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Article

I Am Afraid I Will Not Be Able to Walk, That Is What Worries Me—The Experience of Patients with Knee Osteoarthritis before Total Knee Arthroplasty: A Qualitative Study

by
Umile Giuseppe Longo
1,2,*,
Alessandra Corradini
1,
Anna Marchetti
3,
Chiara Di Sarno
2,
Carlotta D’Angelo
2,
Claudia Arias
4,
Maria Grazia De Marinis
3,
Alessandro de Sire
5,6 and
Vincenzo Denaro
1,2
1
Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Roma, Italy
2
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, 00128 Roma, Italy
3
Research Unit Nursing Science, Campus Bio-Medico University, 00128 Rome, Italy
4
Hospital Nacional Edgardo Rebagliati Martins, Lima 15072, Peru
5
Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, Italy
6
Research Center on Musculoskeletal Health, MusculoSkeletalHealth@UMG, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, Italy
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(10), 2878; https://doi.org/10.3390/jcm13102878
Submission received: 27 December 2023 / Revised: 2 February 2024 / Accepted: 9 May 2024 / Published: 13 May 2024
(This article belongs to the Section Orthopedics)
Versions Notes

Abstract

Background: Knee osteoarthritis is the most prevalent type of osteoarthritis. Patients frequently encounter pain triggered by movement that evolves into impaired joint function. Needing persistent rest or having night-time pain signifies advanced disease. Qualitative research is considered the most effective method for comprehending patients’ needs and contexts. Methods: This study employed a qualitative research design, allowing the researchers to acquire insights into the patients’ beliefs and values, and the contextual factors influencing the formation and expression of these beliefs and values. Results: A cohort of nine patients awaiting total knee replacement (TKR) surgery was included and they were interviewed until data saturation was achieved. The results of the phenomenological analysis resulted in the identification of three themes: “The existence of pain impedes the capacity to participate in daily life activities”; “TKR induced fears and uncertainties regarding the progression of the disease”; “Severe nighttime pain compromising sleep quality”. Conclusions: This study analyzes the experiences of people awaiting TKR surgery, emphasizing the importance of addressing their unique needs to improve preoperative education and rehabilitation. In this way, patients’ recovery during the postoperative phase can be improved.
Keywords: knee osteoarthritis; activity of daily living; qualitative research; pain; knee pain; rehabilitation knee osteoarthritis; activity of daily living; qualitative research; pain; knee pain; rehabilitation

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MDPI and ACS Style

Longo, U.G.; Corradini, A.; Marchetti, A.; Di Sarno, C.; D’Angelo, C.; Arias, C.; De Marinis, M.G.; de Sire, A.; Denaro, V. I Am Afraid I Will Not Be Able to Walk, That Is What Worries Me—The Experience of Patients with Knee Osteoarthritis before Total Knee Arthroplasty: A Qualitative Study. J. Clin. Med. 2024, 13, 2878. https://doi.org/10.3390/jcm13102878

AMA Style

Longo UG, Corradini A, Marchetti A, Di Sarno C, D’Angelo C, Arias C, De Marinis MG, de Sire A, Denaro V. I Am Afraid I Will Not Be Able to Walk, That Is What Worries Me—The Experience of Patients with Knee Osteoarthritis before Total Knee Arthroplasty: A Qualitative Study. Journal of Clinical Medicine. 2024; 13(10):2878. https://doi.org/10.3390/jcm13102878

Chicago/Turabian Style

Longo, Umile Giuseppe, Alessandra Corradini, Anna Marchetti, Chiara Di Sarno, Carlotta D’Angelo, Claudia Arias, Maria Grazia De Marinis, Alessandro de Sire, and Vincenzo Denaro. 2024. "I Am Afraid I Will Not Be Able to Walk, That Is What Worries Me—The Experience of Patients with Knee Osteoarthritis before Total Knee Arthroplasty: A Qualitative Study" Journal of Clinical Medicine 13, no. 10: 2878. https://doi.org/10.3390/jcm13102878

APA Style

Longo, U. G., Corradini, A., Marchetti, A., Di Sarno, C., D’Angelo, C., Arias, C., De Marinis, M. G., de Sire, A., & Denaro, V. (2024). I Am Afraid I Will Not Be Able to Walk, That Is What Worries Me—The Experience of Patients with Knee Osteoarthritis before Total Knee Arthroplasty: A Qualitative Study. Journal of Clinical Medicine, 13(10), 2878. https://doi.org/10.3390/jcm13102878

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