Patients’ experiences of discontentment one year after total knee arthroplasty- a qualitative study
Autor: | Per Wretenberg, Aamir Mahdi, Maria Hälleberg-Nyman, Mia Svantesson |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Activities of daily living lcsh:Diseases of the musculoskeletal system Sports medicine medicine.medical_treatment Knee replacement Orthopaedics Patient contentment Interviews as Topic 03 medical and health sciences Postoperative Complications 0302 clinical medicine Patient satisfaction Rheumatology Nursing Qualitative research Activities of Daily Living Health care medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Arthroplasty Replacement Knee Aged Sweden 030222 orthopedics Rehabilitation business.industry Social Support Professional-Patient Relations Recovery of Function Middle Aged Osteoarthritis Knee Arthralgia Content analysis Total knee arthroplasty Ortopedi Female Surgery lcsh:RC925-935 business Research Article |
Zdroj: | BMC Musculoskeletal Disorders, Vol 21, Iss 1, Pp 1-11 (2020) BMC Musculoskeletal Disorders |
ISSN: | 1471-2474 |
Popis: | BACKGROUND: Total knee arthroplasty is a common procedure with generally good results. However, there are still patients who are dissatisfied without known explanation. Satisfaction and dissatisfaction have previously been captured by quantitative designs, but there is a lack of qualitative studies regarding these patients' experiences. Qualitative knowledge might be useful in creating strategies to decrease the dissatisfaction rate. METHODS: Of the 348 patients who responded to a letter asking if they were satisfied or dissatisfied with their surgery, 61 (18%) reported discontent. After excluding patients with documented complications and those who declined to participate, semi-structured interviews were conducted with 44 patients. The interviews were analyzed according to qualitative content analysis. The purpose was to describe patients' experiences of discontentment 1 year after total knee arthroplasty. RESULTS: The patients experienced unfulfilled expectations and needs regarding unresolved and new problems, limited independence, and lacking of relational supports. They were bothered by pain and stiffness, and worried that changes were complications as a result of surgery. They described inability to perform daily activities and valued activities. They also felt a lack of relational supports, and a lack of respect and continuity, support from health care, and information adapted to their needs. CONCLUSION: Patient expectation seems to be the major contributing factor in patient discontentment after knee replacement surgery. This qualitative study sheds light on the on the meaning of unfulfilled expectations, in contrast to previous quantitative studies. The elements of unfulfilled expectations need to be dealt with both on the individual staff level and on the organizational level. For instance, increased continuity of healthcare staff and facilities may help to improve patient satisfaction after surgery. Funding Agencies:Örebro Research Committee, Sweden Orthopaedic Department, Karlskoga Hospital, Sweden |
Databáze: | OpenAIRE |
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