„A térdprotézisműtéti páciensek klinikai eredménnyel kapcsolatos elvárásainak vizsgálata - a Hospital for Special Surgery Knee Replacement Expectations Survey magyar nyelvű adaptációja
Lengyel Lívia
Mental Health Sciences Division
Dr. Bódizs Róbert
SE EKK Egészségügyi Menedzserképző Központ (1125 Budapest, Kútvölgyi út 2.)
2026-07-08 14:00:00
Interdiszciplináris társadalomtudományok
Dr. Pethesné Dávid Beáta
Dr. Lám Judit
Dr. Valasek Tamás
Dr. Patczai Balázs
Bednárikné Dr. Dörnyei Gabriella
Dr. Somosiné Tésenyi Tímea
Dr. Zrubka Zsombor János
Dr. Albert Fruzsina
Total knee arthroplasty is a common orthopaedic procedure, with success shaped by both clinical outcomes and patients’ subjective experiences. Realistic expectations and higher health literacy are linked to greater satisfaction and more active participation in rehabilitation, while unrealistic expectations or low health literacy can lead to misunderstandings and frustration.
The primary measurement instrument in our study was the Hospital for Special Surgery Knee Replacement Expectations Survey (HSS-KRES), which we adapted into Hungarian. The questionnaire's factor structure was examined using an exploratory factor analysis; through model refinement, we established a structure with appropriate psychometric properties.
The mean expectation index was 76.6%; most patients anticipated outcomes in a realistic yet optimistic manner. The highest mean value was related to improvement in short-distance walking, followed by pain relief; however, the most common leading individual expectation was the discontinuation of assistive devices. Comparing the Hungarian results with international data, the expectation index is moderately high and falls within the range reported in foreign studies. Pain relief is of central importance in all countries, whereas the emphasis on functional goals may differ along cultural and lifestyle factors.
Among our hypotheses, we confirmed the feasibility and clinical applicability of the Hungarian-language and cultural adaptation of the HSS-KRES, and we also explored preferences for privately financed care. Although weak but statistically significant associations could be demonstrated with certain variables, these did not indicate pronounced, structural differences in the functioning of the scale, suggesting that the instrument measures a genuine, individual expectation structure. Two hypotheses were rejected: we were unable to confirm that higher health literacy is associated with higher expectations, and we were unable to identify life events that serve as triggers for the surgical decision. Overall, the HSS-KRES is suitable for the standardised, validated measurement of preoperative expectations; further studies and the development of health literacy–based patient education may contribute to long-term improvements in therapeutic adherence and patient satisfaction.
