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Özcan S, Yurten H. Difficulties Experienced by Patients with Knee Osteoarthritis during the Conservative Treatment Process: A Qualitative Study. J Clin Med 2023; 12:6523. [PMID: 37892660 PMCID: PMC10607485 DOI: 10.3390/jcm12206523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 10/11/2023] [Accepted: 10/12/2023] [Indexed: 10/29/2023] Open
Abstract
BACKGROUND AND OBJECTIVES This study aimed to investigate the difficulties faced by patients with knee osteoarthritis during the conservative treatment process. MATERIALS AND METHODS We included twenty-one patients who were diagnosed with knee osteoarthritis and admitted to the orthopedics and traumatology outpatient clinic of the hospital where the researcher worked between January 2022 and April 2022. We interviewed each patient using semi-structured face-to-face interviews. To analyze the interviews, the researcher used the directed content analysis method. Data were analyzed using the NVIVO 10 software package. The authors and the expert trained in qualitative research who generously supported the authors continued the analysis independently of each other until they reached a consensus. RESULTS After analysis of the interviews held with the participants, the following three main themes emerged: lack of information about conservative treatment, frequent change of physicians, and non-compliance with lifestyle changes. Two sub-themes were identified within the theme of frequent change of physicians: distrusting health personnel, and not being able to make an appointment. In addition, most of the patients were not knowledgeable enough about either the definition of the disease or the treatment process. These patients stated that they were confused because they had to change physicians frequently; thus, they distrusted physicians because each physician they visited made a different plan for the treatment process. CONCLUSIONS At the end of the study, we determined that during the conservative treatment process of patients with knee osteoarthritis, a multidisciplinary approach should be adopted, and orthopedic surgeons, physical therapy and rehabilitation physicians, dietitians, and physiotherapists should be in harmony with the patient. In addition, health personnel should provide patients with detailed information to eliminate questions they have during the conservative treatment process. In order for healthcare team members to establish a trusting relationship between the patients, they should allocate enough time to the patient.
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Affiliation(s)
- Seçkin Özcan
- Department of Orthopedics and Traumatology, Yalova Education and Research Hospital, 77100 Yalova, Turkey
| | - Hakan Yurten
- Department of Orthopedics and Traumatology, Elazığ Fethi Sekin City Hospital, 23100 Elazığ, Turkey;
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Thom JM, Dennis S, Gibson KA, Livings R, Mills K, Schabrun SM, Sun H, Naylor JM. Knee osteoarthritis patient perspectives of their care in an australian private physiotherapy setting: a qualitative exploratory interview study. BMC Musculoskelet Disord 2023; 24:564. [PMID: 37434180 DOI: 10.1186/s12891-023-06692-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 07/04/2023] [Indexed: 07/13/2023] Open
Abstract
PURPOSE This study aimed to understand perceptions that knee osteoarthritis patients have regarding their experiences of guideline-based recommendations within their care received from physiotherapists in private practice. METHODS A qualitative semi-structured interview study nested within a larger trial auditing care provided by physiotherapists. Recruited adults ≥ 45 years with knee osteoarthritis across nine primary care physiotherapy practices. Interview questions were anchored around the core elements recommended in guidelines for the management of knee osteoarthritis and patient perceptions of these were analysed using both content and thematic qualitative analysis approaches. Patient satisfaction with care received was asked at the time of interview. RESULTS Twenty-six patients volunteered for the study (mean 60 years, 58% female). Analysis identified that physiotherapists focused on treating symptoms through quadriceps strengthening exercises, which patients found to be effective, though focussed less on other aspects of evidenced-based care. Patient's perceived treatment to be effective in relieving pain and enabling them to stay active and they appreciated the positive role that their physiotherapist provided in alleviating their concerns. Overall, patients were satisfied with their physiotherapy care but would have liked more specific osteoarthritis education and longer-term management. CONCLUSION The description of the physiotherapy-related care received by people with knee osteoarthritis aligns with guideline recommendations, though mainly for strength-related exercise prescription. Despite some perceived shortfalls in care, patients do appear to be satisfied. However, improvements in patient outcomes may be possible if more elements of guideline-base care are regularly provided, including enhancing osteoarthritis education and fostering behaviour change. TRIAL REGISTRATION ACTRN12620000188932.
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Affiliation(s)
- Jeanette M Thom
- School of Health Sciences and Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
- Faculty of Medicine and Health, UNSW, Sydney, Australia.
| | - Sarah Dennis
- School of Health Sciences and Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
- Faculty of Medicine and Health, UNSW, Sydney, Australia
- Ingham Institute of Applied Medical Research, Liverpool, Australia
| | - Kathryn A Gibson
- Faculty of Medicine and Health, UNSW, Sydney, Australia
- Ingham Institute of Applied Medical Research, Liverpool, Australia
- Rheumatology Department, Liverpool Hospital, Sydney, Australia
- Eli Lilly Australia Pty Ltd., Sydney, Australia
| | | | - Kathryn Mills
- Department of Health Sciences, Macquarie University, Sydney, Australia
| | - Siobhan M Schabrun
- Neuroscience Research Australia, UNSW, Sydney, Australia
- School of Physical Therapy, University of Western Ontario, London, ON, Canada
- The Gray Centre for Mobility and Activity, Parkwood Institute of Rehabilitation, London, ON, Canada
| | - Hans Sun
- Faculty of Medicine and Health, UNSW, Sydney, Australia
| | - Justine M Naylor
- Faculty of Medicine and Health, UNSW, Sydney, Australia
- Ingham Institute of Applied Medical Research, Liverpool, Australia
- Whitlam Orthopaedic Research Centre, Orthopaedic Department, Liverpool Hospital, Sydney, Australia
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Goodyear-Smith F, Stokes T. From the Editors: Two heads are better than one? J Prim Health Care 2022; 14:91-92. [PMID: 35771701 DOI: 10.1071/hc22069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Accepted: 06/09/2022] [Indexed: 11/23/2022] Open
Affiliation(s)
- Felicity Goodyear-Smith
- Department of General Practice & Primary Health Care, University of Auckland, Auckland, New Zealand
| | - Tim Stokes
- Department of General Practice and Rural Health, University of Otago, Dunedin, New Zealand
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