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首页> 外文期刊>BMC Health Services Research >Patient and health professional views on rehabilitation practices and outcomes following total hip and knee arthroplasty for osteoarthritis:a focus group study
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Patient and health professional views on rehabilitation practices and outcomes following total hip and knee arthroplasty for osteoarthritis:a focus group study

机译：病人和卫生专业人员对全髋和膝关节置换术治疗骨关节炎后的康复做法和结果的看法：焦点小组研究

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Background There is worldwide variation in rehabilitation practices after total hip arthroplasty (THA) and total knee arthroplasty (TKA) and no agreement on which interventions will lead to optimal short and long term patient outcomes. As a first step in the development of clinical practice guidelines for post-acute rehabilitation after THA and TKA, we explored experiences and attitudes about rehabilitation practices and outcomes in groups of individuals identified as key stakeholders. Methods Separate focus groups and interviews were conducted with patients (THA or TKA within past year) and three health professional groups: allied health professionals (AHPs), orthopaedic surgeons, and other physicians, in Canada and the United States. Pairs of moderators led the focus groups using a standardized discussion guide. Discussions were audiotaped and transcribed verbatim. A content analysis within and across groups identified key themes. Results Eleven focus groups and eight interviews took place in six sites. Patients (n = 32) varied in age, stage of recovery, and surgical and rehabilitation experiences. Health professionals (n = 44) represented a range of disciplines, practice settings and years of experience. Six key themes emerged: 1) Let's talk (issues related to patient-health professional and inter-professional communication); 2) Expecting the unexpected (observations about unanticipated recovery experiences); 3) It's attitude that counts (the importance of the patient's positive attitude and participation in recovery); 4) It takes all kinds of support (along the continuum of care); 5) Barriers to recovery (at patient, provider and system levels), and 6) Back to normal (reflecting diversity of expected outcomes). Patients offered different, but overlapping views compared to health professionals regarding rehabilitation practices and outcomes following THA and TKA. Conclusion Results will inform subsequent phases of guideline development and ensure stakeholders' perspectives shape the priorities, content and scope of the guidelines.
机译：背景技术在全髋关节置换术（THA）和全膝关节置换术（TKA）之后的康复实践方面，全球存在差异，而且对于哪种干预措施可导致最佳的短期和长期患者预后，尚无共识。作为制定THA和TKA后急性康复后临床实践指南的第一步，我们探讨了被确定为关键利益相关者的个人对康复实践和结果的经验和态度。方法在加拿大和美国，分别对患者（过去一年之内的THA或TKA）和三个健康专业组（专职健康专业人士（AHP），整形外科医生和其他医师）进行了焦点小组讨论和访谈。主持人对使用标准化的讨论指南领导了焦点小组。讨论录音和逐字记录。小组内部和小组之间的内容分析确定了关键主题。结果在六个地点进行了11个焦点小组和8个访谈。患者（n = 32）的年龄，恢复阶段以及手术和康复经历各不相同。卫生专业人员（n = 44）代表了一系列学科，实践环境和多年经验。出现了六个关键主题：1）让我们谈谈（与患者健康专业人员和专业间沟通有关的问题）; 2）期待意外（有关意外恢复经验的观察）; 3）态度很重要（患者的积极态度和参与康复的重要性）; 4）需要各种支持（以及持续的护理）; 5）恢复的障碍（在患者，提供者和系统级别），以及6）恢复正常（反映了预期结果的多样性）。与THA和TKA后的康复实践和结果相比，与卫生专业人员相比，患者提供了不同但重叠的观点。结论结果将为指南制定的后续阶段提供信息，并确保利益相关者的观点确定指南的重点，内容和范围。

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