Assessment of patients' self-reported levels of adherence to postoperative restrictions following total hip replacement.

Humans Male Female Aged Arthroplasty, Replacement, Hip Hip Dislocation / etiology Self Report Surveys and Questionnaires Movement
Adherence Arthroplasty Hip replacement Precautions

Journal

Physiotherapy
ISSN: 1873-1465
Titre abrégé: Physiotherapy
Pays: England
ID NLM: 0401223

Informations de publication

Date de publication:
12 2022
Historique:
received: 24 05 2021
revised: 10 03 2022
accepted: 21 04 2022
pubmed: 28 9 2022
medline: 9 11 2022
entrez: 27 9 2022
Statut: ppublish

Résumé

Postoperative precautions that limit hip movement reduce the incidence of postoperative dislocation following total hip replacement (THR). It is assumed that patients adhere to these precautions, but true adherence is unknown. To assess adherence to postoperative precautions, including bending, twisting, crossing of legs, sleeping position and sitting position following primary THR surgery. A self-reporting questionnaire explored patient adherence to precautions following primary THR. Questionnaires were sent to 120 patients following elective primary THR at two orthopaedic centres in England between November 2016 and April 2017. Patients were also asked to report the duration of adherence and the difficulty associated with adherence to each of the precautions. Eighty-three percent (99/120) of patients responded. Of these, 56% (56/99) were female and 44% (44/99) were male. Mean age was 66.0 (standard deviation 9.4) years. Seventy-six percent of patients were classified as 'highly adherent' to the precautions in hospital, and this reduced to 68% when patients went home. The median duration of adherence to the precaution to avoid crossing legs was 6 weeks [interquartile range (IQR) 6-6]. For the remaining four precautions, the median duration of adherence was consistently 6 weeks (IQR 4-6). High levels of adherence to precautions following THR were identified. However, patients reported difficulty adhering to the precautions, which may explain why 24% of patients were not able to adhere to the precautions> 90% of the time. Patients reported that the most difficult precaution to adhere to was supine sleeping, and the least difficult precautions to adhere to were avoiding crossing legs and using a raised chair.

Sections du résumé

BACKGROUND
Postoperative precautions that limit hip movement reduce the incidence of postoperative dislocation following total hip replacement (THR). It is assumed that patients adhere to these precautions, but true adherence is unknown.
AIMS
To assess adherence to postoperative precautions, including bending, twisting, crossing of legs, sleeping position and sitting position following primary THR surgery.
METHODS
A self-reporting questionnaire explored patient adherence to precautions following primary THR. Questionnaires were sent to 120 patients following elective primary THR at two orthopaedic centres in England between November 2016 and April 2017. Patients were also asked to report the duration of adherence and the difficulty associated with adherence to each of the precautions.
RESULTS
Eighty-three percent (99/120) of patients responded. Of these, 56% (56/99) were female and 44% (44/99) were male. Mean age was 66.0 (standard deviation 9.4) years. Seventy-six percent of patients were classified as 'highly adherent' to the precautions in hospital, and this reduced to 68% when patients went home. The median duration of adherence to the precaution to avoid crossing legs was 6 weeks [interquartile range (IQR) 6-6]. For the remaining four precautions, the median duration of adherence was consistently 6 weeks (IQR 4-6).
CONCLUSION
High levels of adherence to precautions following THR were identified. However, patients reported difficulty adhering to the precautions, which may explain why 24% of patients were not able to adhere to the precautions> 90% of the time. Patients reported that the most difficult precaution to adhere to was supine sleeping, and the least difficult precautions to adhere to were avoiding crossing legs and using a raised chair.

Identifiants

DOI: 10.1016/j.physio.2022.04.001 PMID: 36166873
pubmed: 36166873
pii: S0031-9406(22)00058-X
doi: 10.1016/j.physio.2022.04.001
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-7

Informations de copyright

Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.

Auteurs

Justine Theaker (J)

Research in Osteoarthritis in Manchester Team, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK; Manchester University NHS Foundation Trust, Manchester, UK. Electronic address: justine.theaker@mft.nhs.uk.

Jackie Oldham (J)

Research in Osteoarthritis in Manchester Team, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.

Michael Callaghan (M)

Research in Osteoarthritis in Manchester Team, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK; Manchester University NHS Foundation Trust, Manchester, UK; Manchester Metropolitan University, Manchester, UK.

Matthew Parkes (M)

Research in Osteoarthritis in Manchester Team, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Assessment of patients' self-reported levels...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Assessment of patients' self-reported levels...
questionsmedicales.fr › Procédures de chirurgie opératoire › Implantation de prothèse › Arthroplastie prothétique › Arthroplastie prothétique de hanche › Assessment of patients' self-reported levels...
questionsmedicales.fr › Plaies et blessures › Traumatismes de la hanche › Luxation de la hanche › Assessment of patients' self-reported levels...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Autorapport › Assessment of patients' self-reported levels...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Assessment of patients' self-reported levels...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système locomoteur › Mouvement › Assessment of patients' self-reported levels...