PDF(Pubmed)
Abstract：
Objective During the COVID-19 pandemic, the surgical treatment of orthopedic diseases for elective surgical planning was suspended. This study aimed to evaluate patients\' experiences with gonarthrosis regarding the postponement of non-urgent orthopedic surgeries during the COVID-19 pandemic. Materials and Methods This phenomenological qualitative study was carried out with patients diagnosed with grade 3 or 4 gonarthrosis in the orthopedics and traumatology outpatient clinic of a hospital in western Turkey between February 2021 and March 2021. Interviews with patients were conducted face-to-face using the semi-structured interview guide focusing on patients\' feelings, thoughts, and experiences. Each participant was interviewed once. Data collection was halted based on the saturation of data. Data from semi-structured interviews with patients were analyzed using Colaizzi\'s content analysis method. Results The analysis of the study data yielded three themes: \"lack of knowledge\", \"desperation\" and \"lack of opportunity to cure the gonarthrosis disease\". Four sub-themes were identified under these three categories. While \"not knowing what to do\" and \"unconscious drug use\" were the sub-themes of the theme of lack of knowledge, \"hopelessness\" and \"economic difficulties\" were the sub-themes of the theme of desperation. Conclusion It was determined that patients were helpless due to difficulties accessing health services for other diseases during the COVID-19 pandemic. They experienced severe fear because it was unclear how long this process would continue.
摘要：
目的在COVID-19大流行期间，为选择性手术计划而对骨科疾病的手术治疗已暂停。这项研究旨在评估患者在COVID-19大流行期间推迟非紧急骨科手术的经历。材料与方法这项现象学定性研究是在2021年2月至2021年3月期间，在土耳其西部一家医院的骨科和创伤门诊中对诊断为3级或4级膝关节病的患者进行的。采用以患者感受为重点的半结构化访谈指南对患者进行面对面访谈,思想,和经验。每个参与者都接受了一次采访。基于数据的饱和度停止数据收集。使用Colaizzi的内容分析方法对患者的半结构化访谈数据进行分析。结果对研究数据的分析得出三个主题：“缺乏知识”，“绝望”和“缺乏治愈关节炎的机会”。在这三个类别下确定了四个分主题。虽然“不知道该做什么”和“无意识吸毒”是缺乏知识主题的子主题，“绝望”和“经济困难”是绝望主题的子主题。结论在COVID-19大流行期间，由于难以获得其他疾病的卫生服务，患者感到无助。他们经历了严重的恐惧，因为目前还不清楚这个过程会持续多久。
