Patient perceptions regarding ambulatory knee arthroplasties in China.

IF 4.3 4区 医学 Q2 ORTHOPEDICS
Guanghui Zhao, Chengyuan Ma, Jianbing Ma, Jianpeng Wang
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引用次数: 0

Abstract

Background: While same-day discharge models for knee arthroplasty have gained significant traction in China's evolving healthcare landscape, patient perspectives on ambulatory surgical pathways remain underexplored. This qualitative study addresses a critical gap in the literature by systematically assessing patient experiences and perceptions regarding knee arthroplasty within China's emerging ambulatory care framework.

Methods: A prospective cohort of 195 consecutive patients scheduled for primary knee arthroplasty at a tertiary orthopedic referral center underwent structured data collection through the WenJuanXing platform between January 1 and June 1, 2024. This cross-sectional survey employed an anonymous voluntary survey instrument administered at two critical timepoints: 1) prior to any clinical discussions regarding postoperative care pathways, and 2) before initiation of standardized preoperative education protocols.

Results: In total, 188 participants (96%, 188/195) completed the survey. Of them, 70% were female and 84% were 60 years or older. While 68% were familiar with ambulatory surgery, awareness did not significantly differ by age (P = 0.64), sex (P = 0.19), occupation (P = 0.42), location (P = 0.55), or education level (P = 0.81). Interestingly, only 8 patients anticipated discharge within 24 h post-surgery, with most (71.8%) expecting a 3-day or more stay. However, if postoperative care was assured, 66% expressed comfort with same-day or 24-h discharge. 93% considered ambulatory knee arthroplasty suitable, and 71.8% believed it would yield superior outcomes through quicker recovery and reduced complications, infections, and pain. Despite this optimism, only 45% were willing to endure longer waits, and a third were open to paying more or traveling farther for ambulatory knee arthroplasty.

Conclusion: The study reveals that most Chinese patients initially want ≥ 3-day stays but may accept 24-h discharge for knee arthroplasty. One-third are unaware of ambulatory knee arthroplasty, so more education is needed as procedures rise.

中国患者对门诊膝关节置换术的看法。
背景:虽然膝关节置换术的当日出院模型在中国不断发展的医疗环境中获得了显著的吸引力,但患者对门诊手术途径的看法仍未得到充分探讨。本定性研究通过系统地评估患者在中国新兴的门诊护理框架内对膝关节置换术的经验和看法,解决了文献中的一个关键空白。方法:在2024年1月1日至6月1日期间,在三级骨科转诊中心计划进行初级膝关节置换术的连续195例患者的前瞻性队列通过wenjuxing平台进行结构化数据收集。这项横断面调查采用匿名自愿调查工具,在两个关键时间点进行:1)在任何关于术后护理途径的临床讨论之前,2)在标准化术前教育方案开始之前。结果:共有188人(96%,188/195)完成调查。其中70%为女性,84%年龄在60岁及以上。68%的受访患者熟悉门诊手术,但不同年龄(P = 0.64)、性别(P = 0.19)、职业(P = 0.42)、地点(P = 0.55)、文化程度(P = 0.81)对门诊手术的了解程度差异无统计学意义。有趣的是,只有8名患者预计术后24小时内出院,大多数患者(71.8%)预计住院3天或更长时间。然而,如果术后护理得到保证,66%的患者对当天或24小时出院表示满意。93%的患者认为门诊膝关节置换术是合适的,71.8%的患者认为门诊膝关节置换术恢复更快,并发症、感染和疼痛减少,效果更好。尽管如此乐观,只有45%的人愿意忍受更长时间的等待,三分之一的人愿意花更多的钱或去更远的地方进行门诊膝关节置换术。结论:研究显示,大多数中国患者最初希望住院≥3天,但可能接受24小时的膝关节置换术出院。三分之一的患者不知道门诊膝关节置换术,所以随着手术次数的增加,需要更多的教育。
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
Arthroplasty
Arthroplasty ORTHOPEDICS-
CiteScore
2.20
自引率
0.00%
发文量
49
审稿时长
15 weeks
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