Patient expectations and satisfaction 6 and 12 months following total hip and knee replacement.
Purpose: To assess (1) patient expectations before total hip (THR) and knee (TKR) replacement; (2) which expectations are met and unmet 6 and 12 months post-surgery; (3) the role of unmet expectations in satisfaction.Methods: Questionnaires were mailed to consecutive patients following surgeon refer...
| Publicado en: | Quality of Life Research Vol. 29; no. 3; pp. 705 - 720 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Mar2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141807354&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141807354 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09629343 GPQ jtl: Quality of Life Research issn: 09629343 maglogo: N pubinfo: dt: Mar2020 vid: 29 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 141807354 141807354 NLM31741216 10.1007/s11136-019-02359-7 NLM31741216 141807354 ppf: 705 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Patient expectations and satisfaction 6 and 12 months following total hip and knee replacement. aug: au: Conner-Spady, Barbara L. Bohm, Eric Loucks, Lynda Dunbar, Michael J. Marshall, Deborah A. Noseworthy, Tom W. affil: Department of Community Health Sciences, University of Calgary, 3rd Floor, TRW Building, 3280 Hospital Drive NW, T2N 4Z6, Calgary, AB, Canada sug: subj: Arthroplasty, Replacement, Hip Psychosocial Factors Patient Satisfaction Statistics and Numerical Data Osteoarthritis Surgery Arthroplasty, Replacement, Knee Psychosocial Factors Middle Age Male Female Motivation Walking Physiology Quality of Life Psychosocial Factors Aged Personal Satisfaction Pain Therapy Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Purpose: To assess (1) patient expectations before total hip (THR) and knee (TKR) replacement; (2) which expectations are met and unmet 6 and 12 months post-surgery; (3) the role of unmet expectations in satisfaction.Methods: Questionnaires were mailed to consecutive patients following surgeon referral for primary THR or TKR. Patients listed their own expectations and also completed the Hospital for Special Surgery (HSS) Expectation Survey. We used content analysis to group expectations into themes. At 6 and 12 months post-surgery, patients were given a copy of their own list of individual expectations and reassessed each one as met or unmet. We also assessed fulfilled HSS expectations and satisfaction with surgery.Results: The sample of 556 patients (49% THR, 57% female) had a mean age of 64 years (SD10). The five most frequent expectation themes were pain relief, mobility, walking, physical activities, and daily activities. Of these, physical activities had the lowest percentage met 12 months post-surgery. 95% (THR) and 87% (TKR) were satisfied/very satisfied with their surgery 12 months post-surgery. Very satisfied patients had a significantly greater percentage of met expectations (96% THR; 92% TKR) than dissatisfied patients (42% THR; 12% TKR). Although most expectations listed by patients were included in the HSS surveys, some were not, particularly for TKR. From 6 to 12 months, there was a significant increase in patient satisfaction for self-care, daily activities, and met expectations for THR and pain relief, self-care, daily activities, and recreational activities for TKR.Conclusions: Expectations should be explicitly addressed before surgery, including a discussion of realistic expectations, particularly for physical activities. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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