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Title: Emotions of Orthopaedic Arthroplasty Patients: A European Survey
Authors: Zabalegui-Yárnoz, Adelaida 
Cabrera, Esther 
Cano, Sara 
Copanitsanou, Panagiota P. 
Fatkulina, Natalja 
Katajisto, Jouko K. 
Papastavrou, Evridiki 
Sigurdardottir, Arun K. 
Valkeapää, Kirsi 
Leino-Kilpi, Helena T. 
Major Field of Science: Medical and Health Sciences
Field Category: Clinical Medicine
Keywords: Arthroplasty;Hip Replacement;Depression;Elective Surgical Procedures;Emotions;Patient Discharge
Issue Date: 1-Sep-2020
Source: Orthopaedic Nursing, 2020, vol. 39, no. 5, pp. 315 - 323
Volume: 39
Issue: 5
Start page: 315
End page: 323
Journal: Orthopaedic Nursing 
Abstract: METHODS: This was a pre/post-observational study examining patients' emotions before and during elective knee or hip replacement surgery for osteoarthritis in seven European Union countries to identify factors related to better emotional status at discharge. INSTRUMENTS: In addition to demographic data, information was collected on quality of life (EuroQoL five-dimension questionnaire), hospital expectations (Knowledge Expectations of Hospital Patients Scale), symptoms, and experienced emotions. ANALYSIS: Total negative emotions scores at baseline and discharge were transformed into median values. Multivariate analysis identified the baseline factors related to better emotional status at discharge. RESULTS: Patients (n = 1,590), mean age 66.7 years (SD = 10.6), had a significant reduction in the frequency of total negative emotions at discharge as compared with baseline. The multivariate model showed better health status (odds ratio [OR] = 1.012; p = .004), better emotional status at baseline (≥24 points), and shorter duration of hospital stay (OR = 0.960; p = .011) as independent factors associated with better emotional status at discharge (OR = 4.297; p = .001). CONCLUSIONS: Patients undergoing elective knee or hip replacement surgery for osteoarthritis improve their emotional status during hospitalization, with fewer negative emotions at discharge. Good emotional status, feeling of higher health status at baseline, and shorter hospitalization were independently associated with better emotional status at discharge.
ISSN: 1542-538X
DOI: 10.1097/NOR.0000000000000696
Rights: © Lippincott Williams and Wilkins
Attribution-NonCommercial-NoDerivatives 4.0 International
Type: Article
Affiliation : Hospital Clinic of Barcelona 
University of Barcelona 
University of Pompeu Fabra 
Sechenov University 
Hospital General de Cataluña 
National and Kapodistrian University of Athens 
Vilnius University 
University of Turku 
Cyprus University of Technology 
University of Akureyri 
Turku University Hospital 
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