Nursing Strategies to Reduce Length of Stay for Persons Undergoing Total Knee Replacement

Hass, Shelly; Jaekel, Camilla; Nesbitt, Bonnie J.

doi:10.1097/ncq.0000000000000104

Cited by 10 publications

(7 citation statements)

References 16 publications

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“…Our results are similar to that of the study by Akyol et al [9]. Nurses may lose track of patients' pain patterns because of various interruptions that occur throughout their work, leading to inadequate assessment and treatment strategies [13]. Accordingly, this concern should be given more attention and handled appropriately.…”

Section: Discussionsupporting

confidence: 89%

Effectiveness of Different Pain Control Methods in Patients with Knee Osteoarthritis after Knee Arthroplasty

Ming

Hung

Huang

et al. 2017

BioMed Research International

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The number of patients with knee osteoarthritis has increased in tandem with population aging. Consequently, the number of knee arthroplasties has also risen. The postoperative pain is the biggest challenge faced by patients soon after knee arthroplasty; therefore, this study is among different methods for post-knee arthroplasty pain control. A prospective longitudinal research design was employed; 177 adult patients who proposed for primary knee arthroplasty were enrolled and recruited. The patients were divided into conventional Group 1 (n = 120) and patient-controlled analgesia (PCA) Group 2 (n = 57) according to the treatment methods they received. All patients experience the highest pain level on the day of their surgery; women complained of higher pain levels than men did, while the PCA group had lower postoperative pain. Meanwhile, patients with general anesthesia experienced more pain than those with spinal anesthesia in postoperative period. Patients with a higher postoperative pain index have a smaller optimal knee flexion angle. The PCA group had lower postoperative pain; all patients experienced the highest pain level on the day of their surgery. The results of this study could serve as a reference for nurses where PCA ensures a better postoperative pain control and therefore facilitates recovery and improves the quality of nursing.

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Section: Discussionsupporting

confidence: 89%

Effectiveness of Different Pain Control Methods in Patients with Knee Osteoarthritis after Knee Arthroplasty

Ming

Hung

Huang

et al. 2017

BioMed Research International

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“…The average length of hospital stay is an important index to evaluate the efficiency of hospitals, quality of both medicine and nursing, and hospital management systems. The average length of hospital stay of patients also impacts the resource utilization [17][18][19][20]. In the present study, the length of hospital stay of patients with diabetes was closely related with the hospitalization expenses.…”

mentioning

confidence: 49%

Analysis of Factors Affecting the Length of Hospital Stay for Patients with Diabetes

Huang

Xie

Qiu

2015

Exp Clin Endocrinol Diabetes

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“…Research evidence has shown that pre‐operative patient education programme is significantly associated with positive outcomes post‐operatively. The outcomes include shorter LOS and cost of care (Hass et al, 2015). However, it is critical to provide effective and well‐structured education materials and way of delivery ensuring patient's comprehension of pre‐admission, peri‐operative treatment and rehabilitation process and requirement.…”

Section: Discussionmentioning

confidence: 99%

Integrated clinical pathways for lower limb orthopaedic surgeries: An updated systematic review

Zhou

Ngune

Roberts

et al. 2022

Journal of Clinical Nursing

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Objective The objective of the study was to comprehensively synthesise the components of integrated clinical pathways (ICPs) and post‐operative outcomes of patients undergone total hip and knee arthroplasty (THA & TKA) and hip fracture surgeries. Background Previous systematic reviews examined components and effectiveness of ICPs for lower limb joint replacement and hip fracture surgeries. Design and Methods An updated systematic review guided by the Whittemore and Knafl (2005) framework. Electronic databases, Ovid MEDLINE, EBSCOhost‐CINAHL, the Cochrane Reviews and Trails, EMBASE and PubMed, were searched from 2007 to 31 January 2021. Due to the heterogeneity of the methods and data collection tools of included studies, pooling of the quantitative data was not possible. Therefore, the included studies were synthesised and presented narratively under subthemes of arthroplasty and hip fracture surgeries. The PRISMA checklist for systematic reviews was used. Results Twenty‐four studies met selection criteria with 11 examined ICPs for hip fracture and 13 for the THA and TKA. Twenty‐one ICPs were reviewed, and 33 components were extracted. The most frequently included components for hip fracture subgroup were ‘discharge disposition arrangement’ and ‘dedicated personnel and resources’. ‘Exercise plan’ and ‘pain management’ were for the arthroplasty subgroup. A significant reduction in the length of stay and post‐operative complications were associated with the ICPs. Results were mixed for the effectiveness of ICPs in reducing unplanned hospital admissions, mortality rates, post‐operative complications and hospital costs. Conclusion The number of ICP components varied across studies. This review could not recommend a one size‐fits‐all ICP that could be adapted for use for patients undergoing hip fracture and joint replacement surgeries. Relevance for clinical practice This review identified research evidence‐based components considered as essential for the inclusion in ICP’s for hip fracture and arthroplasty surgeries. Further research is suggested to determine the patient experience and healthcare providers’ acceptance of ICPs.

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Nursing Strategies to Reduce Length of Stay for Persons Undergoing Total Knee Replacement

Cited by 10 publications

References 16 publications

Effectiveness of Different Pain Control Methods in Patients with Knee Osteoarthritis after Knee Arthroplasty

Effectiveness of Different Pain Control Methods in Patients with Knee Osteoarthritis after Knee Arthroplasty

Analysis of Factors Affecting the Length of Hospital Stay for Patients with Diabetes

Integrated clinical pathways for lower limb orthopaedic surgeries: An updated systematic review

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