The Lived Experience of Individuals With Prosthetic Joint Infection.

IF 0.8 4区医学 Q4 NURSING

Orthopaedic Nursing Pub Date : 2025-05-01 Epub Date: 2025-05-26 DOI:10.1097/NOR.0000000000001122

Margaret M Harding, Kim L Larson, Linda P Bolin

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引用次数: 0

Abstract

Background: Prosthetic joint infection (PJI) is a complication of total joint arthroplasty with a survival rate worse than some cancers.

Methods: A qualitative design, using descriptive phenomenology, was used to explore the lived experience of PJI. Twelve interviews were analyzed to report the essence of the phenomenon. A chart review was also conducted to assess surgical outcomes.

Results: Participants "made sense of" PJI through two themes: "The Nail in the Coffin" and "Struggle with Living." "The Nail in the Coffin" was represented by losses of independence, identity, and financial security. "Struggle with Living" was represented by pain, balance of burden, uncertainty, and emotional responses. Half of participants had poor outcomes including amputation and death.

Conclusion: The experience of PJI may be moderated by stage of life. Social support plays an important role, affecting both gratitude and guilt. Loss of independence and identity, pain, burden, and emotional responses are impactful experiences in PJI.

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假体关节感染患者的生活经验。

背景：人工关节感染（PJI）是全关节置换术的并发症，其生存率低于某些癌症。方法：采用描述现象学的定性设计，探讨PJI患者的生活体验。对12个访谈进行了分析，以报告这一现象的本质。还进行了一项图表回顾，以评估手术结果。结果：参与者通过“棺材上的钉子”和“与生活抗争”两个主题“理解”了PJI。“棺材上的钉子”代表了独立、身份和经济安全的丧失。“与生活抗争”代表了痛苦、负担的平衡、不确定性和情绪反应。一半的参与者有包括截肢和死亡在内的不良结果。结论：PJI的经历可能受生活阶段的调节。社会支持扮演着重要的角色，影响感恩和内疚。独立性和身份的丧失、疼痛、负担和情绪反应是PJI的影响经历。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopaedic Nursing 医学-护理

CiteScore

0.60

自引率

14.30%

发文量

132

审稿时长

>12 weeks

期刊介绍： Orthopaedic Nursing is an international journal providing continuing education for orthopaedic nurses. Focusing on a wide variety of clinical settings - hospital unit, physician"s office, ambulatory care centers, emergency room, operating room, rehabilitation facility, community service programs, the client"s home, and others – Orthopaedic Nursing provides departmental sections on current events, organizational activities, research, product and drug information, and literature findings. Articles reflect a commitment to professional development and the nursing profession as well as clinical, administrative, academic, and research areas of the orthopaedic specialty. Official Journal of the National Association of Orthopaedic Nurses (NAON)