膝关节假体周围感染术前、术中、术后患者治疗经历的定性分析“我以为一定是这样的……”

IF 1.5 Q3 NURSING
Tina Rowland , Martin Lindberg-Larsen , Julie Santy-Tomlinson , Charlotte Myhre Jensen
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引用次数: 1

摘要

膝关节假体周围关节感染(PJI)与延长住院时间、高剂量抗生素、长期康复和疼痛有关。标准治疗分为两个阶段,包括两次手术和两次住院治疗。为了便于探索患者的观点,本文提出的定性研究是丹麦一项比较一期和两期翻修手术的随机对照试验的辅助研究。目的探讨患者在住院和手术治疗前、中、后对膝关节PJI进行一期或二期翻修的经验。材料和方法对10名因PJI而接受一阶段或两阶段修订的患者进行了定性、半结构化的电话访谈。采用专题分析。结果发现的本质是感染是可能改变生活的疾病的一个转折点。代表这一点的三个主题包括:1)身体,2)心理和3)社会影响。每个主题都有进一步阐明的子主题。结论感染是可能改变生活的疾病的一个转折点。晚期诊断和延迟治疗是主要问题。患者会遭受疼痛、体重减轻、疲劳、行动不便以及对家庭成员的依赖,从而导致包括抑郁症在内的心理挑战。对临床实践的启示膝关节PJI患者可以在治疗前和治疗过程中得到更好的信息、教育和参与。不仅需要关于身体后果的信息,还需要关于心理和社会后果的信息。在护理PJI患者时,更多的患者参与以及跨专业和护理部门的协调非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A qualitative study of patients' experiences before, during and after surgical treatment for periprosthetic knee joint infection; “I assumed it had to be like that … ”

Background

Periprosthetic joint infection (PJI) of the knee is associated with extended hospital stay, high doses of antibiotics, lengthy rehabilitation, and pain. Standard treatment is a two-stage procedure comprising two surgeries and two hospitalizations. To facilitate exploration of patients’ perspectives, the qualitative study presented here was an adjunct to a Danish randomized controlled trial comparing one-stage and two-stage revision surgery.

Aim

To explore patient experiences, before, during and after hospitalization and surgical treatment with one- or two-stage revision for PJI of the knee.

Material and methods

Qualitative, semi-structured telephone interviews were conducted with 10 individuals who had undergone either one- or two-stage revision because of PJI. Thematic analysis was employed.

Results

The essence of the findings was that the infection was a transition point in a possible life-changing illness. The three themes representing this comprised: 1) physical, 2) psychological, and 3) social implications. Each theme is further illuminated with subthemes.

Conclusions

Infection is a transition point in a possible life changing illness. Late diagnosis and delayed treatment are major issues. Individuals suffer from pain, weight loss, fatigue, and reduced mobility as well as dependency on family members, leading to psychological challenges including depression.

Implications for clinical practice

Patients with PJI of the knee could be better informed, educated and involved before and during treatment. Information is needed not only about the physical consequences, but also the psychological and social consequences. More patient involvement and inter-professional and care sector coordination is important when caring for patients with PJI.

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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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