Bahadori Shayan, Collard Sarah, Williams Jonathan Mark, Swain Ian
Orthopaedic Research Institute, Bournemouth University, Bournemouth, Dorset, United Kingdom.
Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, Dorset, United Kingdom.
J Patient Exp. 2020 Dec;7(6):1778-1787. doi: 10.1177/2374373520956735. Epub 2020 Sep 16.
Little concerted effort has been made to understand why individuals undergo total hip replacement (THR) surgery and their rehabilitation goals. Similarly, insight of views and perspective of health care professionals' (HCPs) regarding surgery and what objective measures help them with decision-making is lacking. This patient and public involvement report aimed to explore both patients' and HCPs' perspectives of THR surgery. Twenty patients, 10 pre-THR, 10 post-THR, 9 physiotherapists, and 6 surgeons took part. Results suggest a consensus among patients and HCPs on pain reduction being the main reason for undergoing THR. The inability to carry out simple daily activities such as dog walking and sleep deprivation had a significant effect on patients' mental and physical well-being. This article is the first to explore the views of THR patients and HCPs on reasons behind THR surgery amalgamated into a single report. As walking is important, wearable activity monitors are suggested as a possible motivator to enhance patient compliance to self-care rehabilitation and increase quality of life. A future research project on the use of such wearable activity monitors in enhancing mobility post-THR is therefore planned.
在理解个体为何接受全髋关节置换（THR）手术及其康复目标方面，人们付出的协同努力甚少。同样，对于医疗保健专业人员（HCPs）对手术的看法和观点以及哪些客观指标有助于他们做出决策，也缺乏深入了解。这份患者和公众参与报告旨在探讨患者和HCPs对THR手术的看法。20名患者参与其中，10名术前患者，10名术后患者，9名物理治疗师和6名外科医生。结果表明，患者和HCPs在减轻疼痛是接受THR的主要原因这一点上达成了共识。无法进行诸如遛狗等简单日常活动以及睡眠不足对患者的身心健康产生了重大影响。本文首次将THR患者和HCPs对THR手术背后原因的看法整合到一份报告中进行探讨。由于行走很重要，建议使用可穿戴活动监测器作为一种可能的激励手段，以提高患者对自我护理康复的依从性并提高生活质量。因此，计划开展一项关于使用此类可穿戴活动监测器来增强THR术后活动能力的未来研究项目。
