Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Experiences of Patients Undergoing Total Knee Arthroplasty: A Qualitative Study
Total Diz Protezi Uygulanan Hastaların Deneyimleri: Kalitatif Bir Çalışma
Ayşegül SAVCIa, Özlem BİLİKb
aDepartment of Surgical Diseases Nursing, Kütahya Health Sciences University Faculty of Health Sciences, Kütahya, TURKEY
bDepartment of Surgical Diseases Nursing, Dokuz Eylül University Faculty of Nursing, İzmir, TURKEY
Turkiye Klinikleri J Nurs Sci. 2019;11(1):7-16
doi: 10.5336/nurses.2018-60774
Article Language: EN
Full Text
ABSTRACT
 Objective: The number of total knee arthroplasty (TKA) surgeries performed has steadily increased in recent years. Patients undergoing total knee arthroplasty experiences various circumstances that effect their quality of life before and after surgery. The aim of this study is to narrate what patients who had TKA went through. Material and Methods: Descriptive qualitative design was used to elicit information for the study. Phenomenological research has been carried out in with Turkish 17 patients who had total knee arthroplasty. Semi-structured interviews has been used and purposeful sampling method. Content analysis followed using verbtaim transcripts. Results: Three themes were determined: (a) the decision making, (b) the early post-operative period (enduring), (c) the adaptation theme. According to the study results, patients experience many problems in decision making phase, intra-operative process, acute care phase, discharge phase and afterwards. Adaptability or inadaptability to the prosthesis is related to many complicated features. Conclusions: The patients may not be able to cope with the difficulties and need multi-dimensional care. In order for the patients to adapt to the prosthesis, besides meeting these necessities, it is necessary to evaluate the effect of cultural factors and many features which are unique to human nature.

Keywords: Total knee arthroplasty; experiences; difficulties; adaptation; qualitative study
ÖZET
 Amaç: Son yıllarda total diz protezi (TDP) cerrahisi artarak uygulanan girişimlerdendir. Total diz protezi uygulanan hastalar ameliyat öncesi ve sonrası yaşam kalitelerini etkileyen birçok durum deneyimlerler. Bu çalışmanın amacı TDP ameliyatı olan hastaların deneyimlerini incelemektir. Gereç ve Yöntemler: Tanımlayıcı kalitatif araştırma tasarımı kullanılmıştır. Fenomonolojik tipteki çalışma, TDP ameliyatı olmuş 17 hasta ile yürütülmüştür. Yarı yapılandırılmış görüşme ve amaçlı örneklem yöntemi kullanılmıştır. Veriler içerik analizi kullanılarak analiz edilmiştir. Bulgular: Üç tema belirlenmiştir; (a) karar verme, (b) erken postoperatif dönem (dayanma) ve (c) adaptasyon. Çalışma sonuçlarına göre, hastalar karar verme aşamasında, intraoperatif süreçte, akut bakım evresinde, taburculuk sırasında ve sonrasında birçok problem yaşamaktadır. Protezin uyumu pek çok karmaşık özellik ile ilgilidir. Sonuç: Hastalar karşılaştıkları güçlüklerle baş etmekte zorluk yaşamakta ve çok boyutlu bir bakıma gereksinim duymaktadırlar. Hastaların proteze uyum sağlayabilmeleri için, gereksinimlerini karşılamanın yanı sıra, kültürel faktörlerin ve insan doğasına özgü birçok özelliğin etkisini değerlendirmek gereklidir.

Anahtar Kelimeler: Total diz artroplastisi; deneyimler; güçlükler; uyum; kalitatif çalışma
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