Attitudes to knee osteoarthritis and total knee replacement in Arab women: a qualitative study

BMC Research Notes

Shaima Al-Mahmoud²  Dia Shehab³  Ehab Elsalawy¹  Reem Al-Sabah⁴  Abdullah Al-Taiar⁴ 

[1] Al-Razi Hospital, Kuwait, Kuwait;Department of Psychology, College of Arts and Sciences, Kent State University, Kent, USA;Department of Medicine, Faculty of Medicine, Kuwait University, Box: 24923, Safat 13110, Kuwait;Department of Community Medicine and Behavioural Sciences, Faculty of Medicine, Kuwait University, Box: 24923, Safat 13110, Kuwait

关键词: Middle East;    Arthroplasty;    Kuwait;    Pain;    Knee;   

Others  :  1141431
DOI  :  10.1186/1756-0500-6-406

 received in 2013-03-28, accepted in 2013-10-08,  发布年份 2013

【 摘 要 】

Background

Total Knee Arthroplasty (TKA) is offered to patients with knee osteoarthritis (OA) in the oil-rich countries in the Gulf region without adequate understanding of their perceptions, preferences or pain experiences. This study aimed to explore the pain experience and mobility limitation as well as the patient’s decision making process to undertake TKA among women with knee pain in the waiting list for surgery.

Methods

Five focus group discussions were conducted comprised of 39 women with severe knee OA from the waiting list for TKA in the only orthopaedic hospital in Kuwait. Discussions were recorded, transcribed and coded for themes to identify the factors considered to be important in decision-making for TKA.

Results

Experiencing knee pain was central to daily living and affected patients and their families. Mobility limitation was shaped by a strong sense of expected obligation to take care of the family. Two major sources of TKA delay were identified; one was due to late clinical advice to undergo TKA which was the result of receiving several consultations from different clinicians each of whom tried the medical management for OA. The second delay occurred after the clinical advice for TKA and was mainly due to ambivalence of patients because of fear of the operation and the lack of information about TKA that resulted in unclear expectations of the surgery.

Conclusions

Both verbal and written information about TKA should be provided as part of preoperative rehabilitation. This is critical to improve doctor-patient interactions and facilitate informed decision about the procedure and thus achieve patient-centered healthcare.

【 授权许可】

   
2013 Al-Taiar et al.; licensee BioMed Central Ltd.

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