Evaluation of Acute Pain in Patients Undergoing Total Hip Arthroplasty: A Cohort Study

Abstract

PURPOSE To evaluate pain levels in patients who underwent total hip arthroplasty (THA) using the Nursing Outcomes Classification (NOC). METHODS Prospective cohort study conducted in the surgical hospitalization units of a university hospital in southern Brazil. Twenty‐four patients were evaluated and followed‐up for four consecutive days after THA. FINDINGS A significant difference was found between the first and last evaluations for the outcome pain level (2102). Two indicators also showed statistically significant differences overtime. CONCLUSIONS The NOC outcome and indicators demonstrated the different pain levels of patients who underwent THA. IMPLICATIONS FOR NURSING PRACTICE The NOC system is applicable to clinical practice, because it facilitated the follow‐up of patient progression.

Correspondence of nurses' and physiotherapists' records for orthopedic patients with the Nursing Outcomes Classification

“…Such an assessment can be related to the level of care of the patient at risk of acute pain. However, the pain experience is singular, and each patient learns to deal with it (17) . Before surgery, chronic pain and reduced mobility are more complicating factors in the activities of daily living.…”

“…Before surgery, chronic pain and reduced mobility are more complicating factors in the activities of daily living. Then, the pain becomes acute due to the surgical procedure (17) .…”

“…In a study setting, part of the patients who underwent THA received analgesia through an epidural catheter in the immediate post-operative period, which justifies the mild pain identified in the assessment of the Pain Level outcome in patients undergoing this surgery (8) . In this sense, it is understood that the NOC is applicable to the clinical practice, since it facilitated the monitoring of the patient's progression (17) .…”

Efektifitas Edukasi Kesehatan Terintegrasi Pada Pasien Pre Dan Post Operasi Panggul : Literature Review

“…Pilihan operasi yang sering dipertimbangkan dalam mengelola masalah sendi panggul adalah reduksi, fiksasi interna, hip arthoplasty (Zairin, 2016). Arthoplasti pinggul merupakan intervensi yang efektif dan efisien pada orang dewasa dan lansia yang di rekomendasikan ketika pengobatan dan terapi fisik memberikan efek yang maksimal, contohnya pada kehilangan gerakan sendi (Barnsley, Barnsley, & Page, 2015;Luz Rodríguez Acelas et al, 2019).…”

“…Operasi panggul dapat meningkatkan kualitas hidup pasien karena memiliki efek dapat meningkatakan kemapuan fungsional dan mengurangi nyeri (Luz Rodríguez Acelas et al, 2019). Akan tetapi proses pemulihan membutuhkan waktu yang lama dengan berbagai efek dan komplikasi pada kesehatan baik fisik maupun psikolgis.…”