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Patient expectations and satisfaction 6 and 12 months following total hip and knee replacement.

全髋膝关节置换术后 6 个月和 12 个月的患者期望和满意度。

  • 影响因子:2.61
  • DOI:10.1007/s11136-019-02359-7
  • 作者列表:"Conner-Spady BL","Bohm E","Loucks L","Dunbar MJ","Marshall DA","Noseworthy TW
  • 发表时间:2020-03-01
Abstract

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.

摘要

目的: 评估 (1) 全髋 (THR) 和膝关节 (TKR) 置换前的患者期望; (2) 术后 6 个月和 12 个月满足和未满足的期望; (3) 未满足的期望在满意度中的作用。 方法: 将问卷邮寄给外科医生转诊原发性THR或TKR后的连续患者。患者列出了自己的期望,也完成了特殊外科医院 (HSS) 期望调查。我们使用内容分析将期望分组为主题。在术后 6 个月和 12 个月时,给患者一份他们自己的个人期望列表,并将每个列表重新评估为满足或未满足。我们还评估了满足HSS期望和手术满意度。 结果: 556 例患者样本 (49% THR,57% 女性) 的平均年龄为 64 岁 (SD10)。五个最常见的期望主题是疼痛缓解、活动、行走、身体活动和日常活动。其中,体力活动在术后 12 个月达到的百分比最低。95% (THR) 和 87% (TKR) 对术后 12 个月的手术感到满意/非常满意。非常满意的患者达到期望的百分比 (96% THR; 92% TKR) 显著高于不满意的患者 (42% THR; 12% TKR)。尽管HSS调查中包括了患者列出的大多数期望,但有些没有,特别是TKR。从 6 到 12 个月,患者对自我护理、日常活动的满意度显著增加,并达到对THR和疼痛缓解、自我护理、日常活动的期望,和TKR的娱乐活动。 结论: 术前应明确提出期望,包括对现实期望的讨论,特别是对体力活动的期望。

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DOI:10.1002/acr.23824
作者列表:["Chen SK","Liao KP","Liu J","Kim SC"]

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