REVIEW
Expectations and experiences of patients with osteoarthritis undergoing total joint arthroplasty: An integrative review
Min Ting Alicia See RN,
Yanika Kowitlawakul Dr, PhD, RN,
Apphia Jia Qi Tan RN,
Sok Ying Liaw Dr, PhD, RN,
Corresponding Author
Min Ting Alicia See RN
PhD student, Bachelor of Science (Nursing) (Honours), Senior Staff Nurse
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Correspondence
Min Ting Alicia See, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Email: [email protected]
Search for more papers by this authorYanika Kowitlawakul Dr, PhD, RN
Assistant Professor
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Search for more papers by this authorApphia Jia Qi Tan RN
Bachelor of Science (Nursing) (Honours), Staff Nurse
National University Health System, Singapore
Search for more papers by this authorSok Ying Liaw Dr, PhD, RN
Associate Professor
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Search for more papers by this authorMin Ting Alicia See RN,
Yanika Kowitlawakul Dr, PhD, RN,
Apphia Jia Qi Tan RN,
Sok Ying Liaw Dr, PhD, RN,
Corresponding Author
Min Ting Alicia See RN
PhD student, Bachelor of Science (Nursing) (Honours), Senior Staff Nurse
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Correspondence
Min Ting Alicia See, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Email: [email protected]
Search for more papers by this authorYanika Kowitlawakul Dr, PhD, RN
Assistant Professor
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Search for more papers by this authorApphia Jia Qi Tan RN
Bachelor of Science (Nursing) (Honours), Staff Nurse
National University Health System, Singapore
Search for more papers by this authorSok Ying Liaw Dr, PhD, RN
Associate Professor
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Search for more papers by this authorAbstract
Background
The effectiveness of educational interventions for osteoarthritic patients undergoing total joint arthroplasty remains inconclusive. It is essential to understand the educational needs of these patients from their perspectives.
Aim
The aim of this study was to systematically summarize and synthesize osteoarthritic patients' expectations and experiences in undergoing total joint arthroplasty to identify their educational needs.
Design
An integrative review was conducted.
Methods
Twenty studies (13 qualitative and 7 quantitative), published between 2006 and 2016, were independently appraised by 2 reviewers using the Critical Appraisal Skills Programme checklist for qualitative studies and the Joanna Briggs Institute Critical Appraisal Tools for quantitative studies. Data were analysed using thematic analysis, and the findings were synthesized in a narrative summary.
Results
Six themes describing patients' preoperative and post-operative educational needs were identified: (1) preoperative anxiety, (2) unrealistic expectations of recovery, (3) post-operative pain, (4) regaining functional abilities, (5) physical and psychological sense of loss, and (6) lack of continuity of care.
Conclusion
This review is the first to capture the osteoarthritic patients' educational needs from their perspectives. The biopsychosocial model can address the multidimensionality (biological, psychological, and social) of patients' educational needs. A robust infrastructure supporting interprofessional collaborative practice and continuity of care should be adopted to enhance current educational efforts.
CONFLICTS OF INTEREST
The authors declared no conflicts of interest.
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