膝関節置換手術後の患者の回復の期待を調査する定性研究

Saurabh P Mehta¹, Liane M Ventura², James D Boone¹

¹Physical Therapy Program, East Tennessee State University, Johnson City, Tennessee, USA.

Musculoskeletal care

|August 20, 2025

まとめ

膝の完全置換手術 (TKR) の前に患者の期待を理解することは,満足度にとって極めて重要です. 手術前カウンセリングは期待を現実的に管理するために身体的・心理的回復を対象にする必要があります

科学分野:

整形外科
患者による報告結果
健康心理学

背景:

膝関節全置換 (TKR) は末期関節炎の一般的な処置です.
患者の不満は,好ましい臨床結果にもかかわらず発生し,期待の役割を強調します.
手術前の期待は満足度や回復感に大きな影響を与えます

研究の目的:

TKRを予定している患者の術前期望を調査する.
予想される回復結果と日常生活の改善を理解する.
TKRに関する患者の期待の主要な領域を特定する.

主な方法:

半構造面接を利用した質的記述デザイン.
最初のTKRを待っていた9人の参加者にインタビューが行われました.
機能,障害,健康の国際分類 (ICF) フレームワークを使用して分類されたインダクティブコンテンツ分析.

主要な成果:

痛みを和らげられ動きが改善され意義ある活動に戻るという強い期待です
期待は文脈的な要因,身体機能,活動,参加に及ぶ.
痛みを完全に消すような期待は典型的な結果を上回るかもしれません

結論:

TKR前期望を理解することは患者中心のケアに不可欠です
手術前カウンセリングは期待をコントロールするために身体的・心理的回復をカバーする必要があります
TKR患者の満足度と回復を向上させるための介入の開発を支援しています.

キーワード:

期待する膝関節炎定性的な研究膝の整体置換

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