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全髋关节和膝关节置换术后的工作恢复建议。

Return to work advice after total hip and knee replacement.

机构信息

School of Health Sciences, University of Nottingham, Medical School, Queens Medical Centre, Nottingham, UK.

James Cook University Hospital, South Tees NHS Hospitals Trust, Middlesbrough, UK.

出版信息

Occup Med (Lond). 2020 Apr 20;70(2):113-118. doi: 10.1093/occmed/kqaa014.

Abstract

BACKGROUND

Little is known about the information and advice on return to work received by patients undergoing total hip and knee replacement.

AIMS

To investigate patients' views and experiences of work-related advice provided by clinicians, and how this might be improved.

METHODS

Semi-structured interviews with patients who had undergone total hip and knee replacement, were working prior to surgery and intended to return to work. Data were analysed thematically.

RESULTS

Forty-five patients from three UK regions were consented. Eight themes were identified including lack of information, lack of an individualized approach and accessibility and acceptability of information dissemination methods. Patients identified their information needs and who they felt was best placed to address them.

CONCLUSIONS

Patients receive little information and advice on return to work following total hip and knee replacement, although not all patients required this. However, more focus is needed on providing this, and patients should be screened to ensure resources are best targeted with interventions being tailored to the individual.

摘要

背景

对于接受全髋关节和膝关节置换术的患者所获得的与工作相关的信息和建议知之甚少。

目的

调查患者对临床医生提供的与工作相关的建议的看法和体验,以及如何改进这些建议。

方法

对接受全髋关节和膝关节置换术、术前工作并打算重返工作岗位的患者进行半结构化访谈。对数据进行主题分析。

结果

在三个英国地区征得 45 名患者的同意。确定了 8 个主题,包括信息不足、缺乏个性化方法以及信息传播方法的可及性和可接受性。患者确定了他们的信息需求以及他们认为谁最适合解决这些问题。

结论

尽管并非所有患者都需要,但接受全髋关节和膝关节置换术后,患者获得的与工作相关的信息和建议很少。然而,需要更加关注提供这些信息,并且应该对患者进行筛查,以确保资源能够有针对性地进行干预,并根据个体情况对干预措施进行调整。

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