Document Detail


The lived body and the perioperative period in replacement surgery: older people's experiences.
MedLine Citation:
PMID:  17824936     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: This paper is a report of a study to explore older people's experiences of their lived bodies during the perioperative period for a hip or knee replacement. BACKGROUND: Replacement surgery of a major joint for older people suffering from osteoarthritis is an established treatment in developed countries. Scientific knowledge is available on replacement surgery from several perspectives, but not about older people's experiences of the entire perioperative period of a replacement procedure. METHOD: A qualitative longitudinal study was conducted between 2002 and 2004. Audiotaped interviews were carried out with 12 older people, on five different occasions during the perioperative period. The data were analysed using latent qualitative content analysis. FINDINGS: The perioperative period of a hip or knee replacement can be regarded as a process of transition which includes six critical phases. The transition was supported with the dream of becoming as able-bodied as previously in life, by having surgery. In addition, our findings revealed that the care recipients lacked knowledge about the surgical intervention as a whole. CONCLUSION: The meaning of having joint replacement surgery was to overcome the confinement of living with a painful and unreliable body. Furthermore, care recipients struggled to regain a body in charge and control of their lives, yet from a new starting point. The care recipients were not prepared for the transitional changes through the perioperative period. Further research is needed to develop an appropriate programme for patient care during the perioperative period, in order to facilitate the process of transition.
Authors:
Birgitta Akesdotter Gustafsson; Sari Ponzer; Kristiina Heikkilä; Sirkka-Liisa Ekman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of advanced nursing     Volume:  60     ISSN:  0309-2402     ISO Abbreviation:  J Adv Nurs     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-10     Completed Date:  2008-02-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609811     Medline TA:  J Adv Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  20-8     Citation Subset:  IM; N    
Affiliation:
Department of Neurobiology, Caring Sciences and Society, Division Nursing and Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden. birgitta.a.gustafsson@ki.se
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Aged
Aged, 80 and over
Arthroplasty, Replacement / psychology*
Female
Humans
Longitudinal Studies
Male
Osteoarthritis, Hip / psychology*,  surgery
Osteoarthritis, Knee / psychology*,  surgery
Perioperative Care / nursing,  psychology*
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