Sportliche Aktivität nach Gelenkersatz: Erfahrungen und Erwartungen älterer Rehabilitanden– Ergebnisse einer qualitativen Inhaltsanalyse leitfadengestützter Interviews

Bethge, Matthias; Köhler, L; Kiel, John; Thren, K.; Gutenbrunner, C.

doi:10.1055/s-0034-1394448

Cited by 3 publications

(2 citation statements)

References 9 publications

(13 reference statements)

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“…Most of the previous studies conducted to address the problem of dissatisfaction and to analyse the preventable factors in order to decrease this rate. [ 6 , 10 , 12 , 15 , 25 , 26 , 33 – 38 ]…”

Section: Introductionmentioning

confidence: 99%

How do orthopaedic surgeons inform their patients before knee arthroplasty surgery? A cross-sectional study

Mahdi

Nyman

Wretenberg

2018

BMC Musculoskelet Disord

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BackgroundTotal knee arthroplasty (TKA) is a successful and common procedure. However, 6–28% of patients are dissatisfied postoperatively. The provision of preoperative patient information, inquiring about patients’ expectations, and taking a psychiatric history are essential parts of both preoperative evaluation and postoperative outcome. The aim of this study was to investigate how orthopaedic knee surgeons in Sweden inform their patients before surgery.MethodsA questionnaire was distributed to all knee surgeons performing TKA in Sweden. Responses were received from 60 of the 65 orthopaedic departments performing TKA in Sweden (92%), covering 219 of the approximately 311 knee surgeons at the 65 departments (70%). The answers were analysed with descriptive statistics. A content analysis of the surgeons’ opinions was also performed using a thematic method.ResultsIn terms of information provision, 58% of the surgeons always gave written information while 92% informed orally. Only 44% always asked about the patient’s expectations, and only 42% always informed patients about the 20% dissatisfaction rate after TKA. Additionally, 24% never operated on mild indication of arthrosis, 20% always took a psychiatric history, and half never or seldom consulted a psychiatrist. However, all the knee surgeons believed in a psychiatric impact on TKA outcome. Qualitative analysis revealed five common causes of patient dissatisfaction, which in descending frequency were: patients’ expectations, choice of patients to operate on, surgical factors, combinations of factors, and insufficient information provision to patients.ConclusionsKnee surgeons in Sweden have considerable awareness of the importance of preoperative patient information, the impact of patient expectations, and psychiatric illness. However, they need to improve their preoperative routines when it comes to providing written information, asking about the patient’s expectations, and psychiatric assessment.

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Section: Introductionmentioning

confidence: 99%

How do orthopaedic surgeons inform their patients before knee arthroplasty surgery? A cross-sectional study

Mahdi

Nyman

Wretenberg

2018

BMC Musculoskelet Disord

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“…Although QCA methods are widely applied in the social science and health care domain, (Jennifer et al, 2017; López et al, 2012; Maria et al, 2014). It is also been utilized in other fields such as sports and education (Bethge et al, 2015; Schreier et al, 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

Information extraction using a mixed method analysis of social media data: A case study of the police shooting during the anti-Sterlite protests at Thoothukudi, India

Karmegam

Mappillairaju

2021

Information Development

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During unexpected social events, information extracted from social media content posted by the people could play a crucial role in understanding the public opinion about the event. In this study, a mixed method procedure, which combines automated and human-based methods, is proposed to mine information from tweets to understand people's thoughts toward an unexpected turn of events. The proposed framework was applied on tweets posted regarding the police shooting to disperse protesters during the anti-Sterlite protests on May 22, 2018, at Thoothukudi in the Indian state of Tamil Nadu. The tweets were analyzed in two ways: (i) sentiment classification with automated computational methods and (ii) qualitatively examining the context of the expressed sentiments. In the case of anti-Sterlite protests, people expressed mixed emotions toward the protests for the closure of the Sterlite plant. A large negative sentiment toward the police shooting could be gleaned from the tweets. Analyzing tweets by the proposed method provides clear insights regarding the incident, which in turn will aid in planning an emergency response.

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Patients’ experiences of discontentment one year after total knee arthroplasty- a qualitative study

Mahdi

Svantesson

Wretenberg

et al. 2020

BMC Musculoskelet Disord

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Background: Total knee arthroplasty is a common procedure with generally good results. However, there are still patients who are dissatisfied without known explanation. Satisfaction and dissatisfaction have previously been captured by quantitative designs, but there is a lack of qualitative studies regarding these patients' experiences. Qualitative knowledge might be useful in creating strategies to decrease the dissatisfaction rate. Methods: Of the 348 patients who responded to a letter asking if they were satisfied or dissatisfied with their surgery, 61 (18%) reported discontent. After excluding patients with documented complications and those who declined to participate, semi-structured interviews were conducted with 44 patients. The interviews were analyzed according to qualitative content analysis. The purpose was to describe patients' experiences of discontentment 1 year after total knee arthroplasty. Results: The patients experienced unfulfilled expectations and needs regarding unresolved and new problems, limited independence, and lacking of relational supports. They were bothered by pain and stiffness, and worried that changes were complications as a result of surgery. They described inability to perform daily activities and valued activities. They also felt a lack of relational supports, and a lack of respect and continuity, support from health care, and information adapted to their needs. Conclusion: Patient expectation seems to be the major contributing factor in patient discontentment after knee replacement surgery. This qualitative study sheds light on the on the meaning of unfulfilled expectations, in contrast to previous quantitative studies. The elements of unfulfilled expectations need to be dealt with both on the individual staff level and on the organizational level. For instance, increased continuity of healthcare staff and facilities may help to improve patient satisfaction after surgery.

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Sportliche Aktivität nach Gelenkersatz: Erfahrungen und Erwartungen älterer Rehabilitanden– Ergebnisse einer qualitativen Inhaltsanalyse leitfadengestützter Interviews

Abstract: Counselling on sports activities following joint replacement needs to consider individual motives, barriers and previous sports experience in order to be perceived as supportive.

Cited by 3 publications

References 9 publications

How do orthopaedic surgeons inform their patients before knee arthroplasty surgery? A cross-sectional study

How do orthopaedic surgeons inform their patients before knee arthroplasty surgery? A cross-sectional study

Information extraction using a mixed method analysis of social media data: A case study of the police shooting during the anti-Sterlite protests at Thoothukudi, India

Patients’ experiences of discontentment one year after total knee arthroplasty- a qualitative study

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