IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v25y2016i17-18p2489-2501.html
   My bibliography  Save this article

The quality of recovery on discharge from hospital, a comparison between patients undergoing hip and knee replacement – a European study

Author

Listed:
  • Åsa Johansson Stark
  • Andreas Charalambous
  • Natalja Istomina
  • Sanna Salanterä
  • Arun K Sigurdardottir
  • Panayota Sourtzi
  • Kirsi Valkeapää
  • Adelaida Zabalegui
  • Margareta Bachrach‐Lindström

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.

Suggested Citation

  • Åsa Johansson Stark & Andreas Charalambous & Natalja Istomina & Sanna Salanterä & Arun K Sigurdardottir & Panayota Sourtzi & Kirsi Valkeapää & Adelaida Zabalegui & Margareta Bachrach‐Lindström, 2016. "The quality of recovery on discharge from hospital, a comparison between patients undergoing hip and knee replacement – a European study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(17-18), pages 2489-2501, September.
    • Handle: RePEc:wly:jocnur:v:25:y:2016:i:17-18:p:2489-2501
    DOI: 10.1111/jocn.13278
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.13278
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.13278?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Brynja Ingadottir & Åsa Johansson Stark & Helena Leino‐Kilpi & Arun K. Sigurdardottir & Kirsi Valkeapää & Mitra Unosson, 2014. "The fulfilment of knowledge expectations during the perioperative period of patients undergoing knee arthroplasty – a Nordic perspective," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(19-20), pages 2896-2908, October.
    2. Kerstin Eriksson & Lotta Wikström & Marianne Lindblad‐Fridh & Anders Broström, 2013. "Using mode and maximum values from the Numeric Rating Scale when evaluating postoperative pain management and recovery," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(5-6), pages 638-647, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Miia Marika Jansson & Marja Harjumaa & Ari‐Pekka Puhto & Minna Pikkarainen, 2020. "Patients’ satisfaction and experiences during elective primary fast‐track total hip and knee arthroplasty journey: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(3-4), pages 567-582, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lotta Wikström & Kerstin Eriksson & Bengt Fridlund & Mats Nilsson & Kristofer Årestedt & Anders Broström, 2017. "The clinical applicability of a daily summary of patients’ self‐reported postoperative pain—A repeated measure analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4675-4684, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:25:y:2016:i:17-18:p:2489-2501. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.