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    Understanding the Relationship Between Patients' Expectations and Satisfaction After Primary Total Knee Arthroplasty

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    Author
    Celeste, Michelle Stephanie II
    Issue Date
    2018
    Keywords
    Needs Assessment
    Orthopedic
    Patients' Expectations
    Patients' Satisfaction
    Primary Total Knee Arthroplasty
    Advisor
    Flamm, Kristie L.
    
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    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Purpose: The aims of this needs assessment project are to determine if there is a gap in the preoperative expectations and degree of satisfaction expressed three months after primary total knee arthroplasty (TKA) and if there is a need to modify patients’ preoperative education before undergoing primary TKA at Yee Advanced Orthopedics and Sports Medicine in Las Vegas, Nevada. Background: The prevalence of symptomatic knee osteoarthritis (OA) in the United States increased in conjunction with an aging population and growing obesity epidemic. Joint replacement is performed to help decrease pain and improve quality of life among patients with knee OA. Methods: This project used a needs assessment survey and employed the use of descriptive analysis, independent sample t-test, one-way ANOVA and simple linear regression model, to examine the relationships among expectations and satisfaction level. Results: The sociodemographic data and a completion of a three-month follow-up were not predictive of the patients’ satisfaction level. The usage of a walking aid as a result of OA were not predictive of patients’ expectations. However, the feeling of preparedness demonstrated a higher expectation level. The degree of preoperative expectations was positively correlated with the satisfaction level three months after primary TKA. Conclusions: The surgeon’s preoperative discussion played a role in preparing patients regarding what to expect regarding the surgery, which contributed to a higher satisfaction level (85.2%) three months after the surgery. This suggests the importance of targeting patient education before undergoing primary TKA.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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