Effect of preparatory information prior to elective total hip replacement on post-operative physical coping outcomes

Gammon, John; Mulholland, Clive W.

doi:10.1016/s0020-7489(96)00019-3

Cited by 91 publications

(61 citation statements)

References 30 publications

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“…Möller and co-workers (1992) conducted a pilot study and found it feasible to transfer postoperative rehabilitation to the patient's home. In addition, preoperative education protocols appear to have been effective in shortening the hospital stay (Fischer et al 1997, Weingar-ten et al 1998, Crowe and Henderson 2003 and have had a positive effect on the patient's ability to cope after undergoing THR (Butler et al 1996, Gammon andMulholland 1996).…”

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confidence: 99%

Short hospital stay augmented with education and home-based rehabilitation improves function and quality of life after hip replacement

et al. 2005

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Background Because of current cost restrictions, we studied the effect of a shorter hospital stay on function, pain and quality of life (QOL) after total hip replacement (THR).Patients and methods 50 patients from two hospitals were randomized into a study group (SG) of 27 patients receiving preoperative and postoperative education programs, as well as home visits from an outpatient team, and a control group (CG) of 23 patients receiving "conventional" rehabilitation often augmented by a stay at a rehabilitation center.Results Mean hospital stay was shorter for the SG than for the CG (6.4 days and 10 days, respectively; p < 0.001). During the 6-month study period, there were 9 non-fatal complications in the SG and 12 in the CG (p = 0.3). The difference in Oxford Hip Score between the groups was not statistically significant before the operation, but was better for the SG at 2 months (p = 0.03) and this difference remained more or less constant throughout the study. The overall score from the Nottingham Health Profile indicated a better QOL in the SG.Interpretation Our preoperative education program, followed by postoperative home-based rehabilitation, appears to be safer and more effective in improving function and QOL after THR than conventional treatment.

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confidence: 99%

Short hospital stay augmented with education and home-based rehabilitation improves function and quality of life after hip replacement

et al. 2005

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“…[1,2] Adequate information provision, which has been found to affect patients' physical and psychological wellbeing positively, [15,16] was rated among important sources of external support for patients' coping at six weeks after the surgery. No differences were observed between the ratings by men and women.…”

Section: Discussionmentioning

confidence: 99%

“…They were discharged earlier and suffered fewer postoperative complications. [15] Furthermore, information affected their mental health positively; the patients also reported better psychological coping with surgery. They were more energetic, with lower incidence of anxiety and depression.…”

Section: Introductionmentioning

confidence: 99%

Coping support as rated by back surgery patients

Leikkola¹,

Helminen

Paavilainen³

et al. 2014

Clinical Nursing Studies

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Object: Shorter hospital care periods have brought on new challenges for hospital staff caring for patients and families. New research knowledge of supporting patients and their family members can help to develop their care. This quantitative, descriptive study addresses external coping support to back surgery patients and families and associated factors as rated by them six weeks postoperatively.Methods: Data were collected from 61 patients and 50 family members in Finland in [2008][2009][2010]. The importance of various support forms was measured by a new instrument and overall postoperative coping assessed using the Visual Analog Scale.Results: For both patients and families, the patient's unchanged behaviour and stable intra-familial emotions, together with the patient education atmosphere were the most important support forms. Patients appreciated staff presence and attention given to self-care motivation, whereas family members felt that hospital staff had not adequately expressed presence or attended to patient education needs. Participants who had experienced stable patient behaviour and intra-familial emotions, rated their overall coping higher 6 weeks postoperatively.Conclusion: Education and staff support affect coping even after some time has elapsed since surgery.

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“…In a comparative study of functional outcome following joint replacement in patients who received rehabilitation at home, outpatients or hospital, home rehabilitation was found to be the optimal setting for healthy, less dependent patients and offered a significant advantage in recovery of functional status [6]. Many authors also show an enhanced patient satisfaction mainly due to shorter inpatient stays resulting in an increased ability to cope following arthroplasty [13]- [15]. Functionally, a randomized study by Siggeirsdottir (2005) has shown statistically significant better Oxford hip scores in patients who had perioperative education and home rehabilitation [16].…”

Section: Rehabilitation At Home Following Surgerymentioning

confidence: 99%

Approaches to Delivery of Care at Home Following Elective Hip and Knee Joint Replacement Surgery

Alnaib¹,

Agni²,

Shaw³

2015

OJTR

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Arthritis has a worldwide increasing prevalence with increased demands on healthcare systems to provide arthroplasty surgery. There is growing evidence that early discharge and rehabilitation at home following hip and knee replacement provide similar or better results in function, complication rates and patient satisfaction. We suggest that this method of rehabilitation is a cost-effective viable option in fitter patients whose medical demands will be low postoperatively.

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Effect of preparatory information prior to elective total hip replacement on post-operative physical coping outcomes

Cited by 91 publications

References 30 publications

Short hospital stay augmented with education and home-based rehabilitation improves function and quality of life after hip replacement

Short hospital stay augmented with education and home-based rehabilitation improves function and quality of life after hip replacement

Coping support as rated by back surgery patients

Approaches to Delivery of Care at Home Following Elective Hip and Knee Joint Replacement Surgery

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