van Egmond Jeroen C, Verburg Hennie, Vehmeijer Stephan B W, Mathijssen Nina M C
Acta Orthop Belg. 2015 Sep;81(3):447-53.
Rapid recovery protocols reduce the length of hospital stay after Total Knee Arthroplasty (TKA) and Total Hip Arthroplasty (THA). However, little is known about the early postoperative phase. The purpose of this study was to examine which problems patients encountered during the first six weeks after primary TKA or THA surgery with rapid recovery. We invited twenty patients for a focus group meeting which discussed various subjects regarding the first six weeks after hospital discharge. The focus group meetings were analysed qualitatively. Patients were mostly satisfied by the short length of hospital stay. Patients who lived alone needs more care and would like to stay longer in the hospital. After THA surgery all patients complained of inability to sleep. More patients experienced pain after TKA surgery compared to THA surgery. All patients had various experiences regarding physical therapy therefore an evidence based rehabilitation protocol might be needed.
快速康复方案可缩短全膝关节置换术（TKA）和全髋关节置换术（THA）后的住院时间。然而，对于术后早期阶段却知之甚少。本研究的目的是调查在初次TKA或THA手术并采用快速康复方案后的前六周，患者遇到了哪些问题。我们邀请了20名患者参加焦点小组会议，讨论出院后前六周的各种主题。对焦点小组会议进行了定性分析。患者大多对较短的住院时间感到满意。独居患者需要更多护理，希望在医院多住一段时间。THA手术后，所有患者都抱怨无法入睡。与THA手术相比，TKA手术后更多患者经历疼痛。所有患者在物理治疗方面都有不同经历，因此可能需要基于证据的康复方案。
