School of Nursing, Midwifery & Social Work, University of Manchester, UK.
Disabil Rehabil. 2012;34(16):1351-7. doi: 10.3109/09638288.2011.644022. Epub 2012 Jan 11.
Hip replacements are one of the most common operations for individuals with hip osteoarthritis. There have been numerous quantitative studies investigating the recovery from joint replacement surgery and these show how effective and satisfied patients are. However, little qualitative work has been conducted to explore patients' actual experiences. Therefore, this study aimed to detail the experiences of individuals undergoing a total hip replacement (THR) to determine whether their expectations were met.
The qualitative study was nested within a longitudinal study (n = 215) that was investigating biomedical and psychosocial outcomes from THR. We interviewed a purposive sample of individuals (n = 25) 6 months after THR to explore their experiences of having a THR.
Participants were aged 48-82 years. They felt disabled following the THR and some had unrealistic expectations of recovery. Most of them received minimal information and health professional support. Participants had to overcome a number of challenges such as diminished confidence, frustration over slow progress and reduced physical functioning.
Individuals undergoing THR need to have the opportunity to discuss their expectations of THR, so there is no "false optimism". Support requirements, following THR, need to be reviewed as they were often underestimated by patients and health professionals.
髋关节置换术是髋关节骨关节炎患者最常见的手术之一。已经有许多定量研究调查了关节置换手术后的恢复情况，这些研究表明了患者的治疗效果和满意度。然而，很少有定性研究来探索患者的实际体验。因此，本研究旨在详细描述接受全髋关节置换术（THR）的个体的经历，以确定他们的期望是否得到满足。
该定性研究嵌套在一项纵向研究（n=215）中，该研究调查了 THR 的生物医学和社会心理结果。我们对 THR 后 6 个月的 25 名患者进行了有针对性的访谈，以探讨他们接受 THR 的经历。
参与者年龄为 48-82 岁。他们在 THR 后感到残疾，有些人对恢复的期望不切实际。他们中的大多数人只得到了很少的信息和医疗专业支持。参与者不得不克服许多挑战，如信心减弱、对进展缓慢的沮丧和身体功能下降。
接受 THR 的患者需要有机会讨论他们对 THR 的期望，以避免“虚假的乐观”。THR 后的支持需求需要重新评估，因为这些需求往往被患者和医疗专业人员低估。
