Pim A D van Dijk1, Arjan G J Bot2, Valentin Neuhaus2, Chaitanya S Mudgal3, David Ring3. 1. Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Yawkey Center, 55 Fruit Street, Suite 2100, Boston, MA 02114 USA. 2. Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Yawkey Center, 55 Fruit Street, Suite 2100, Boston, MA 02114 USA ; Harvard Medical School, Boston, USA. 3. Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Yawkey Center, 55 Fruit Street, Suite 2100, Boston, MA 02114 USA ; Department of Orthopaedic Surgery, Harvard Medical School, Boston, USA.
Abstract
BACKGROUND: Patient expressions reflect disability and psychological factors. The aim of this study was to list common phrases and feelings in hand surgery practice and to prospectively study the correlation of these phrases and to correlate them with possible associated feelings and disability. METHODS: Eighty-three patients completed the short version of the disabilities of arm, shoulder and hand (QuickDASH) questionnaire to measure disability, the pain self-efficacy questionnaire (PSEQ) to study coping, and a pain scale. The patients also completed the phrases and feelings questionnaire, which list verbal expressions patients often use. Pearson's correlation was used to test the correlation of continuous variables, and independent t test and one-way ANOVA were used for categorical variables. All variables with p < 0.08 were inserted in a multivariable regression. RESULTS: There was a large correlation between the individual phrases and feelings questions with PSEQ and QuickDASH. The best model for the combined phrases questionnaire included pain, PSEQ, smoking, and other pain conditions. The best model for the combination of all the feelings questions included PSEQ, pain, and marital status. The best model for QuickDASH included phrases, PSEQ, prior treatment, and working status, with phrases being the strongest factor. CONCLUSIONS: Patients use specific phrases that indicate the magnitude of their disability and the effectiveness of their coping strategies. Providers should respond to these phrases by empathetically acknowledging these aspects of the human illness experience.
BACKGROUND:Patient expressions reflect disability and psychological factors. The aim of this study was to list common phrases and feelings in hand surgery practice and to prospectively study the correlation of these phrases and to correlate them with possible associated feelings and disability. METHODS: Eighty-three patients completed the short version of the disabilities of arm, shoulder and hand (QuickDASH) questionnaire to measure disability, the pain self-efficacy questionnaire (PSEQ) to study coping, and a pain scale. The patients also completed the phrases and feelings questionnaire, which list verbal expressions patients often use. Pearson's correlation was used to test the correlation of continuous variables, and independent t test and one-way ANOVA were used for categorical variables. All variables with p < 0.08 were inserted in a multivariable regression. RESULTS: There was a large correlation between the individual phrases and feelings questions with PSEQ and QuickDASH. The best model for the combined phrases questionnaire included pain, PSEQ, smoking, and other pain conditions. The best model for the combination of all the feelings questions included PSEQ, pain, and marital status. The best model for QuickDASH included phrases, PSEQ, prior treatment, and working status, with phrases being the strongest factor. CONCLUSIONS:Patients use specific phrases that indicate the magnitude of their disability and the effectiveness of their coping strategies. Providers should respond to these phrases by empathetically acknowledging these aspects of the human illness experience.
Authors: Job N Doornberg; David Ring; Lauren M Fabian; Leah Malhotra; David Zurakowski; Jesse B Jupiter Journal: J Bone Joint Surg Am Date: 2005-08 Impact factor: 5.284
Authors: William S Shaw; Glenn Pransky; Debra L Roter; Thomas Winters; Torill H Tveito; Susan M Larson Journal: J Am Board Fam Med Date: 2011 Jan-Feb Impact factor: 2.657
Authors: David Ring; John Kadzielski; Lauren Fabian; David Zurakowski; Leah R Malhotra; Jesse B Jupiter Journal: J Bone Joint Surg Am Date: 2006-09 Impact factor: 5.284
Authors: William S Shaw; Glenn Pransky; Thomas Winters; Torill H Tveito; Susan M Larson; Debra L Roter Journal: J Occup Environ Med Date: 2009-09 Impact factor: 2.162