It's not just a knee, but a whole life: A qualitative descriptive study on patients' experiences of living with knee osteoarthritis and their expectations for knee arthroplasty.

Abstract:

AIM:Knee arthroplasties are an increasingly common treatment for osteoarthritis (OA) and the main indication is pain. Previous research states, however, that 15-20% of the operated patients are dissatisfied and 20-30% have persistent pain after surgery. This study is aimed at describing patients' experiences of living with knee OA when scheduled for surgery and further their expectations for future life after surgery. METHODS:We interviewed 12 patients with knee OA scheduled for arthroplasty, using semi-structured qualitative interviews. The interviews were recorded and transcribed verbatim and analyzed using qualitative thematic analysis. FINDINGS:Three categories were formulated with an overriding theme: "It's not just a knee, but a whole life." The three categories were "Change from their earlier lives," "Coping with knee problems," and "Ultimate decision to undergo surgery." The main finding was that knee OA affects the whole body and self, ultimately affecting the patients' lives on many levels. Further findings were that knee OA was considered to be the central focus in the participants' lives, which limited their level of activity, their ability to function as desired, their quality of life, and their mental well-being. Although surgery was considered to be the only solution, the expectations regarding the outcome differed. CONCLUSIONS:The participants were forced to change how they previously had lived their lives resulting in a feeling of loss. Thus, the experienced loss and expectations for future life must be put into the context of the individual's own personality and be taken into account when treating individuals with knee OA. The experience of living with knee OA largely varies between individuals. This mandates that patients' assessment should be considered on individual basis with regard to each patient.

authors

Nyvang J,Hedström M,Gleissman SA

doi

10.3402/qhw.v11.30193

subject

Has Abstract

pub_date

2016-03-31 00:00:00

pages

30193

eissn

1748-2623

issn

1748-2631

pii

30193

journal_volume

11

pub_type

杂志文章
  • Children's understandings' of obesity, a thematic analysis.

    abstract::Childhood obesity is a major concern in today's society. Research suggests the inclusion of the views and understandings of a target group facilitates strategies that have better efficacy. The objective of this study was to explore the concepts and themes that make up children's understandings of the causes and conseq...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v6i3.7170

    authors: Fielden AL,Sillence E,Little L

    更新日期:2011-01-01 00:00:00

  • Qualitative evaluation: a critical and interpretative complementary approach to improve health programs and services.

    abstract::This short essay aims at commenting on the origin, development, rationale, and main characteristics of qualitative evaluation (QE), emphasizing the value of this methodological tool to evaluate health programs and services. During the past decades, different approaches have come to light proposing complementary altern...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v9.24417

    authors: Tayabas LM,León TC,Espino JM

    更新日期:2014-08-22 00:00:00

  • The implications of autonomy: Viewed in the light of efforts to uphold patients dignity and integrity.

    abstract::This article focuses on Danish patients' experience of autonomy and its interplay with dignity and integrity in their meeting with health professionals. The aim is to chart the meanings and implications of autonomy for persons whose illness places them in a vulnerable life situation. The interplay between autonomy and...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v6i2.6045

    authors: Delmar C,Alenius-Karlsson N,Mikkelsen AH

    更新日期:2011-01-01 00:00:00

  • Fathers' experiences of being in change during pregnancy and early parenthood in a context of intimate partner violence.

    abstract:OBJECTIVE:Intimate partner violence (IPV) is a large public health problem with far-reaching consequences for those involved. The aim of this study was to explore fathers' experiences of change during pregnancy and early parenthood in the context of IPV. METHODS:The methodological approach in this interview study was ...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v11.30935

    authors: Håland K,Lundgren I,Lidén E,Eri TS

    更新日期:2016-06-16 00:00:00

  • Methodology or method? A critical review of qualitative case study reports.

    abstract::Despite on-going debate about credibility, and reported limitations in comparison to other approaches, case study is an increasingly popular approach among qualitative researchers. We critically analysed the methodological descriptions of published case studies. Three high-impact qualitative methods journals were sear...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章,评审

    doi:10.3402/qhw.v9.23606

    authors: Hyett N,Kenny A,Dickson-Swift V

    更新日期:2014-05-07 00:00:00

  • Prerequisites for sustainable care improvement using the reflective team as a work model.

    abstract::Several work models for care improvement have been developed in order to meet the requirement for evidence-based care. This study examines a work model for reflection, entitled the reflective team (RT). The main idea behind RTs is that caring skills exist among those who work closest to the patients. The team leader (...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v9.23934

    authors: Jonasson LL,Carlsson G,Nyström M

    更新日期:2014-10-23 00:00:00

  • Brief admission (BA) for patients with emotional instability and self-harm: nurses' perspectives - person-centred care in clinical practice.

    abstract::Purpose: Emotional instability and self-harm pose major problems for society and health care. There are effective interventions in outpatient care, but when patients need inpatient care, nurses often struggle meeting their patient's needs. Brief admission (BA) is a newly implemented crisis intervention and novel form ...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2019.1667133

    authors: Eckerström J,Allenius E,Helleman M,Flyckt L,Perseius KI,Omerov P

    更新日期:2019-12-01 00:00:00

  • How HIV patients construct liveable identities in a shame based culture: the case of Singapore.

    abstract::This article interrogates the mainstream healthcare narrative that frames human immunodeficiency virus (HIV) as a chronic disease, and triangulates it with the lived experiences of people with HIV in Singapore. It also examines how HIV patients reconstruct their identities after the diagnosis of HIV. Four HIV patients...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2017.1333899

    authors: Ho LP,Goh ECL

    更新日期:2017-12-01 00:00:00

  • "Hitting the wall": Lived experiences of mental health crises.

    abstract:BACKGROUND:As Norway moves toward the provision of home-based crisis response, knowledge is needed about understandings of mental health crisis and effective ways of addressing crises within the home. OBJECTIVE:To elicit and learn from service users' experiences about the subjective meanings of crisis and what kind of...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v6i4.7197

    authors: Borg M,Karlsson B,Lofthus AM,Davidson L

    更新日期:2011-01-01 00:00:00

  • Slaughtering for a living: A hermeneutic phenomenological perspective on the well-being of slaughterhouse employees.

    abstract::Slaughterhouses constitute a unique work setting exposing employees to particular physical and psychological health challenges. Research that focuses on the well-being of slaughterhouse employees is limited, and the aim of this study was to explore their well-being by conducting a hermeneutic phenomenological study of...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v11.30266

    authors: Victor K,Barnard A

    更新日期:2016-04-20 00:00:00

  • From risky to safer home care: health care assistants striving to overcome a lack of training, supervision, and support.

    abstract::Patients receiving home care are becoming increasingly dependent upon competent caregivers' 24-h availability due to their substantial care needs, often with advanced care and home care technology included. In Sweden, care is often carried out by municipality-employed paraprofessionals such as health care assistants (...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v8i0.20758

    authors: Swedberg L,Chiriac EH,Törnkvist L,Hylander I

    更新日期:2013-05-23 00:00:00

  • The experiences of patients with Duchenne muscular dystrophy in facing and learning about their clinical conditions.

    abstract::Patients experience extreme difficulty when facing an intractable genetic disease. Herein, we examine the experiences of patients with Duchenne muscular dystrophy in facing and learning about their disease. A total of seven patients with Duchenne muscular dystrophy (age range: 20-48) participated. We conducted in-dept...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v11.32045

    authors: Fujino H,Iwata Y,Saito T,Matsumura T,Fujimura H,Imura O

    更新日期:2016-10-05 00:00:00

  • Struggling for recognition and inclusion-parents' and pupils' experiences of special support measures in school.

    abstract::During the last decade an increasing use of differentiated support measures for pupils with special educational needs, indicative of a discrepancy between educational policies and practices, has been witnessed in Sweden. Another trend has been the increased use of medical diagnoses in school. The aim of this study was...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v5i1.4646

    authors: Isaksson J,Lindqvist R,Bergström E

    更新日期:2010-02-08 00:00:00

  • The cascade of social determinants in producing chronic disease in low-income African-American men.

    abstract:PURPOSE:There is a dearth of effective, evidence-based programs to reduce chronic disease in low-income African-American men. We report on the results of formative research in the National Institutes of Health (NIH)-funded MOCHA Moving Forward project on factors identified by the participants to drive health disparitie...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2018.1549920

    authors: Buchanan D,Gubrium A,Scott L,Douglas H Jr

    更新日期:2018-12-01 00:00:00

  • Perspectives on quality mental health care from Brazilian and Cape Verdean outpatients: implications for effective patient-centered policies and models of care.

    abstract::Mental health providers are increasingly coming into contact with large and growing multi-racial/ethnic and immigrant patient populations in the United States. Knowledge of patient perspectives on what constitutes quality mental health care is necessary for these providers. The aim of this study was to identify indica...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v9.22839

    authors: De Jesus M,Earl TR

    更新日期:2014-01-21 00:00:00

  • "Time after time": a Quali-T method for assessing music's impact on well-being.

    abstract::This article considers the question of how to produce ecologically valid assessments of music's role as a health technology. To address this question, I consider critically some of the standard quantitative instruments used to assess well-being and quality of life. I suggest that these instruments do not lend themselv...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v8i0.20611

    authors: DeNora T

    更新日期:2013-08-07 00:00:00

  • Life situation and identity among single older home-living people: a phenomenological-hermeneutic study.

    abstract::Being able to continue living in their own home as long as possible is the general preference for many older people, and this is also in line with the public policy in the Nordic countries. The aim of this study was to elucidate the meaning of self-care and health for perception of life situation and identity among si...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v7i0.18456

    authors: Dale B,Söderhamn U,Söderhamn O

    更新日期:2012-01-01 00:00:00

  • Shared topics on the experience of people with haemophilia living in the UK and the USA and the influence of individual and contextual variables: Results from the HERO qualitative study.

    abstract::The study illuminates the subjective experience of haemophilia in people who took part in the Haemophilia Experience, Results and Opportunities (HERO) initiative, a quali-quantitative research program aimed at exploring psychosocial issues concerning this illness around the world. Applying a bottom-up analytic process...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v10.28915

    authors: Palareti L,Potì S,Cassis F,Emiliani F,Matino D,Iorio A

    更新日期:2015-11-16 00:00:00

  • Medical procedures in children using a conceptual framework that keeps a focus on human dimensions of care - a discussion paper.

    abstract::Purpose: Children's perspectives in the context of health service delivery have historically been seen as unimportant. They have been viewed as unintelligent, unable to effectively share or tell of their experiences or fully participate in their care, potentially resulting in a sense of dehumanisation. Method: The pre...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2019.1675354

    authors: Karlsson K,Galvin K,Darcy L

    更新日期:2019-12-01 00:00:00

  • Preparing for a paradigm shift in aging populations: listen to the oldest old.

    abstract:PURPOSE:Current healthcare systems are not suitable for serving future societies in which the oldest old are commonplace. The objective of this study was to understand what the oldest old care most about in their daily lives. METHODS:Semi-structured in-depth interviews and thematic analysis were used. Face-to-face int...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2018.1511768

    authors: Komatsu H,Yagasaki K,Kida H,Eguchi Y,Niimura H

    更新日期:2018-12-01 00:00:00

  • Striving for a silent knee: a qualitative study of patients' experiences with knee replacement surgery and their perceptions of fulfilled expectations.

    abstract::Purpose: Fifteen to twenty percent of patients with a knee arthroplasty are dissatisfied with their replaced joint. This study aimed to describe patients' experiences of undergoing knee replacement surgery, both total- and unicompartmental knee replacement, and post-operative recovery, and to determine whether expecta...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2019.1620551

    authors: Skogö Nyvang J,Hedström M,Iversen MD,Andreassen Gleissman S

    更新日期:2019-12-01 00:00:00

  • Expanding the scope and relevance of health interventions: moving beyond clinical trials and behavior change models.

    abstract::An overemphasis on clinical trials and behavior change models has narrowed the knowledge base that can be used to design interventions. The overarching point is that the process of overanalyzing variables is impeding the process of gaining insight into the everyday experiences that shape how people define health and s...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v9.24743

    authors: Rigg KK,Cook HH,Murphy JW

    更新日期:2014-07-21 00:00:00

  • Struggling with one's own parenting after an upbringing with substance abusing parents.

    abstract:AIM:To add to our knowledge concerning the key elements involved in the individual's experience of growing up with substance abusing parents and the resulting challenges this involved for their own parenthood. METHODS:In-depth interviews were conducted with 19 parents who had participated in a mental health interventi...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2018.1435100

    authors: Tedgård E,Råstam M,Wirtberg I

    更新日期:2018-12-01 00:00:00

  • The habilitation nursing of children with developmental disabilities--beyond traditional nursing practices and principles?

    abstract::Research-based descriptions of the contents of the habilitation nursing of children with developmental disabilities are lacking. The objective of this qualitative study was to describe the habilitation nursing of children with developmental disabilities in a Finnish children's neurological ward. In addition, the purpo...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v9.23106

    authors: Olli J,Vehkakoski T,Salanterä S

    更新日期:2014-03-21 00:00:00

  • Acceptance and expectance: Cultural norms for alcohol use in Denmark.

    abstract::Alcohol consumption levels in Denmark are high with the risk of increased morbidity and mortality in the population. It is suggested that people's views of "normal" use of alcohol must be the platform for formulating effective alcohol education and prevention strategies. However, little is known about the cultural nor...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.3402/qhw.v6i4.8461

    authors: Grønkjær M,Curtis T,Crespigny CD,Delmar C

    更新日期:2011-01-01 00:00:00

  • Salutogenesis as a theoretical framework for psychosocial rehabilitation: the case of the Clubhouse model.

    abstract::Purpose: This study explored whether the holistic theory of salutogenesis may be a suitable theoretical framework for the Clubhouse model of psychosocial rehabilitation, a pioneer among psychosocial rehabilitation programmes.Methods: A systematic examination of elements of the Clubhouse model, as prescribed by the Clu...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2020.1748942

    authors: Fekete OR,Kinn LG,Larsen TMB,Langeland E

    更新日期:2020-12-01 00:00:00

  • Exploring experiences among adopters during the diffusion of a novel dance intervention in Sweden.

    abstract::There is a demand for interventions aimed at adolescent girls with psychosomatic problems. In 2013, positive results were reported from a dance intervention programme addressing girls with internalizing problems. The research team behind the intervention immediately received requests from municipalities and county cou...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2018.1438697

    authors: Carlsson N,Kullberg A,Johansson IK,Bergman P,Skagerström J,Andersson A

    更新日期:2018-12-01 00:00:00

  • Considering "the more" of patients suffering from alcohol use disorders. An illustration of acute nursing care from a lifeworld-led perspective.

    abstract:PURPOSE:The purpose of this study is to illustrate a theoretical value framework for humanisation of healthcare, a lifeworld-led care that has the potential to support nurses in acute medical units in addressing and meeting both challenges and care needs expressed by patients suffering from alcohol use disorders. Provi...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2020.1783860

    authors: Bové HM,Lisby M,Brünés N,Norlyk A

    更新日期:2020-12-01 00:00:00

  • A qualitative analysis of the social and cultural contexts that shape screen time use in Latino families living on the U.S.-Mexico border.

    abstract::Purpose: The purpose of this study was to understand how first generation Latino parents, whose primary language is Spanish and live in a colonia on the U.S.-Mexico border, use screen time in their homes.Methods: A purposeful sampling approach was used to recruit eligible parents of pre-adolescents (ages 9-14) who wer...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2020.1735766

    authors: Barroso CS,Springer AE,Ledingham CM,Kelder SH

    更新日期:2020-12-01 00:00:00

  • It's hard to reach the "hard-to-reach": the challenges of recruiting people who do not access preventative healthcare services into interview studies.

    abstract::In this article, we discuss the challenges faced in recruiting "hard-to-reach" groups for interview studies, specifically those who do not access preventative healthcare services. We do this by reflecting on the varying success of different recruitment methods we have used in two recent studies; one investigating ethn...

    journal_title:International journal of qualitative studies on health and well-being

    pub_type: 杂志文章

    doi:10.1080/17482631.2018.1479582

    authors: Rockliffe L,Chorley AJ,Marlow LAV,Forster AS

    更新日期:2018-12-01 00:00:00