变量分析表明，积极的措词和低疼痛水平与PCS评分的改善独立相关，而消极的措词和抑郁与患者寻求额外治疗独立相关。结论：患者对病情的积极表述与应对状况的改善以及外侧上con炎的医疗资源使用减少有关。这项研究表明，对自己的疾病抱有更积极态度的患者在医生建议进行观望治疗时会更好地顺应。

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