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The hip and knee replacement operation: an extensive life event
Author(s) -
Gustafsson Birgitta Åkesdotter,
Ekman SirkkaLiisa,
Ponzer Sari,
Heikkilä Kristiina
Publication year - 2010
Publication title -
scandinavian journal of caring sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.678
H-Index - 66
eISSN - 1471-6712
pISSN - 0283-9318
DOI - 10.1111/j.1471-6712.2009.00759.x
Subject(s) - happiness , intervention (counseling) , everyday life , anxiety , negotiation , knee replacement , meaning (existential) , joint replacement , psychology , physical therapy , medicine , osteoarthritis , hip replacement , arthroplasty , psychotherapist , nursing , psychiatry , surgery , sociology , alternative medicine , social science , pathology , political science , law
Scand J Caring Sci; 2010; 24; 663–670
The hip and knee replacement operation: an extensive life eventBackground: A total hip replacement and a total knee replacement have shown to effectively reduce pain and disability in patients with osteoarthritis of the hip and knee joint despite associated risks. Even though the intervention primarily concerns older people with additional health problems, the patients stand on their feet the day after the operation and are discharged a few days later. Previous research indicates that reflections about life are related to the operation. Aim: The aim of this study was to illuminate the meaning of reflections related to hip and knee replacement surgery. Method: A phenomenological hermeneutical approach with a longitudinal design was chosen in order to study the participants’ experiences of the hip and knee replacement intervention across the entire perioperative period. Findings: Four themes emerged from the structural analysis; choosing the challenge, past memories connect to the current situation, moving from happiness to ordinary everyday life and moving from despair towards reluctant acceptance of unexpected bad conditions for everyday life. There was inner negotiations about having surgery or not, and existential anxiety that reminded people that life cannot be taken for granted. Conclusion: Our findings indicate the operation was seen as an extensive life event including reflections about life and death and about hope and fear. Previous bad experiences of care seemed to influence the way patients dealt with fear and hope. Fear had to be overcome by inner negotiations about undergoing surgery or not. Relief was expressed about surviving the actual operation, but soon after fears arose about how to manage on the actual road to recovery. Hope for a good life grew either stronger or weaker, depending on the progress following the operation. The outcome eventually generated a transition from happiness to ordinary everyday life, or a transition from despair towards reluctant acceptance of unfulfilled expectations.