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年轻人(≤50 岁)接受全髋关节置换术时的重要考虑因素:系统文献回顾。

What Is Important to the Younger Person (≤50 Years) When Having a Total Hip Arthroplasty: A Systematic Literature Review.

机构信息

Louise Mew, BSc, Milton Keynes University Hospital, Milton Keynes, Buckinghamshire, United Kingdom.

Vanessa Heaslip, PhD, Department of Nursing Science, Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, United Kingdom; and Department of Social Work, Stavanger University, Stavanger, Norway.

出版信息

Orthop Nurs. 2023;42(4):213-229. doi: 10.1097/NOR.0000000000000955.

Abstract

Total hip arthroplasties (THAs) are usually performed in older patients. Despite a growing number of THAs in younger adults, it is unclear whether they have similar priorities in recovery compared with their older counterparts. The purpose of this systematic review was to explore younger patients' priorities when undergoing a THA. Multiple databases were searched in September 2021 prioritizing qualitative data. This review was reported using the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Of 14,495 articles screened, nine remained for analysis. Four common themes were discovered: improving function and mobility; pain; relationships; and patient expectations and education. However, there was insufficient information to clarify whether these themes could be attributed directly to younger adults undergoing a THA. The absence of research on THA patients younger than 50 years results in the loss of the voices of these patients. Further research is essential to ensure their needs are identified, addressed, and met.

摘要

全髋关节置换术(THA)通常在老年患者中进行。尽管越来越多的年轻人接受了 THA,但尚不清楚他们在康复方面是否与老年人有相似的侧重点。本系统评价的目的是探讨接受 THA 的年轻患者的关注点。2021 年 9 月,我们优先检索了定性数据的多个数据库。本综述按照系统评价和荟萃分析的首选报告项目(PRISMA)指南进行报告。在筛选出的 14495 篇文章中,有 9 篇文章可供分析。发现了四个共同的主题:改善功能和活动能力;疼痛;人际关系;以及患者的期望和教育。然而,没有足够的信息来明确这些主题是否可以直接归因于接受 THA 的年轻人。缺乏对 50 岁以下 THA 患者的研究导致这些患者的声音被忽视。进一步的研究至关重要,以确保他们的需求得到识别、解决和满足。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5d8/10405792/5725b4deff80/ornur-42-213-g001.jpg

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