title: A qualitative study of pain experiences in patients requiring hip and knee arthroplasty.
abstract: The aim of this study was to conduct an in-depth investigation of experiences with pain before knee and hip replacement surgery. A total of 20 patients were interviewed, and interpretative phenomenological analysis was used to identify themes. These were as follows: living with pain, pain conceptualised, pain treatments and healthcare system. Pre-surgical pain is very disabling and is viewed as biological. There was an associated loss of independence. Pharmaceutical management is used by all but not entirely effective, psychological therapies are underutilised. Patients were frustrated, angry, and confused about qualifying for surgery. Many areas of care could be improved to help these pre-surgical patients.
authors.affiliation: University of Otago, New Zealand.
authors.forename: Jessica
authors.initials: J
authors.lastname: Leov
authors.affiliation: University of Otago, New Zealand.
authors.forename: Ella
authors.initials: E
authors.lastname: Barrett
authors.affiliation: University of Otago, New Zealand.
authors.forename: Steve
authors.initials: S
authors.lastname: Gallagher
authors.affiliation: University of Otago, New Zealand.
authors.forename: Nicola
authors.initials: N
authors.lastname: Swain
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001168:Arthritis / Q000150:complications / Q000503:physiopathology* / Q000523:psychology; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D010146:Pain / Q000209:etiology / Q000503:physiopathology* / Q000523:psychology; D011183:Postoperative Complications / Q000503:physiopathology*; D057234:Preoperative Period; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology
keywords: arthritis; complementary and alternative medicine; health psychology; mental illness; pain; psychological distress; qualitative methods; quality of life; surgery