Document Detail


Outcomes of total knee replacement: a qualitative study.
MedLine Citation:
PMID:  15870149     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate patients' experiences of outcome from a total knee replacement (TKR). METHODS: In-depth interviews were conducted with 25 patients 3 months before TKR, with 10 interviewed again 6 months after surgery. Patients were purposively sampled to include a range of demographic characteristics. Interviews were audiotaped and transcribed. Methods of constant comparison were used to analyse the data. RESULTS: Individuals struggled to make sense of their outcome and often described it in contradictory terms. When asked directly, most reported a good outcome, but further discussion revealed concern and discomfort with continuing pain and mobility difficulties. These apparently contradictory accounts were consistent with the presentation of public and private views, were dependent on the context of patients' lives, and represented an adaptation to their changed health state. CONCLUSION: Individuals reported their outcome from TKR as good despite the continued experience of pain and immobility. Although TKR has been shown to be a highly effective procedure using quantitative methods, they may need to be qualified by these qualitative findings.
Authors:
G M Woolhead; J L Donovan; P A Dieppe
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Publication Detail:
Type:  Journal Article     Date:  2005-05-03
Journal Detail:
Title:  Rheumatology (Oxford, England)     Volume:  44     ISSN:  1462-0324     ISO Abbreviation:  Rheumatology (Oxford)     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-21     Completed Date:  2005-09-22     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100883501     Medline TA:  Rheumatology (Oxford)     Country:  England    
Other Details:
Languages:  eng     Pagination:  1032-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Social Medicine, Canynge Hall, University of Bristol, Bristol, BS8 2PR, UK. Gillian.Woolhead@bristol.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee / rehabilitation*
Female
Follow-Up Studies
Humans
Interviews as Topic
Male
Middle Aged
Osteoarthritis, Knee / rehabilitation,  surgery*
Patient Satisfaction*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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