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The quality of recovery on discharge from hospital, a comparison between patients undergoing hip and knee replacement - a European study.
- Source :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.); Sep2016, Vol. 25 Issue 17-18, p2489-2501, 13p, 1 Diagram, 5 Charts
- Publication Year :
- 2016
-
Abstract
- Aims and objectives. To describe and compare the quality of recovery on discharge from hospital among patients undergoing elective hip or knee replacement. The study will also attempt to identify any predicting factors. Background. Arthroplasty is commonly used for an increasing population of patients with osteoarthritis, and the recovery process starts directly after surgery. Today's shorter hospital stay may be a challenge for the patients during the early period of recovery. It is therefore important to identify factors associated with quality of recovery at discharge from hospital. Design. A descriptive, comparative study including 12 hospitals in 5 European countries; Cyprus, Finland, Greece, Iceland and Sweden. Methods. Consecutively included patients responded on: health-related quality of life, and emotions before surgery and at hospital discharge; quality of recovery, patient satisfaction and fulfilment of knowledge expectations. Related factors and associations were analysed separately for each kind of arthroplasty. In total, 865 patients were included (hip n = 413, knee n = 452). Results. In the dimension of pain, patients undergoing hip replacement had significantly better quality of recovery compared to those undergoing knee replacement. Both patient groups experienced negative emotions before surgery that were related to poorer quality of recovery. Fulfilment of knowledge expectations has a limited effect on quality of recovery. Greater satisfaction with care predicted better quality of recovery. Conclusions. Negative preoperative emotions were related to poorer quality of recovery. For both kinds of arthroplasty, greater satisfaction with care was associated with better quality of recovery. Relevance to clinical practice. The result emphasises the need to detect patients in need of support in their preparation and recovery process, taking into account the perspective of their emotional state. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHI-squared test
COMPARATIVE studies
CONVALESCENCE
STATISTICAL correlation
EMOTIONS
LENGTH of stay in hospitals
RESEARCH methodology
MEDICAL cooperation
PATIENT satisfaction
POPULATION geography
QUALITY of life
QUESTIONNAIRES
REGRESSION analysis
RESEARCH
RESEARCH funding
STATISTICS
ELECTIVE surgery
T-test (Statistics)
TOTAL hip replacement
TOTAL knee replacement
DATA analysis
DISCHARGE planning
HEALTH literacy
DATA analysis software
DESCRIPTIVE statistics
ONE-way analysis of variance
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 25
- Issue :
- 17-18
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 118335299
- Full Text :
- https://doi.org/10.1111/jocn.13278