Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative study

Abstract Background Patients’ perceptions and beliefs of disease could be influenced by their lifestyle and culture. Although it is important to understand their perceptions and beliefs toward disease to prevent and manage osteoarthritis (OA) through conservative care, this topic has not been invest...

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Main Authors: Daisuke Uritani, Akane Ikeda, Toru Shironoki, Kentaro Matsubata, Yuto Mutsura, Tadashi Fujii, Koji Ikeda
Format: Article
Language:English
Published: BMC 2021-09-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-021-04641-7
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author Daisuke Uritani
Akane Ikeda
Toru Shironoki
Kentaro Matsubata
Yuto Mutsura
Tadashi Fujii
Koji Ikeda
author_facet Daisuke Uritani
Akane Ikeda
Toru Shironoki
Kentaro Matsubata
Yuto Mutsura
Tadashi Fujii
Koji Ikeda
author_sort Daisuke Uritani
collection DOAJ
description Abstract Background Patients’ perceptions and beliefs of disease could be influenced by their lifestyle and culture. Although it is important to understand their perceptions and beliefs toward disease to prevent and manage osteoarthritis (OA) through conservative care, this topic has not been investigated in Japanese people with knee OA. Therefore, this qualitative study aims to clarify how Japanese patients with knee OA experience and perceive their symptoms and disabilities, and how they face them during conservative care. Methods Participants were recruited by purposive sampling. Face-to-face, semi-structured interviews were conducted with nine patients (2 men and 7 women; mean age, 74.3 ± 5.5 years) with knee OA until data saturation was reached. Interview data comprised participants’ accounts of particular personal experiences of living with knee OA, including their perceptions and attitudes toward knee OA-related symptoms and disabilities. Two physiotherapists (one with extensive experience conducting qualitative studies) and four physiotherapy students conducted the interviews. Recorded interview data were transcribed verbatim in Japanese. Data analysis, including developing a coding scheme, was conducted based on a grounded theory approach. Results Two core categories were extracted from the data: ‘Negative experiences’ and ‘Coping with difficulties’. ‘Negative experiences’ included three main categories: ‘Self-analysis on the cause of knee OA’, ‘Difficulties in daily life due to knee symptoms’, and ‘Psychological barrier’. ‘Coping with difficulties’ included three main categories: ‘How to deal with knee pain and difficulty in moving’, ‘Information considered useful to cope with knee OA’ and ‘Importance of connecting with others’. Japanese patients with knee OA desired evidence-based information and to connect with other people in the same situation to solve problems related to their condition. Conclusions To address patients’ concerns, medical professionals should conduct careful interviews and obtain information regarding patients’ past experiences, and understand their experiences related to knee OA. Symptoms and difficulties experienced by patients with knee OA should be managed by evidence-based information integrating their perceptions and beliefs toward knee OA.
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spelling doaj.art-d0e3055fc1834ad297a0af1ef5bb7d422022-12-21T21:46:07ZengBMCBMC Musculoskeletal Disorders1471-24742021-09-0122111110.1186/s12891-021-04641-7Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative studyDaisuke Uritani0Akane Ikeda1Toru Shironoki2Kentaro Matsubata3Yuto Mutsura4Tadashi Fujii5Koji Ikeda6Department of Physical Therapy, Faculty of Health Science, Kio UniversityDepartment of Physical Therapy, Faculty of Health Science, Kio UniversityDepartment of Physical Therapy, Faculty of Health Science, Kio UniversityDepartment of Physical Therapy, Faculty of Health Science, Kio UniversityDepartment of Physical Therapy, Faculty of Health Science, Kio UniversityDepartment of Orthopaedic surgery, Kashiba Asahigaoka HospitalDepartment of Rehabilitation, Faculty of Health Science, Naragakuen UniversityAbstract Background Patients’ perceptions and beliefs of disease could be influenced by their lifestyle and culture. Although it is important to understand their perceptions and beliefs toward disease to prevent and manage osteoarthritis (OA) through conservative care, this topic has not been investigated in Japanese people with knee OA. Therefore, this qualitative study aims to clarify how Japanese patients with knee OA experience and perceive their symptoms and disabilities, and how they face them during conservative care. Methods Participants were recruited by purposive sampling. Face-to-face, semi-structured interviews were conducted with nine patients (2 men and 7 women; mean age, 74.3 ± 5.5 years) with knee OA until data saturation was reached. Interview data comprised participants’ accounts of particular personal experiences of living with knee OA, including their perceptions and attitudes toward knee OA-related symptoms and disabilities. Two physiotherapists (one with extensive experience conducting qualitative studies) and four physiotherapy students conducted the interviews. Recorded interview data were transcribed verbatim in Japanese. Data analysis, including developing a coding scheme, was conducted based on a grounded theory approach. Results Two core categories were extracted from the data: ‘Negative experiences’ and ‘Coping with difficulties’. ‘Negative experiences’ included three main categories: ‘Self-analysis on the cause of knee OA’, ‘Difficulties in daily life due to knee symptoms’, and ‘Psychological barrier’. ‘Coping with difficulties’ included three main categories: ‘How to deal with knee pain and difficulty in moving’, ‘Information considered useful to cope with knee OA’ and ‘Importance of connecting with others’. Japanese patients with knee OA desired evidence-based information and to connect with other people in the same situation to solve problems related to their condition. Conclusions To address patients’ concerns, medical professionals should conduct careful interviews and obtain information regarding patients’ past experiences, and understand their experiences related to knee OA. Symptoms and difficulties experienced by patients with knee OA should be managed by evidence-based information integrating their perceptions and beliefs toward knee OA.https://doi.org/10.1186/s12891-021-04641-7OsteoarthritisKneeQualitative studyPatient care management
spellingShingle Daisuke Uritani
Akane Ikeda
Toru Shironoki
Kentaro Matsubata
Yuto Mutsura
Tadashi Fujii
Koji Ikeda
Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative study
BMC Musculoskeletal Disorders
Osteoarthritis
Knee
Qualitative study
Patient care management
title Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative study
title_full Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative study
title_fullStr Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative study
title_full_unstemmed Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative study
title_short Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative study
title_sort perceptions beliefs and needs of japanese people with knee osteoarthritis during conservative care a qualitative study
topic Osteoarthritis
Knee
Qualitative study
Patient care management
url https://doi.org/10.1186/s12891-021-04641-7
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