Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
Hong Kong Med J. 2013 Feb;19(1):33-7.
To study patients' perceptions and knowledge about total joint replacement surgery. DESIGN; Cross-sectional survey. SETTING; University teaching hospital, Hong Kong.
Three hundred consecutive patients with the diagnosis of osteoarthritis or inflammatory arthritis attending the out-patient clinic from June 2010 to May 2011.
Patients' knowledge and how they got the knowledge about total joint replacement surgery, and concerns about the outcome of such operations.
Whilst 94% of the patients knew about total joint replacement surgery, 77% obtained such knowledge from their friends and relatives. The three most common concerns related to this type of operation were whether they might: be wheelchair bound after surgery (64%), need to be taken care of by others for more than 3 months (61%), and have post-surgery complications (54%). Most of them recognised the advantages of the surgery, 82% knew about good pain relief after surgery, and 87% realised that total joint replacement surgery could improve their mobility. Patients did not have a realistic idea regarding the survival of the prosthesis; 41% thought the prosthesis might last for less than 10 years and 34% had no idea about its longevity. CONCLUSION; Patients did recognise the advantages of total joint replacement surgery in treating arthritis. However, they had many concerns about its outcome that warrant clarification. Public education on these aspects is necessary to address concerns, and may be achieved in cooperation with the media.
研究患者对全关节置换手术的认知和了解程度。设计：横断面调查。地点：香港大学教学医院。
2010 年 6 月至 2011 年 5 月期间，连续 300 名患有骨关节炎或炎症性关节炎的门诊患者。
患者对全关节置换手术的了解程度，以及他们获取该手术相关知识的途径，以及对手术结果的关注。
尽管 94%的患者了解全关节置换手术，但 77%的患者是从朋友和亲戚那里获得的相关知识。三种最常见的担忧与这种手术有关：手术后是否可能（64%）需要坐轮椅，是否需要他人照顾超过 3 个月（61%），以及是否有术后并发症（54%）。他们大多数人认识到手术的优势，82%知道手术后疼痛会得到很好的缓解，87%意识到全关节置换手术可以提高他们的活动能力。患者对假体的使用寿命没有一个现实的概念；41%的人认为假体可能使用不到 10 年，34%的人不知道假体的寿命。结论：患者确实认识到全关节置换手术在治疗关节炎方面的优势。然而，他们对手术结果有很多担忧，需要澄清。有必要通过媒体与公众进行合作，开展相关方面的教育，以消除患者的担忧。
