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Title: The quality of recovery on discharge from hospital, a comparison between patients undergoing hip and knee replacement – a European study
Authors: Johansson Stark, Åsa 
Charalambous, Andreas 
Istomina, Natalja 
Salanterä, Sanna 
Sigurdardottir, Arun K 
Sourtzi P., Panayota 
Valkeapää K., Kirsi 
Zabalegui, Adelaida 
Bachrach-Lindström, Margareta 
Keywords: Fulfilment of knowledge expectations;Health-related quality of life;Hip replacement;Knee replacement;Preoperative emotional state;Quality of recovery;Satisfaction with care
Category: Clinical Medicine
Field: Medical and Health Sciences
Issue Date: 1-Sep-2016
Publisher: Blackwell Publishing Ltd
Source: Journal of Clinical Nursing, 2016, Volume 25, Issue 17-18, Pages 2489-2501
DOI: 10.1111/jocn.13278
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.
ISSN: 09621067
Rights: © 2016 John Wiley & Sons Ltd
Type: Article
Appears in Collections:Άρθρα/Articles

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