Postoperative Patient Education in Physiotherapy after Hip Arthroplasty: Patients' Perspective.
The objective of the present study was to explore postoperative patient education in physiotherapy from total hip arthroplasty (THA) patients' perspectives, which has been a little-studied area of research. The usefulness of rehabilitation protocols after THA has been debated over the years, and there are no clear guidelines for physiotherapy after THA METHODS: The data for the present qualitative study were collected from nine patients with THA by using individual interviews at the hospital after surgery. The interviews were audio-recorded and analysed by using a phenomenographic method RESULTS: Four different categories of postoperative patient education in physiotherapy after hip arthroplasty were produced: trust while in hospital; preparing for going home; managing at home; and regaining physical fitness. These categories were analysed through the following themes: moving; exercising; and interaction between the patient and the physiotherapist CONCLUSIONS: The postoperative patient education in physiotherapy was constructed hierarchically. According to patients' conceptions, the combination of moving and exercising elements that focused on recovery at home after the operation was essential. This requires a trusting relationship between the patient and the physiotherapist. Two critical aspects can be identified: (i) how the role of moving could shift towards preparing for going home and (ii) widening the perspective from preparing for going home to managing at home. Copyright © 2016 John Wiley & Sons, Ltd.
Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.|Department of Internal Medicine and Rehabilitation, Helsinki University Hospital, Helsinki, Finland.
Anna-Maija
AM
Jäppinen
Department of Internal Medicine and Rehabilitation, Helsinki University Hospital, Helsinki, Finland.
Harri
H
Hämäläinen
Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.|Unit of Primary Health Care, Central Finland Health Care District, Jyväskylä, Finland.
Tarja
T
Kettunen
Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Arja
A
Piirainen
D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities; D011184:Postoperative Period
Postoperative patient education in physiotherapy; hip arthroplasty; patients' perspectives; phenomenography