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全髋关节置换术前患者的认知与体验:一项质性现象学研究

Patients' Perceptions and Experiences during the Pre-Admission Phase for Total Hip Replacement Surgery: A Qualitative Phenomenological Study.

作者信息

Longo Umile Giuseppe, Marchetti Anna, Corradini Alessandra, Candela Vincenzo, Salvatore Giuseppe, De Marinis Maria Grazia, Denaro Vincenzo

机构信息

Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy.

Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy.

出版信息

J Clin Med. 2023 Apr 7;12(8):2754. doi: 10.3390/jcm12082754.

Abstract

Osteoarthritis negatively impacts the patient's quality of life. Qualitative research is an effective tool in detecting the various emotions experienced by patients with osteoarthritis. Such studies play a crucial role in promoting comprehension of the patient's experiences of health and illness among healthcare professionals, including nurses. The purpose of this study is to examine patients' perceptions during the pre-admission process for total hip replacement (THR). The study utilized a qualitative descriptive methodology with a phenomenological approach. A sample of patients awaiting THR consented to participate in the study and were interviewed until data saturation was achieved. The results of the phenomenological analysis resulted in the identification of three themes: 1-Surgery generates mixed feelings; 2-Pain negatively impacts daily life activities; 3-Pain requires personal strategies to be alleviated. Patients awaiting THR demonstrate frustration and anxiety. They experience intense pain during daily activities, which persists even during night rest.

摘要

骨关节炎会对患者的生活质量产生负面影响。定性研究是检测骨关节炎患者所经历的各种情绪的有效工具。此类研究在促进医护人员(包括护士)理解患者的健康与疾病体验方面发挥着关键作用。本研究的目的是考察患者在全髋关节置换术(THR)入院前过程中的认知。该研究采用了带有现象学方法的定性描述性方法。一组等待全髋关节置换术的患者同意参与研究,并接受访谈,直至达到数据饱和。现象学分析的结果确定了三个主题:1. 手术引发复杂情绪;2. 疼痛对日常生活活动产生负面影响;3. 疼痛需要个人策略来缓解。等待全髋关节置换术的患者表现出沮丧和焦虑。他们在日常活动中经历剧痛,甚至在夜间休息时也持续存在。

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Hip scores: A current concept review.髋关节评分:一个当前的概念综述。
Br Med Bull. 2019 Sep 19;131(1):81-96. doi: 10.1093/bmb/ldz026.
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Pain catastrophizing, anxiety, and depression in hip pathology.髋关节疾病中的疼痛灾难化、焦虑和抑郁。
Bone Joint J. 2019 Jul;101-B(7):800-807. doi: 10.1302/0301-620X.101B7.BJJ-2018-1309.R1.

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