201201022150Brace related stress in scoliosis patients - Comparison of different concepts of bracing

 

Brace related stress in scoliosis patients - Comparison of different concepts of bracing.

Abstract

BACKGROUND:

The BSSQbrace questionnaire has been shown to be reliable with good internal consistency and reproducibility estimating the stress scoliosis patients have whilst wearing their brace. Eight questions are provided focussing on this topic. A max. score of 24 can be achieved (from 0 for most stress to 24 for no stress). The subdivision of the score values is: 0-8 (strong stress), 9-16 (medium stress) and 17-24 (little stress).

STUDY DESIGN:

Two BSSQbrace questionnaires have been posted to 65 patients under brace treatment from our Cheneau light data base. All patients had another kind of brace prior to the Cheneau light. The patients have been asked to rate their stress level using one questionnaire for the current brace and the other for the previous one.

RESULTS:

63 Patients (59 girls and 4 boys) returned their fully completed questionnaires (average age 13,6 years, average Cobb angle 43,7 degrees). Stress level in the previous brace was 11,04 and in the Cheneau light(r) 13,87. The differences were highly significant in the t-test; t = -4,67; p < 0,001.

CONCLUSION:

The use of the Cheneau light(R) brace leads to reduced stress and/or impairment for the patients under treatment compared to heavier brace models used so far.

 

Background:當脊柱側彎患者穿戴背架後,給予巴特索本海姆心理壓力問卷作為評估心理與生理之感受,其結果證實BSSQ(brace)有良好的內部一致性與再現性,而以上兩者均有一定的可信度。此份問卷共有8個問題,總得分最高可達24(0分到24分,0分代表有最大的心理壓力;24分代表完全沒有心理壓力)。若再細分則可分為3種評分數值:08(強烈的心理壓力感)916(適中的心理壓力感) 1724(較低的心理壓力感)等。


Study design:
從我們的色努輕量化背架的資料庫中郵寄兩份巴特索本海姆心理壓力問卷給65位正在接受背架治療的患者,而這些患者在穿戴色努輕量化背架之前均有穿戴過其他款式的背架,此外他們均被要求進行心理壓力問卷等級的評斷,一份是針對先前穿戴的背架,另一份是目前穿戴的色努輕量化背架。


Results:
共有63位患者繳回填寫完成的問卷,其中有59位女孩與4位男孩,他們的平均年齡為13.6歲、平均的Cobb角為43.7度。此外針對先前所穿戴背架的壓力等級評分為11.04、而穿戴色努輕量化背架的壓力等級評分為13.87度,在t-檢定中有顯著的差異性(t = -4,67; p < 0,001)

 

Conclusion: 截至目前為止與穿戴笨重的背架相比之下,穿戴色努輕量化背架能因而降低心理壓力,且/或者可以降低其傷害性。

 

 

出處:http://www.ncbi.nlm.nih.gov/pubmed?term=Brace%20related%20stress%20in%20scoliosis%20patients%20-%20Comparison%20of%20different%20concepts%20of%20bracing

 

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