A Qualitative Study: What Did Say the Patients with Total Knee Arthroplasty About Their Lived Experiences

Kaya, Çiğdem; Bilik, Özlem

doi:10.4274/cjms.2020.2102

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…A follow-up study concludes that the operation is seen as an all-embracing life event with reflections on previous care experiences influencing fear intertwined with hope for the future and relief after surgery [ 22 ]. Recent qualitative studies highlight the effects of a person-centred approach to optimize care [ 23 ] and the effect of surgery on the individual [ 24 ], which are aspects easily overlooked before, during and after TKR and THR surgery.…”

Section: Introductionmentioning

confidence: 99%

A diarized journey: an interpretative phenomenological analysis of the older person’s lived experience of a hip or knee replacement within a fast-track programme

Burger,

Watson,

van Wyk

2023

BMC Geriatr

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Background For the older person living with end-stage hip or knee osteoarthritis, a hip or knee replacement can be a traumatic event, influencing the physical, physiological, psychological, social and economic facets of daily living. This interpretative phenomenological study aimed to reveal and interpret the daily lived experiences of the older person before, during and after a primary total hip or knee replacement surgery in a fast-track programme in South Africa. Methods A qualitative interpretive phenomenological study, collecting data through solicited diaries and reflexive member validation interviews from seven participants aged 65–75 years, who underwent a primary elective hip or knee replacement surgery. The surgical fast-track process and data collection process happened simultaneously. Data collection from the solicited diary started before surgery, continued during the surgery process and finished six weeks after surgery and this was followed with reflexive member validation interviews. Interpretative phenomenological analysis was used throughout the three phases of the fast-track programme. Results Three superordinate themes developed during the three phases of surgery: “The holistic impact of pain on daily quality of life”, “Finding ways to cope”, and “Transition between independence and dependence and back”. Although former research confirms the physical impact of osteoarthritis on the older person and the success of fast-track programmes for subsequent hip and knee replacements, this study contributes to the holistic impact of the surgery on participants’ daily lives. The diarized journey of individuals through the psychological, psychosocial, physical, professional, and spiritual experience are described and interpreted in this study. Conclusions Across the solicited diaries, it was clear that pain as catalyst impacted the daily activities of the individual physically, psychologically, and psychosocially. Pain was subjectively present at different intensities during all the phases of the replacement surgery, impairing mobilization and triggering roller-coaster emotions. In order to cope with physical and emotional difficulties while preparing and adjusting to the environment, participants reflected on social support, physical and professional support, and spirituality. Throughout the preparation, hospitalization and the recovery process, the transition between independence, dependence, and back to independence was significant, reinforcing the individual’s determination to recover.

show abstract

Section: Introductionmentioning

confidence: 99%

A diarized journey: an interpretative phenomenological analysis of the older person’s lived experience of a hip or knee replacement within a fast-track programme

Burger,

Watson,

van Wyk

2023

BMC Geriatr

View full text Add to dashboard Cite

show abstract

“…A follow-up study concludes that the operation is seen as an all-embracing life event with re ections on previous care experiences in uencing fear intertwined with hope for the future and relief after surgery [17]. Recent qualitative studies highlight the effects of a person-centred approach to optimize care [18] and the effect of surgery on the individual [19], which are aspects easily overlooked before, during and after TKR and THR surgery.…”

Section: Introductionmentioning

confidence: 99%

A diarized journey: an interpretative phenomenological analysis of the older person’s lived experience of a hip or knee replacement within a fast-track programme

Burger

Watson

Wyk

2022

Preprint

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Background For the older person living with end-stage hip or knee osteoarthritis, a hip or knee replacement can be a traumatic event, influencing the physical, physiological, psychological, social and economic facets of daily living. This interpretative phenomenological study aimed to reveal and interpret the daily lived experiences of the older adult before, during and after a primary total hip or knee replacement surgery in a fast-track programme in South Africa. Methods A qualitative interpretive phenomenological study, collecting data through solicited diaries and reflexive member validation interviews from seven participants aged 65–75 years, who underwent a primary elective hip or knee replacement surgery. The surgical fast-track process and data collection process happened simultaneously. Data collection from the solicited diary started before surgery, continued during the surgery process and finished six weeks after surgery and this was followed with reflexive member validation interviews. Interpretative phenomenological analysis was used throughout the three phases of the fast-track programme. Results Three superordinate themes developed during the three phases of surgery: “The holistic impact of pain on daily quality of life”, “Finding ways to cope”, and “Transition between independence and dependence and back”. Although former research confirms the physical impact of osteoarthritis on the older adult and the success of fast-track programmes for subsequent hip and knee replacements, this research contributes to the holistic impact of the surgery on participants’ daily lives. The diarized journey of individuals through the psychological, psychosocial, physical, professional, and spiritual experience are described and interpreted in this research. Conclusions Across the solicited diaries, it was clear that pain as catalyst impacted the daily activities of the individual physically, psychologically, and psychosocially. Pain was subjectively present at different intensities during all the phases of the replacement surgery, impairing mobilization and triggering roller-coaster emotions. In order to cope with physical and emotional difficulties while preparing and adjusting to the environment, participants reflected on social support, physical and professional support, and spirituality. Throughout the preparation, hospitalization and the recovery process, the transition between independence, dependence, and back to independence was significant, reinforcing the individual’s determination to recover.

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Does early or late discharge after total knee replacement affect the burden and stress of caregivers?

Fidan

Büker

Şavkın

et al. 2024

International Journal of Orthopaedic and Trauma Nursing

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A Qualitative Study: What Did Say the Patients with Total Knee Arthroplasty About Their Lived Experiences

Cited by 3 publications

References 24 publications

A diarized journey: an interpretative phenomenological analysis of the older person’s lived experience of a hip or knee replacement within a fast-track programme

A diarized journey: an interpretative phenomenological analysis of the older person’s lived experience of a hip or knee replacement within a fast-track programme

A diarized journey: an interpretative phenomenological analysis of the older person’s lived experience of a hip or knee replacement within a fast-track programme

Does early or late discharge after total knee replacement affect the burden and stress of caregivers?

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