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01.07.2015 | Leitthema

Persönlichkeitsprofil und Komorbidität: Gibt es den „schwierigen Patienten“ in der primären Hüftendoprothetik?

verfasst von: Prof. Dr. K.-P. Günther, E. Haase, T. Lange, C. Kopkow, J. Schmitt, C. Jeszenszky, F. Balck, J. Lützner, A. Hartmann, M. Lippmann

Erschienen in: Die Orthopädie | Ausgabe 7/2015

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Zusammenfassung

Hintergrund

Der Behandlungserfolg in der Hüftendoprothetik wird von vielen unterschiedlichen Faktoren beeinflusst. Dazu gehören auch zum Zeitpunkt der Operation bestehende Begleiterkrankungen, die Persönlichkeit des Patienten und die sozioökonomischen Rahmenbedingungen.

Ziel der Arbeit

Es soll ein Überblick über den Einfluss von Komorbiditäten und Persönlichkeitsfaktoren auf das Behandlungsergebnis gegeben werden.

Material und Methodik

Zusätzlich zur Darstellung eigener Erfahrungen werden die Ergebnisse eines Literaturüberblicks präsentiert, die wesentliche Arbeiten zum Thema zusammenfassen.

Ergebnisse

Begleiterkrankungen – vor allem das Vorliegen mehrerer Komorbiditäten gleichzeitig – haben einen relevanten Einfluss auf das perioperative Komplikationsprofil. Auch sozioökonomische Faktoren (Ausbildungsdauer, berufliche Tätigkeit, soziale Deprivation) und psychologische Variablen (Depressivität, Optimismus, Typ-D-Persönlichkeit, Erwartungen) können sich in nicht unerheblichem Umfang auf Verlauf und Ausmaß der postoperativen Erholung von Funktion und Lebensqualität sowie Patientenzufriedenheit auswirken.

Diskussion

Ein Zugang zu angemessener operativer Versorgung muss auch für Patienten mit erhöhtem Risikoprofil erhalten bleiben. Sofern möglich, sind Präventivmaßnahmen zu nutzen, um das Risiko von Komorbiditäten zu reduzieren. Präoperative Schulungsmaßnahmen und eine gute Kommunikation können unrealistischen Erwartungen auf Patientenseite begegnen.

Förderer: Roland-Ernst-Stiftung für Gesundheitswesen und Deutsche-Arthrose-Hilfe e. V.

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Titel: Persönlichkeitsprofil und Komorbidität: Gibt es den „schwierigen Patienten“ in der primären Hüftendoprothetik?
verfasst von: Prof. Dr. K.-P. Günther
E. Haase
T. Lange
C. Kopkow
J. Schmitt
C. Jeszenszky
F. Balck
J. Lützner
A. Hartmann
M. Lippmann
Publikationsdatum: 01.07.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Die Orthopädie / Ausgabe 7/2015
Print ISSN: 2731-7145
Elektronische ISSN: 2731-7153
DOI: https://doi.org/10.1007/s00132-015-3097-9

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Persönlichkeitsprofil und Komorbidität: Gibt es den „schwierigen Patienten“ in der primären Hüftendoprothetik?

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