title: Health-related stressors experienced by patients who underwent total knee replacement seven days after being discharged home.
abstract: BACKGROUND
  Empirical evidence indicates that the first few weeks after total knee replacement are likely to be stressful for patients. However, no reported studies have examined the type of stressors that individuals encounter during the first few days at home.
  
  
  OBJECTIVE
  The purpose of this study was to describe stressors experienced by patients 7 days post-hospitalization after total knee replacement who were managing their care at home.
  
  
  METHODS
  The stressor of most concern to the patient was identified using an open-ended question. Intensity, frequency, and duration of the stressors were measured using five-point Likert response scales.
  
  
  RESULTS
  Various stressors were identified, but those of most concern related to pain management and bowel difficulties. Respondents indicated the stressors caused a great deal of concern/worry and occurred daily and most could have been prevented if patients had sufficient self-care knowledge.
  
  
  CONCLUSIONS
  The study suggests that preoperative education of patients may need to be improved and that nurses may need to contact patients after discharge to assist them with postoperative problems and concerns.
authors.affiliation: Indiana University, Community Health Network, Indianapolis, IN, USA.
authors.forename: Peggy
authors.initials: P
authors.lastname: Barksdale
authors.forename: Jane
authors.initials: J
authors.lastname: Backer
mesh_terms: D019645:Arthroplasty, Replacement, Knee; D006801:Humans; D010351:Patient Discharge; D013312:Stress, Physiological / Q000503:physiopathology*