Cargando…
You’ll know when you’re ready: a qualitative study exploring how patients decide when the time is right for joint replacement surgery
BACKGROUND: While some studies have identified patient readiness as a key component in their decision whether to have total joint replacement surgery (TJR), none have examined how patients determine their readiness for surgery. The study purpose was to explore the concept of patient readiness and de...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4283088/ https://www.ncbi.nlm.nih.gov/pubmed/25278186 http://dx.doi.org/10.1186/1472-6963-14-454 |
_version_ | 1782351214851129344 |
---|---|
author | Conner-Spady, Barbara L Marshall, Deborah A Hawker, Gillian A Bohm, Eric Dunbar, Michael J Frank, Cy Noseworthy, Tom W |
author_facet | Conner-Spady, Barbara L Marshall, Deborah A Hawker, Gillian A Bohm, Eric Dunbar, Michael J Frank, Cy Noseworthy, Tom W |
author_sort | Conner-Spady, Barbara L |
collection | PubMed |
description | BACKGROUND: While some studies have identified patient readiness as a key component in their decision whether to have total joint replacement surgery (TJR), none have examined how patients determine their readiness for surgery. The study purpose was to explore the concept of patient readiness and describe the factors patients consider when assessing their readiness for TJR. METHODS: Nine focus groups (4 pre-surgery, 5 post-surgery) were held in four Canadian cities. Participants had been either referred to or seen by an orthopaedic surgeon for TJR or had undergone TJR. The method of analysis was qualitative thematic analysis. RESULTS: There were 65 participants, 66% female and 34% male, 80% urban, with an average age of 65 years (SD 10). Readiness reflected both the surgeon’s advice that the patient was clinically ready for surgery and the patient’s feeling that they were both mentally and physically ready for surgery. Mental readiness was described as an internal state or feeling of being ready or prepared while physical readiness was described as being physically fit and in good shape for surgery. Factors associated with readiness included: 1) pain: its severity, the ability to cope with it, and how it affected their quality of life; 2) mental preparation; 3) physical preparation; 4) the optimal timing of surgery, including age, anticipated rate of deterioration, prosthesis lifespan and the length of the waiting list. CONCLUSIONS: Patient readiness should be assessed prior to TJR. By assessing patient readiness, health professionals can elucidate and deal with concerns and fears, understand and calibrate expectations, assess coping strategies, and use this information to help determine optimal timing, both before and after the surgical consultation. |
format | Online Article Text |
id | pubmed-4283088 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-42830882015-01-06 You’ll know when you’re ready: a qualitative study exploring how patients decide when the time is right for joint replacement surgery Conner-Spady, Barbara L Marshall, Deborah A Hawker, Gillian A Bohm, Eric Dunbar, Michael J Frank, Cy Noseworthy, Tom W BMC Health Serv Res Research Article BACKGROUND: While some studies have identified patient readiness as a key component in their decision whether to have total joint replacement surgery (TJR), none have examined how patients determine their readiness for surgery. The study purpose was to explore the concept of patient readiness and describe the factors patients consider when assessing their readiness for TJR. METHODS: Nine focus groups (4 pre-surgery, 5 post-surgery) were held in four Canadian cities. Participants had been either referred to or seen by an orthopaedic surgeon for TJR or had undergone TJR. The method of analysis was qualitative thematic analysis. RESULTS: There were 65 participants, 66% female and 34% male, 80% urban, with an average age of 65 years (SD 10). Readiness reflected both the surgeon’s advice that the patient was clinically ready for surgery and the patient’s feeling that they were both mentally and physically ready for surgery. Mental readiness was described as an internal state or feeling of being ready or prepared while physical readiness was described as being physically fit and in good shape for surgery. Factors associated with readiness included: 1) pain: its severity, the ability to cope with it, and how it affected their quality of life; 2) mental preparation; 3) physical preparation; 4) the optimal timing of surgery, including age, anticipated rate of deterioration, prosthesis lifespan and the length of the waiting list. CONCLUSIONS: Patient readiness should be assessed prior to TJR. By assessing patient readiness, health professionals can elucidate and deal with concerns and fears, understand and calibrate expectations, assess coping strategies, and use this information to help determine optimal timing, both before and after the surgical consultation. BioMed Central 2014-10-02 /pmc/articles/PMC4283088/ /pubmed/25278186 http://dx.doi.org/10.1186/1472-6963-14-454 Text en © Conner-Spady et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Conner-Spady, Barbara L Marshall, Deborah A Hawker, Gillian A Bohm, Eric Dunbar, Michael J Frank, Cy Noseworthy, Tom W You’ll know when you’re ready: a qualitative study exploring how patients decide when the time is right for joint replacement surgery |
title | You’ll know when you’re ready: a qualitative study exploring how patients decide when the time is right for joint replacement surgery |
title_full | You’ll know when you’re ready: a qualitative study exploring how patients decide when the time is right for joint replacement surgery |
title_fullStr | You’ll know when you’re ready: a qualitative study exploring how patients decide when the time is right for joint replacement surgery |
title_full_unstemmed | You’ll know when you’re ready: a qualitative study exploring how patients decide when the time is right for joint replacement surgery |
title_short | You’ll know when you’re ready: a qualitative study exploring how patients decide when the time is right for joint replacement surgery |
title_sort | you’ll know when you’re ready: a qualitative study exploring how patients decide when the time is right for joint replacement surgery |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4283088/ https://www.ncbi.nlm.nih.gov/pubmed/25278186 http://dx.doi.org/10.1186/1472-6963-14-454 |
work_keys_str_mv | AT connerspadybarbaral youllknowwhenyourereadyaqualitativestudyexploringhowpatientsdecidewhenthetimeisrightforjointreplacementsurgery AT marshalldeboraha youllknowwhenyourereadyaqualitativestudyexploringhowpatientsdecidewhenthetimeisrightforjointreplacementsurgery AT hawkergilliana youllknowwhenyourereadyaqualitativestudyexploringhowpatientsdecidewhenthetimeisrightforjointreplacementsurgery AT bohmeric youllknowwhenyourereadyaqualitativestudyexploringhowpatientsdecidewhenthetimeisrightforjointreplacementsurgery AT dunbarmichaelj youllknowwhenyourereadyaqualitativestudyexploringhowpatientsdecidewhenthetimeisrightforjointreplacementsurgery AT frankcy youllknowwhenyourereadyaqualitativestudyexploringhowpatientsdecidewhenthetimeisrightforjointreplacementsurgery AT noseworthytomw youllknowwhenyourereadyaqualitativestudyexploringhowpatientsdecidewhenthetimeisrightforjointreplacementsurgery |