Total hip and total knee replacement: postoperative nursing management

Lucas, Brian

doi:10.12968/bjon.2008.17.22.31866

Cited by 25 publications

(11 citation statements)

References 29 publications

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“…Accordingly, significant differences were noted in the first and second days following surgery between the two groups. Many researchers posited that postoperative knee flexion angle is one of the main prognostic indexes of TKR surgery [ 69 – 72 ], and treatment of CPM was current clinical common practice [ 73 , 74 ]. To this effect, CPM was reported to increase the voluntary knee joint ROM angle by an average of 4.3° in a short period [ 70 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review

Zhuo

Feng

et al. 2020

J Orthop Surg Res

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Background A growing number of patients continue to receive total knee replacement (TKR) surgery. Nevertheless, such surgeries result in moderate to severe postoperative pain and difficulty in managing it. Musical interventions are regarded as a type of multimodal analgesia, achieving beneficial results in other clinical treatments. This study aims to evaluate the effect of musical interventions in improving short-term pain outcomes following TKR in order to determine a more reasonable and standard way of delivering musical intervention. Methods A systematic search was conducted to identify available and relevant randomized controlled trials (RCTs) regarding musical interventions compared against non-musical interventions in patients treated with TKR in Embase, MEDLINE, Cochrane Library, Web of Science, CNKI, and Wanfang Med Online up to 8 January 2020. The authors independently assessed study eligibility and risk of bias and collected the outcomes of interest to analyze. The statistical analysis was conducted using the Review Manager (RevMan) version 5.30 software. Results Eight RCTs comprised of 555 patients satisfied the inclusion criteria and were enrolled in the present study. The results showed no significant difference between the music and control groups in pain of the visual analog scale (VAS), during postoperative recovery room, back to the ward after surgery; anxiety degree of VAS; heart rate; respiratory rate; oxygen saturation; blood pressure, systolic blood pressure, and diastolic blood pressure. Nevertheless, significant differences were observed between the two groups in average increase in continuous passive motion (CPM) angles and LF/HF ratio (one kind index of heart rate variability). Conclusions Musical interventions fail to demonstrate an obvious effect in improving short-term pain outcomes following TKR. A reasonable standardization of musical interventions, including musical type, outcome measures used, outcomes measured, duration, timing and headphones or players, may improve pain outcomes with certain advantages and should be further explored after TKR.

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Section: Discussionmentioning

confidence: 99%

The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review

Zhuo

Feng

et al. 2020

J Orthop Surg Res

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“…570 Only one study with three events in 50 patients randomised reported this outcome. OTs teach a range of hip precautions and provide equipment designed to help avoid extreme hip flexion, adduction and rotation with the aim of reducing the risk of dislocation, 571,572 but recently their value in preventing dislocation has been questioned. 150,573,574 Recovery after hip replacement without traditional restrictions to movement may allow earlier rehabilitation.…”

Section: Study or Subgroupmentioning

confidence: 99%

Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

Blom

Artz

Beswick

et al. 2016

Programme Grants Appl Res

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms PROGRAMME GRANTS FOR APPLIED RESEARCH VOLUME 4 ISSUE 12 AUGUST 2016 ISSN 2050 DOI 10.3310/pgfar04120Improving patients' experience and outcome of total joint replacement: the RESTORE programme Ashley W Blom, Neil Artz, Andrew D Beswick, Amanda Burston, Paul Dieppe, Karen T Elvers, Rachael Gooberman-Hill, Jeremy Horwood, Paul Jepson, Emma Johnson, Erik Lenguerrand, Elsa Marques, Sian Noble, Mark Pyke, Catherine Sackley, Gina Sands, Adrian Sayers, Victoria Wells and Vikki Wylde Improving patients' experience and outcome of total joint replacement: the RESTORE programme ISSN 2050-4330 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full PGfAR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/pgfar. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Programme Grants for Applied Research journalReports are published in Programme Grants for Applied Research (PGfAR) if (1) they have resulted from work for the PGfAR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. Programme Grants for Applied Research programmeThe Programme Grants for Applied Research (PGfAR) programme, part of the National Institute for Health Research (NIHR), was set up in 2006 to produce independent research findings that will have practical application for the benefit of patients and the NHS in the relatively near future. The Programme is managed by the NIHR Central Commissioning Facility (CCF) with strategic input from the Programme Director.The programme is a national response mode funding scheme that aims to provide evidence to improve health outcomes in England through promotion of health, prevention of ill health, and optimal disease management (including safety and quality), with particular emphasis on conditions causing significant disease burden.For more information about the PGfAR programme please visit the website: http://www.nihr.ac.uk/funding/programme-grants-forapplied-research.htm This reportThe research reported in this issue of the journal was funded by PGfAR as project number RP-PG-0407-10070. The contractual start date was in December 2008. The final report began editorial review in September 2014 and was accepted for publication in August 2015. As the funder, the PGfAR programme agreed the research questions and study designs in advance with the investigators. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PGfAR editors and production house have tried to ensure the accurac...

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“…The prevalence of osteoarthritis (OA) of the knee among adults older than 65 years (approximately 30%-40%; Chou, Lo, Liu, Huang, & Chen, 2012) and rapid population aging have led to more than 10,000 cases of total knee replacement (TKR) surgery annually in Taiwan (Bureau of National Health Insurance, 2012). Successful TKR can effectively relieve joint pain, improve joint function, and enhance the quality of life (Lucas, 2008; Tan, Hung, Huang, Chu, & Wang, 2011). Prescribing early postoperative rehabilitation exercises, including the use of continuous passive motion (CPM), active knee flexion, muscle strengthening, functional exercises, and ambulation, has become standard clinical practice for enabling postoperative patients to recover their muscle strength and joint range of motion (ROM) in the legs (Brosseau et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Music Listening on Pain, Heart Rate Variability, and Range of Motion in Older Adults After Total Knee Replacement

et al. 2017

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The purpose of this study was to investigate the effects that listening and not listening to music had on pain relief, heart rate variability (HRV), and knee range of motion in total knee replacement (TKR) patients who underwent continuous passive motion (CPM) rehabilitation. We adopted a single-group quasi-experimental design. A sample of 49 TKR patients listened to music for 25 min during one session of CPM and no music during another session of CPM the same day for a total of 2 days. Results indicated that during CPM, patients exhibited a significant decrease in the pain level ( p < .05), an increase in the CPM knee flexion angle ( p < .05), a decrease in the low-frequency/high-frequency ratio (LF/HF) and normalized LF (nLF) of the HRV ( p < .01), and an increase in the normalized HF (nHF) and standard deviation of all normal-to-normal intervals (SDNN; p < .01) when listening to music compared with no music. This study demonstrated that listening to music can effectively decrease pain during CPM rehabilitation and improve the joint range of motion in patients who underwent TKR surgery.

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Total hip and total knee replacement: postoperative nursing management

Cited by 25 publications

References 29 publications

The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review

The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review

Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

The Effect of Music Listening on Pain, Heart Rate Variability, and Range of Motion in Older Adults After Total Knee Replacement

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