McHugh Gretl A, Luker Karen A
School of Nursing, Midwifery & Social Work, University of Manchester, University Place, Manchester, UK.
Disabil Rehabil. 2009;31(15):1257-66. doi: 10.1080/09638280802535129.
Osteoarthritis (OA) of the hip and knee is one of the major long-term health conditions. At the end-stage of the disease, a hip or knee replacement may be necessary. Yet, deciding to undergo a total joint replacement (TJR) due to OA may be a difficult decision for individuals. We conducted a study to elucidate the factors that influence whether or not individuals with OA decide to undergo a hip or knee replacement.
A qualitative study nested within a longitudinal study (n = 268) that was exploring the management of OA. We interviewed a purposive sample of individuals (n = 27) with OA referred for consideration for TJR.
Participants were aged 49 to 89 with hip or knee OA. Participants' decision-making was influenced by (1) symptoms, in particular pain and effect on physical functioning; (2) the opinion of others; (3) a weighing up of risks with benefits and (4) information sources.
Participants with end-stage knee OA were less willing to undergo surgery than those with hip OA. There is a need to provide more treatment options and quality information and advice to individuals to enable informed decision-making.
髋膝关节骨关节炎（OA）是主要的长期健康问题之一。在疾病终末期，可能需要进行髋关节或膝关节置换。然而，因骨关节炎而决定接受全关节置换（TJR）对个人来说可能是一个艰难的决定。我们开展了一项研究，以阐明影响骨关节炎患者是否决定进行髋关节或膝关节置换的因素。
一项定性研究嵌套于一项纵向研究（n = 268）中，该纵向研究旨在探索骨关节炎的管理。我们对有意向接受全关节置换的27名骨关节炎患者进行了目的抽样访谈。
参与者年龄在49至89岁之间，患有髋或膝关节骨关节炎。参与者的决策受到以下因素影响：（1）症状，尤其是疼痛及对身体功能的影响；（2）他人的意见；（3）对风险与益处的权衡；（4）信息来源。
终末期膝关节骨关节炎患者比髋关节骨关节炎患者更不愿意接受手术。有必要为患者提供更多治疗选择以及高质量的信息和建议，以便他们做出明智的决策。
