Patients' experiences during the first 12 weeks after discharge in fast-track hip and knee arthroplasty – a qualitative study. (November 2018)

• Record Type: Journal Article
• Authors: Specht, Kirsten; Agerskov, Hanne; Kjaersgaard-Andersen, Per; Jester, Rebecca; Pedersen, Birthe D.
• Is Part Of: International journal of orthopaedic and trauma nursing. Number 31(2018)
• Page Start: 13
• Page End: 19
• Publication Date: 2018-11
• Subjects: Orthopedic nursing -- Periodicals; Wounds and injuries -- Nursing -- Periodicals; 616.7023105
• DOI: 10.1016/j.ijotn.2018.08.002
• Languages: English
• ISSNs: 1878-1241

Abstract

Abstract: Background: Due to the shortened length of stay in fast-track total hip and knee arthroplasty, patients must at a very early stage following surgery take responsibility for their postoperative care and treatment. It is important to establish if this treatment modality of fast-track is not only cost-effective, but meets patients' expectations and needs. Aim: To explore the lived experience of patients in fast-track total hip and knee arthroplasty during the first 12 weeks after discharge. Methods: A phenomenological-hermeneutic approach was used inspired by Ricoeur's theory of narrative and interpretation. Data were collected through semi-structured interviews with 8 patients 2 and 12 weeks after discharge. Findings: Through the structural analysis 3 themes emerged: 1) Dealing with transition between hospital and home, 2) Pain and self-management of medication, 3) Challenges in rehabilitation. Conclusion: Patients appreciated only 1 or 2 days in hospital. However, they were not sufficiently involved in the discharge planning. There was a feeling of uncertainty and being left on their own after discharge, which could affect their pain management and recovery at home. There is a need to develop in partnership with each individual patient a post discharge plan of care and rehabilitation to meet their individual needs, preferences and mode of motivation.