What Do Patients Expect from Total Knee Arthroplasty: A Qualitative Study

Sai Kripa, Ammar Suhail
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Abstract

Patient expectations are key predictors of post-total knee arthroplasty (TKA) health outcomes. The expectations dictate the pain levels, functional outcomes, and disability post-surgery. The study aims at exploring pre-operative expectations of patients from TKA. The study sample (n = 15) consisted of participants diagnosed with knee osteoarthritis who had opted for elective replacement surgery. The mean (SD) age of the participants was 72.07 (5.7). The principles of the qualitative research approach guided the study’s methodology. The primary author conducted face-to-face semi-structured interviews, which were audio-recorded and transcribed verbatim. Each interview lasted for 15–30 min. The transcribed verbatims were thematically analyzed. The participants expected surgery to relieve their pain, improve their functional status, and make them productive for society. They also expected to be socially active and get rid of their medications. Participants lived experiences modulated their expectations. The study findings emphasize that health-care providers must consider the expectations of individuals undergoing surgery. Patients should be educated about realistic goals and attainments from surgery to ensure better post-operative health outcomes.
患者对全膝关节置换术的期望:一项定性研究
患者期望是全膝关节置换术(TKA)后健康结果的关键预测因素。预期决定了疼痛程度、功能结果和术后残疾。本研究旨在探讨TKA患者的术前期望。研究样本(n = 15)由诊断为膝关节骨关节炎并选择选择性替代手术的参与者组成。参与者的平均(SD)年龄为72.07岁(5.7岁)。定性研究方法的原则指导了研究的方法论。第一作者进行了面对面的半结构化访谈,录音并逐字抄写。每次访谈持续15-30分钟。对记录的逐字进行主题分析。参与者期望手术能减轻他们的痛苦,改善他们的功能状态,并使他们对社会有贡献。他们还希望积极参加社交活动,摆脱药物治疗。参与者的生活经历调节了他们的期望。研究结果强调,医疗保健提供者必须考虑接受手术的个体的期望。患者应了解手术的现实目标和成就,以确保更好的术后健康结果。
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