Health care needs of patients during early recovery after total knee-replacement surgery
ABSTRACT The aim of this study was to understand the health care needs and related factors for patients with knee osteoarthritis during the early recovery period after total knee-replacement surgery.
Knee-replacement surgery effectively relieves pain and improves mobility for patients with knee osteoarthritis. With shorter hospital stays, postoperative knee-replacement patients need guidance from medical personnel about self-care, but little is known about these patients' health care needs.
This descriptive, correlational study used a longitudinal design.
A convenience sample of 85 patients undergoing total knee-replacement surgery in northern Taiwan was interviewed before and 1-2 weeks after hospital discharge. Data were collected on participants' demographic characteristics, disease characteristics, symptom distress and health care needs.
Participants' health care needs diminished significantly after hospital discharge. Before hospital discharge, the most important need was medical personnel to help relieve postoperative pain, and health care needs were predicted by symptom distress and age. After hospital discharge, the most important need was medical personnel to help understand the conditions requiring a return visit to hospital, and health care needs were predicted by symptom distress, health care needs before discharge, age and gender.
The results of this study provide a comprehensive understanding of health care needs before and after discharge, as well as predictive factors for patients undergoing total knee-replacement surgery.
Given today's shorter hospital stays, clinicians need to prioritise health care needs indicated by predictive variables. This strategy would help optimise assessment and care management by focusing on patients' greater health care needs and by tailoring care information and skills to patients' individual needs.
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ABSTRACT: Due to shorter hospitalization, patients have to take responsibility for their rehabilitation period at a very early stage. The objective of this trial is to study the effects of two treatment schemes following total knee arthroplasty: conventional treatment following discharge from hospital and early follow-up by telephone consultations in addition to conventional treatment following discharge from hospital. The ultimate aim is to increase the effectiveness of the treatment by improving patients' health status, promote self-efficacy, and reduce the number of acute visits to the orthopaedic outpatient clinic during the rehabilitation period.BMC Nursing 05/2014; 13:14. DOI:10.1186/1472-6955-13-14
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ABSTRACT: Patients With Total Knee Replacement Recently the increase in the surgeries of the total knee prothesis and the changes in the health systems require a multidimensional care for the patients beyond an acute care. Patients encounter with many problems in various processes and need a continuity of care provided by a multidisciplinary team. As adaptation to the prothesis composes the basis of the care for the patients who underwent a total knee replacement, structuring the care that will be provided to the patients according to the Roy Adaptation Model will improve the patient results by systematizing the nursing process and testing this model in this patient group will contribute to the nursing science. In this paper, continuous care provided to the patients with total knee replacements through Roy Adaptation Model was analyzed. Key Words: Knee prosthesis, Continuity of care, Roy Adaptation Model. Günümüzde total diz protezi ameliyatının artması ve sağlık sistemindeki değişimler; hastalara akut bakımın ötesinde çok yönlü bir bakım sağlamayı gerektirmektedir. Hastalar farklı süreçlerde birçok sorunla karşılaşmakta ve multidisipliner ekibin yürüttüğü sürekli bakıma gereksinim duymaktadırlar. Total diz protezi hastaları için proteze uyum sağlama bakımın temelini oluşturduğundan, hastalara uygulanacak sürekli bakımın Roy Uyum Modeli’ne göre yapılandırılması; hemşirelik sürecinin sistematize edilmesini sağlayarak hasta sonuçlarını geliştirecek, bu hasta grubunda modelin test edilmesi hemşirelik bilimine katkı sağlayacaktır. Bu makalede total diz protezi hastalarının Roy Uyum Modeli rehberliğinde sürekli bakımı analiz edilmiştir.