Measurement of patient perceptions of pain and disability in relation to total hip replacement: the place of the Oxford hip score in mixed methods.

R McMurray, J Heaton, P Sloper, S Nettleton
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引用次数: 55

Abstract

Objectives: To describe the practical difficulties experienced by patients when completing the Oxford hip score, and to highlight the need to reconsider aspects of its structure and conceptual base.

Design: Qualitative study incorporating the Oxford hip score in semi-structured interviews with patients before and four months after their operation.

Setting: Two hospitals in the North of England.

Subjects: Osteoarthritic patients undergoing primary elective total hip replacement.

Results: Use of the Oxford hip score provided quantitative data on disability in the sample, particularly about pain and immobility. It also facilitated the collection of qualitative data, serving as a useful starting point for interviews and as a prompt for indepth discussion. Concerns about the clarity, coverage, and content validity of the score were identified, however, raising questions about the measure's conceptual base.

Conclusion: The Oxford hip score was found to be a useful precursor to the semi-structured interviews. However, deficiencies in instruction and lack of clarity in purpose have implications for its ongoing development and future application, both in this type of study and other, more general, contexts.

测量全髋关节置换术患者对疼痛和残疾的感知:牛津髋关节评分在混合方法中的地位。
目的:描述患者在完成牛津髋关节评分时遇到的实际困难,并强调需要重新考虑其结构和概念基础方面。设计:定性研究纳入牛津髋关节评分在半结构化访谈患者术前和术后4个月。背景:英格兰北部的两家医院。研究对象:骨关节炎患者接受原发性选择性全髋关节置换术。结果:使用牛津髋关节评分提供了样本中残疾的定量数据,特别是关于疼痛和不动的数据。它还促进了定性数据的收集,作为面谈的有用起点和深入讨论的提示。然而,对分数的清晰度、覆盖范围和内容有效性的关注被确定,提出了有关该措施概念基础的问题。结论:牛津髋部评分被认为是半结构化访谈的有用先导。然而,教学上的不足和目的的不明确影响了它的持续发展和未来的应用,无论是在这种类型的研究中,还是在其他更一般的情况下。
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