在全膝关节置换术后,哪些恢复领域是重要的? 这是一项基于面试的定性研究
Chetan Khatri1,2, Fatema Dhaif3,2, David Ellard3
1Clinical Trials Unit, University of Warwick, Coventry, UK Chetan.khatri@gmail.com.
BMJ open
|May 9, 2024
概括
接受全膝关节置换 (TKR) 的患者在康复过程中优先考虑疼痛和功能,特别是移动性. 了解这些关键的恢复领域对于知情同意和TKR的未来研究至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 患者为中心的结果.
- 定性研究是一种定性研究.
背景情况:
- 全膝关节置换 (TKR) 是治疗末期膝关节关节炎的常见手术.
- 患者的康复经验和TKR后的优先事项尚未完全理解.
- 确定关键的恢复领域可以改善患者护理和研究设计.
研究的目的:
- 探索患者在全膝关节置换术 (TKR) 后恢复的观点.
- 从患者的角度来看,确定最重要的恢复领域.
- 根据患者的优先事项,为临床实践和未来的研究提供信息.
主要方法:
- 与正在接受或曾经接受过TKR的个人进行了半结构化采访.
- 采用了与主题分析的恒定比较方法.
- 面试继续进行,直到12名参与者 (手术前,早期和术后晚期) 达到主题和.
主要成果:
- 确定的关键主题包括疼痛,功能 (特别是移动性),对并发症的恐惧,对人工关节的认识和返回工作.
- 一个重要的子主题是平衡急性和慢性疼痛的挑战.
- 对TKR患者来说,疼痛和功能,尤其是移动性,是普遍重要的.
结论:
- 疼痛和功能,特别是移动性,对于接受TKR的患者来说至关重要.
- 外科医生应该在知情同意期间讨论这些关键的恢复领域,以加强共享决策.
- 研究人员应该将这些已识别的恢复领域纳入干预研究的设计.
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