Clinical Trials Unit, University of Warwick, Coventry, UK
Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
BMJ Open. 2024 May 9;14(5):e080795. doi: 10.1136/bmjopen-2023-080795.
To explore people's views of recovery from total knee replacement (TKR) and which recovery domains they felt were important.
Semi-structured interviews exploring the views of individuals about to undergo or who have undergone TKR. A constant-comparative approach with thematic analysis was used to identify themes. The process of sampling, collecting data and analysis were continuous and iterative throughout the study, with interviews ceasing once thematic saturation was achieved.
Tertiary care centre.
A purposive sample was used to account for variables including pre, early or late postoperative status.
12 participants were interviewed, 4 who were preoperative, 4 early postoperative and 4 late postoperative. Themes of pain, function, fear of complications, awareness of the artificial knee joint and return to work were identified. Subthemes of balancing acute and chronic pain were identified.
The results of this interview-based study identify pain and function, in particular mobility, that were universally important to those undergoing TKR. Surgeons should consider exploring these domains when taking informed consent to enhance shared decision-making. Researchers should consider these recovery domains when designing interventional studies.
探讨人们对全膝关节置换术（TKR）康复的看法，以及他们认为哪些康复领域重要。
采用半结构式访谈，探讨即将接受或已经接受 TKR 的个体对 TKR 的看法。采用恒定比较法和主题分析来确定主题。在整个研究过程中，抽样、数据收集和分析是连续和迭代的，一旦达到主题饱和，访谈就会停止。
三级护理中心。
采用目的性抽样，考虑到包括术前、早期或晚期术后状态在内的变量。
共访谈了 12 名参与者，其中 4 名是术前，4 名是早期术后，4 名是晚期术后。确定了疼痛、功能、对并发症的恐惧、对人工膝关节的认识和重返工作等主题。还确定了平衡急性和慢性疼痛的子主题。
这项基于访谈的研究结果表明，接受 TKR 的患者普遍认为疼痛和功能，特别是活动能力非常重要。外科医生在进行知情同意时，应考虑探讨这些领域，以增强共同决策。研究人员在设计干预性研究时应考虑这些康复领域。
