Cargando…

Perioperative Concerns and Complaints of Patients Undergoing Total Hip Arthroplasty

BACKGROUND: Preoperative concerns of patients undergoing total hip arthroplasty (THA) and their complaints during the initial postoperative period are not well investigated. We evaluated preoperative concerns of patients and patient-perceived problems during the operation and initial 5 days after th...

Descripción completa

Detalles Bibliográficos
Autores principales: Park, Jung-Wee, Lee, Young-Kyun, Kim, Hong-Seok, Kim, Jung-Taek, Ha, Yong-Chan, Koo, Kyung-Hoi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Orthopaedic Association 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880498/
https://www.ncbi.nlm.nih.gov/pubmed/36778993
http://dx.doi.org/10.4055/cios22042
_version_ 1784878925656096768
author Park, Jung-Wee
Lee, Young-Kyun
Kim, Hong-Seok
Kim, Jung-Taek
Ha, Yong-Chan
Koo, Kyung-Hoi
author_facet Park, Jung-Wee
Lee, Young-Kyun
Kim, Hong-Seok
Kim, Jung-Taek
Ha, Yong-Chan
Koo, Kyung-Hoi
author_sort Park, Jung-Wee
collection PubMed
description BACKGROUND: Preoperative concerns of patients undergoing total hip arthroplasty (THA) and their complaints during the initial postoperative period are not well investigated. We evaluated preoperative concerns of patients and patient-perceived problems during the operation and initial 5 days after the operation. METHODS: One hundred and thirty-two patients, who underwent primary THA at a tertiary referral hospital, were surveyed using a questionnaire and a face-to-face interview 1 day before the operation, operation day, and postoperative days 1, 2, 3, and 4. The severity of pain was assessed daily using a visual analog scale. RESULTS: The most common preoperative concern was the severity of pain after the surgery (65.2%), followed by the need of transfusion (34.8%) and postoperative rehabilitation (32.6%). Among 29 patients who could recall the experience during the operation, 12 (41.4%) suffered from shoulder pain on the contralateral side, and 6 (20.7%) answered that hammering sound had been annoying. After returning to the ward, 29 patients (22.0%) suffered from nausea, 8 (6.1%) complained of back pain, and 7 (5.3%) had ipsilateral knee pain. On postoperative day 1, 7 patients (5.3%) had persistent back pain, 8 (6.1%) had headache, and 5 (3.8%) suffered from nausea. On postoperative day 2, nine patients (6.8%) complained of radiating pain due to aggravation of pre-existing spinal stenosis, 7 (5.3%) complained of weakness of the hip flexor due to periarticular injection of ropivacaine during the operation, and 5 (3.8%) had dressing-related skin problem at the wound. On postoperative days 3 and 4, patients had no problem other than hip pain. The mean pain score was the highest (3.1 ± 1.0) on postoperative day 1. CONCLUSIONS: The results of this study might provide information needed to solve problems and improve satisfaction of patients undergoing THA.
format Online
Article
Text
id pubmed-9880498
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher The Korean Orthopaedic Association
record_format MEDLINE/PubMed
spelling pubmed-98804982023-02-09 Perioperative Concerns and Complaints of Patients Undergoing Total Hip Arthroplasty Park, Jung-Wee Lee, Young-Kyun Kim, Hong-Seok Kim, Jung-Taek Ha, Yong-Chan Koo, Kyung-Hoi Clin Orthop Surg Original Article BACKGROUND: Preoperative concerns of patients undergoing total hip arthroplasty (THA) and their complaints during the initial postoperative period are not well investigated. We evaluated preoperative concerns of patients and patient-perceived problems during the operation and initial 5 days after the operation. METHODS: One hundred and thirty-two patients, who underwent primary THA at a tertiary referral hospital, were surveyed using a questionnaire and a face-to-face interview 1 day before the operation, operation day, and postoperative days 1, 2, 3, and 4. The severity of pain was assessed daily using a visual analog scale. RESULTS: The most common preoperative concern was the severity of pain after the surgery (65.2%), followed by the need of transfusion (34.8%) and postoperative rehabilitation (32.6%). Among 29 patients who could recall the experience during the operation, 12 (41.4%) suffered from shoulder pain on the contralateral side, and 6 (20.7%) answered that hammering sound had been annoying. After returning to the ward, 29 patients (22.0%) suffered from nausea, 8 (6.1%) complained of back pain, and 7 (5.3%) had ipsilateral knee pain. On postoperative day 1, 7 patients (5.3%) had persistent back pain, 8 (6.1%) had headache, and 5 (3.8%) suffered from nausea. On postoperative day 2, nine patients (6.8%) complained of radiating pain due to aggravation of pre-existing spinal stenosis, 7 (5.3%) complained of weakness of the hip flexor due to periarticular injection of ropivacaine during the operation, and 5 (3.8%) had dressing-related skin problem at the wound. On postoperative days 3 and 4, patients had no problem other than hip pain. The mean pain score was the highest (3.1 ± 1.0) on postoperative day 1. CONCLUSIONS: The results of this study might provide information needed to solve problems and improve satisfaction of patients undergoing THA. The Korean Orthopaedic Association 2023-02 2022-07-25 /pmc/articles/PMC9880498/ /pubmed/36778993 http://dx.doi.org/10.4055/cios22042 Text en Copyright © 2023 by The Korean Orthopaedic Association https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Park, Jung-Wee
Lee, Young-Kyun
Kim, Hong-Seok
Kim, Jung-Taek
Ha, Yong-Chan
Koo, Kyung-Hoi
Perioperative Concerns and Complaints of Patients Undergoing Total Hip Arthroplasty
title Perioperative Concerns and Complaints of Patients Undergoing Total Hip Arthroplasty
title_full Perioperative Concerns and Complaints of Patients Undergoing Total Hip Arthroplasty
title_fullStr Perioperative Concerns and Complaints of Patients Undergoing Total Hip Arthroplasty
title_full_unstemmed Perioperative Concerns and Complaints of Patients Undergoing Total Hip Arthroplasty
title_short Perioperative Concerns and Complaints of Patients Undergoing Total Hip Arthroplasty
title_sort perioperative concerns and complaints of patients undergoing total hip arthroplasty
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880498/
https://www.ncbi.nlm.nih.gov/pubmed/36778993
http://dx.doi.org/10.4055/cios22042
work_keys_str_mv AT parkjungwee perioperativeconcernsandcomplaintsofpatientsundergoingtotalhiparthroplasty
AT leeyoungkyun perioperativeconcernsandcomplaintsofpatientsundergoingtotalhiparthroplasty
AT kimhongseok perioperativeconcernsandcomplaintsofpatientsundergoingtotalhiparthroplasty
AT kimjungtaek perioperativeconcernsandcomplaintsofpatientsundergoingtotalhiparthroplasty
AT hayongchan perioperativeconcernsandcomplaintsofpatientsundergoingtotalhiparthroplasty
AT kookyunghoi perioperativeconcernsandcomplaintsofpatientsundergoingtotalhiparthroplasty