RESUMO
BACKGROUND AND PURPOSE: In Japanese health care, no current index measures patient satisfaction with decision making during the treatment process. Our research aimed to test a Japanese version of the Decision Regret Scale (DRS) for this purpose. METHODS: We distributed a Japanese version of the DRS twice, 3 weeks apart, to 80 postoperative patients younger than the age of 85 years with inguinal hernias, cholelithiasis, cholecystitis, and gallbladder polyps. RESULTS: The reliability (α = .85) and validity of the Japanese version of the DRS was demonstrated among postoperative patients. CONCLUSION: The Japanese version of the DRS will have significant implications for clinicians in improving their shared decision making with patients.
Assuntos
Tomada de Decisões , Emoções , Psicometria/normas , Idoso , Feminino , Humanos , Japão , Idioma , Masculino , Período Pós-Operatório , Reprodutibilidade dos Testes , Procedimentos Cirúrgicos OperatóriosRESUMO
OBJECTIVES: This study aimed to estimate the prevalence, magnitude, and direction of the associations among disability, pain intensity, number of pain sites, and health-related quality of life (HRQoL) in patients reporting low back pain (LBP) as their primary pain. METHODS: In January 2009, an Internet survey was performed for randomly selected adults aged 20-79 years who were registered as Internet research volunteers. Of 20 044 respondents, individuals with LBP as the primary pain were analyzed for associations among disability, number of pain sites, and HRQoL. Factors associated with low HRQoL were examined using multiple logistic regression modeling. RESULTS: Of the 20 044 respondents, 25.2 % (n = 5060) reported LBP and 13.5 % (n = 2696) reported LBP as their primary pain. Among those with LBP as the primary pain, HRQoL decreased with increase in disability and number of pain sites. In multivariate analyses, disability [adjusted odds ratio (aOR), 2.93-4.58], number of pain sites (aOR, 1.42-6.12), pain intensity ≥7 (aOR, 1.88), and age ≥60 years (aOR, 1.55) were associated with low HRQoL. CONCLUSIONS: Approximately 13.5 % of patients reported LBP as their primary pain. Disability with absence from social activity and ≥7 pain sites were strongly associated with low HRQoL.
Assuntos
Avaliação da Deficiência , Dor Lombar/epidemiologia , Qualidade de Vida , Adulto , Idoso , Estudos Transversais , Pessoas com Deficiência/estatística & dados numéricos , Feminino , Nível de Saúde , Humanos , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Medição da Dor , Prevalência , Índice de Gravidade de Doença , Inquéritos e Questionários , Adulto JovemRESUMO
OBJECTIVES: This study aimed to estimate the prevalence, magnitude, and direction of the associations among disability, pain intensity, number of pain sites, and health-related quality of life (HRQoL) in patients reporting low back pain (LBP) as their primary pain. METHODS: In January 2009, an Internet survey was performed for randomly selected adults aged 20-79 years who were registered as Internet research volunteers. Of 20 044 respondents, individuals with LBP as the primary pain were analyzed for associations among disability, number of pain sites, and HRQoL. Factors associated with low HRQoL were examined using multiple logistic regression modeling. RESULTS: Of the 20 044 respondents, 25.2 % (n = 5060) reported LBP and 13.5 % (n = 2696) reported LBP as their primary pain. Among those with LBP as the primary pain, HRQoL decreased with increase in disability and number of pain sites. In multivariate analyses, disability [adjusted odds ratio (aOR), 2.93-4.58], number of pain sites (aOR, 1.42-6.12), pain intensity ≥7 (aOR, 1.88), and age ≥60 years (aOR, 1.55) were associated with low HRQoL. CONCLUSIONS: Approximately 13.5 % of patients reported LBP as their primary pain. Disability with absence from social activity and ≥7 pain sites were strongly associated with low HRQoL.
