Effectiveness of a nursing intervention to diminish preoperative anxiety in patients programmed for knee replacement surgery: Preventive controlled and randomized clinical trial

Garzón, Mauricio Medina

doi:10.17533/udea.iee.v37n2e07

Cited by 30 publications

(26 citation statements)

References 19 publications

(17 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The characteristics of the included studies by type of intervention, aggregate data from the included studies by type of intervention, RoB assessment, summary of findings, excluded studies, studies that fit the inclusion criteria but had no usable data, and relevant protocols of ongoing or unpublished studies are shown in the online supplemental digital content. We identified eight types of interventions administered in the preoperative period: nutritional (51 studies),30–80 respiratory (30 interventions of 29 studies)81–109 exercise (27 studies),110–136 multimodal (25 studies),100 108 137–159 educational (17 studies),160–176 psychological (16 studies),177–192 smoking and alcohol cessation (7 studies)193–199 and pharmacological (5 studies)200–204 (table 1).…”

Section: Resultsmentioning

confidence: 99%

Pre-admission interventions (prehabilitation) to improve outcome after major elective surgery: a systematic review and meta-analysis

et al. 2021

View full text Add to dashboard Cite

ObjectiveTo determine the benefits and harms of pre-admission interventions (prehabilitation) on postoperative outcomes in patients undergoing major elective surgery.DesignSystematic review and meta-analysis of randomised controlled trials (RCTs) (published or unpublished). We searched Medline, Embase, CENTRAL, DARE, HTA and NHS EED, The Cochrane Library, CINAHL, PsychINFO and ISI Web of Science (June 2020).SettingSecondary care.ParticipantsPatients (≥18 years) undergoing major elective surgery (curative or palliative).InterventionsAny intervention administered in the preoperative period with the aim of improving postoperative outcomes.Outcomes and measuresPrimary outcomes were 30-day mortality, hospital length of stay (LoS) and postoperative complications. Secondary outcomes included LoS in intensive care unit or high dependency unit, perioperative morbidity, hospital readmission, postoperative pain, heath-related quality of life, outcomes specific to the intervention, intervention-specific adverse events and resource use.Review methodsTwo authors independently extracted data from eligible RCTs and assessed risk of bias and the certainty of evidence using Grading of Recommendations, Assessment, Development and Evaluation. Random-effects meta-analyses were used to pool data across trials.Results178 RCTs including eight types of intervention were included. Inspiratory muscle training (IMT), immunonutrition and multimodal interventions reduced hospital LoS (mean difference vs usual care: −1.81 days, 95% CI −2.31 to −1.31; −2.11 days, 95% CI −3.07 to −1.15; −1.67 days, 95% CI −2.31 to −1.03, respectively). Immunonutrition reduced infective complications (risk ratio (RR) 0.64 95% CI 0.40 to 1.01) and IMT, and exercise reduced postoperative pulmonary complications (RR 0.55, 95% CI 0.38 to 0.80, and RR 0.54, 95% CI 0.39 to 0.75, respectively). Smoking cessation interventions reduced wound infections (RR 0.28, 95% CI 0.12 to 0.64).ConclusionsSome prehabilitation interventions may reduce postoperative LoS and complications but the quality of the evidence was low.PROSPERO registration numberCRD42015019191.

show abstract

Section: Resultsmentioning

confidence: 99%

Pre-admission interventions (prehabilitation) to improve outcome after major elective surgery: a systematic review and meta-analysis

et al. 2021

View full text Add to dashboard Cite

show abstract

“…In the past, it was di cult for routine nursing to meet the needs of such special groups of patients. It is necessary to provide patients with more satisfactory, more complete, and more comprehensive nursing services through innovative nursing models so as to ensure the quality of nursing and to meet the needs of patients [13]. With the promotion of the concept of fast recovery, scholars have found that it can greatly improve the prognosis and promote postoperative recovery [14].…”

Section: Discussionmentioning

confidence: 99%

Application and the Effect of the Triple Prerehabilitation Nursing Model in the Perioperative Period of Knee Arthroplasty in Diabetic Patients

Zhao

Peng

et al. 2022

Emergency Medicine International

View full text Add to dashboard Cite

Objective. The aim of the study was to explore the application and the effect of the triple prerehabilitation nursing model in the perioperative period of knee arthroplasty in diabetic patients. Methods. The prospectively included 60 patients with diabetes who underwent total knee replacement were admitted from August 2021 to April 2022 and were divided into 2 groups according to the (1 : 1) ratio. The control group was mainly given routine nursing care. On the basis of the control group, the observation group received triple prerehabilitation nursing. The postoperative knee flexion, hospital for the special surgery knee score (HSS), the daily living ability (Barthel) score, the modified fall efficacy scale (MFES) score, the recovery of the lower-limb muscle strength, and the incidence of complications were compared between the two groups. Results. The knee flexion degree and lower-limb muscle recovery of the observation group were better than those of the control group at 3 d, 7 d, and 14 d after operation ( P < 0.05 ). The HSS score, Barthel score, and MFES score of the observation group were higher than those of the control group ( P < 0.05 ). There was no significant difference in postoperative complications between the two groups ( P > 0.05 ). Conclusion. The triple prerehabilitation nursing care for diabetic patients undergoing total knee replacement can promote the recovery of limb function.

show abstract

“…In patients undergoing a total knee arthroplasty, a total of 3 sessions of nursing intervention were conducted during the six-week period prior to surgery, and anxiety scores were significantly reduced compared to controls. 20 In this study, 76.0% of all patients reported experiencing the greatest level of anxiety from the night before surgery to the day of surgery. Thus, intensive intervention to reduce anxiety during this time could help relieve anxiety in geriatric patients.…”

Section: Discussionmentioning

confidence: 59%

State-Anxiety in Geriatric Patients Undergoing Surgical Treatment for Femoral Neck or Intertrochanteric Fractures

Jung

Park

Song

et al. 2021

Geriatr Orthop Surg Rehabil

View full text Add to dashboard Cite

Introduction Geriatric patients with hip fractures often experience unexpected falls and they may have unfamiliar and unpleasant experiences within a brief period. This study aimed to investigate the prevalence and levels of preoperative anxiety in patients undergoing surgical treatment for hip fractures, and to determine the anxiety-related characteristics experienced by patients during the period before and after surgery. Materials and methods We recruited a total of 75 geriatric patients who underwent surgical treatment for hip fractures and returned complete questionnaires. We used the State-Trait Anxiety Inventory (STAI)-X type to measure state-anxiety and defined a total score of 52 or higher as clinically meaningful state-anxiety. And, we investigated main cause of anxiety, moment of the highest level of anxiety, and the most helpful factor in overcoming anxiety before surgery and in reducing anxiety after surgery. Results The mean STAI score was 47.2 points and one-third of the patients experienced various levels of clinically meaningful state-anxiety. The most common cause of preoperative anxiety was the surgery itself and patients experienced the greatest level of anxiety from the night preceding the surgery to the day of the surgery. Further, patients’ trust in the medical staff prior to surgery and the surgeon’s explanation after the surgery were the most key factors in overcoming anxiety. Conclusion This study investigates the state-anxiety of geriatric patients undergoing surgery for hip fractures and presents important findings which can help in developing evidence-based interventions to improve the experience of patients undergoing hip surgeries.

show abstract

Effectiveness of a nursing intervention to diminish preoperative anxiety in patients programmed for knee replacement surgery: Preventive controlled and randomized clinical trial

Cited by 30 publications

References 19 publications

Pre-admission interventions (prehabilitation) to improve outcome after major elective surgery: a systematic review and meta-analysis

Pre-admission interventions (prehabilitation) to improve outcome after major elective surgery: a systematic review and meta-analysis

Application and the Effect of the Triple Prerehabilitation Nursing Model in the Perioperative Period of Knee Arthroplasty in Diabetic Patients

State-Anxiety in Geriatric Patients Undergoing Surgical Treatment for Femoral Neck or Intertrochanteric Fractures

Contact Info

Product

Resources

About