Abstract：
BACKGROUND: Quality in health services is increasingly associated with enabling patients to participate in their own health and healthcare by recognising their resources and needs. Despite a growing recognition as to whether such participation is enabled, little is known regarding opportunities for preference-based patient participation in orthopaedic care.
OBJECTIVE: To investigate preference-based participation for patients in orthopaedic care due to hip surgery.
METHODS: Patients across 17 Swedish orthopaedic units who had had hip surgery, due to hip fracture or osteoarthritis, January-April 2021 were invited to complete the validated 4Ps questionnaire. Of 1514 patients, 458 patients returned the questionnaire with reports on their preferences for and experiences of participation. Each of the 4Ps\' 12 items were analysed separately using descriptive and comparative statistics.
RESULTS: A complete match in preferences for, and experiences of, participation was achieved with variation between items for 41%-50% of the patients; if almost matches were included, this occurred for 57%-77% of the patients. Less participation than preferred was most common in terms of having had reciprocal communication, opportunities for partaking in planning, and in learning how to manage symptoms/issues. Hip fracture surgery was significantly associated with experiencing lower levels of participation than preferred.
CONCLUSIONS: Though standardised care promotes efficient hip surgery care, our study suggests a need for more person-centred opportunities to engage. A discrepancy was noted between patients\' resources and preparation for their participation in and beyond the hip surgery process, particularly for self-care activities, calling for better use of nursing resources. ID: NCT04700969 with the U.S National Institutes of Health Clinical Registry.
OBJECTIVE: To investigate preference-based participation for patients in orthopaedic care due to hip surgery.
METHODS: Patients across 17 Swedish orthopaedic units who had had hip surgery, due to hip fracture or osteoarthritis, January-April 2021 were invited to complete the validated 4Ps questionnaire. Of 1514 patients, 458 patients returned the questionnaire with reports on their preferences for and experiences of participation. Each of the 4Ps\' 12 items were analysed separately using descriptive and comparative statistics.
RESULTS: A complete match in preferences for, and experiences of, participation was achieved with variation between items for 41%-50% of the patients; if almost matches were included, this occurred for 57%-77% of the patients. Less participation than preferred was most common in terms of having had reciprocal communication, opportunities for partaking in planning, and in learning how to manage symptoms/issues. Hip fracture surgery was significantly associated with experiencing lower levels of participation than preferred.
CONCLUSIONS: Though standardised care promotes efficient hip surgery care, our study suggests a need for more person-centred opportunities to engage. A discrepancy was noted between patients\' resources and preparation for their participation in and beyond the hip surgery process, particularly for self-care activities, calling for better use of nursing resources. ID: NCT04700969 with the U.S National Institutes of Health Clinical Registry.
摘要：
背景：卫生服务的质量越来越多地与患者通过认识到他们的资源和需求来参与自己的健康和医疗保健有关。尽管人们越来越认识到是否允许这种参与，关于基于偏好的患者参与骨科护理的机会知之甚少.
目的：调查髋关节手术患者基于偏好的骨科护理参与情况。
方法：在17个瑞典骨科单位进行过髋关节手术的患者，由于髋部骨折或骨关节炎，2021年1月至4月被邀请完成经过验证的4Ps问卷。在1514名患者中，458名患者返回了问卷，并报告了他们的参与偏好和经验。使用描述性和比较统计学分别分析了4Ps\'12项中的每一项。
结果：首选项完全匹配，和经验，41％-50％的患者的参与项目之间存在差异；如果包括几乎匹配，57%-77%的患者出现这种情况.参与少于首选是最常见的，因为有互惠沟通，参与规划的机会，以及学习如何管理症状/问题。与首选相比，髋部骨折手术与较低的参与水平显着相关。
结论：尽管标准化护理促进了有效的髋关节手术护理，我们的研究表明需要更多以人为本的参与机会。注意到患者资源与他们参与髋关节手术过程内外的准备之间存在差异，特别是自我保健活动，呼吁更好地利用护理资源。ID：NCT04700969与美国国立卫生研究院临床注册。
目的：调查髋关节手术患者基于偏好的骨科护理参与情况。
方法：在17个瑞典骨科单位进行过髋关节手术的患者，由于髋部骨折或骨关节炎，2021年1月至4月被邀请完成经过验证的4Ps问卷。在1514名患者中，458名患者返回了问卷，并报告了他们的参与偏好和经验。使用描述性和比较统计学分别分析了4Ps\'12项中的每一项。
结果：首选项完全匹配，和经验，41％-50％的患者的参与项目之间存在差异；如果包括几乎匹配，57%-77%的患者出现这种情况.参与少于首选是最常见的，因为有互惠沟通，参与规划的机会，以及学习如何管理症状/问题。与首选相比，髋部骨折手术与较低的参与水平显着相关。
结论：尽管标准化护理促进了有效的髋关节手术护理，我们的研究表明需要更多以人为本的参与机会。注意到患者资源与他们参与髋关节手术过程内外的准备之间存在差异，特别是自我保健活动，呼吁更好地利用护理资源。ID：NCT04700969与美国国立卫生研究院临床注册。
