Patient-reported importance of assistive devices in hip and knee replacement Enhanced Recovery after Surgery (ERAS) pathways

Abstract

Introduction: This study examines patients' perceptions of the usefulness of occupational therapy and assistive devices provided, in achieving discharge criteria and assisting with activities of daily living once home, following an Enhanced Recovery After Surgery protocol for total hip and total knee replacement patients. Methods: Two weeks following discharge, 197 patients who had undergone total hip replacement or total knee replacement were telephoned to ask how useful they found occupational therapy education and advice and the assistive devices provided. Results: 114 patients (58%) answered the call. Over 96% of patients found occupational therapy education and advice useful. Ninety-seven percent of posterior total hip replacement patients were still using the assistive devices 2 weeks following discharge, compared to 90% of anterior total hip replacement patients and 87% of total knee replacement patients. Over 95% of all patients found that assistive devices enhanced their ability to undertake activities of daily living, and were extremely or partly useful in achieving early discharge. Conclusion: Over 85% of patients who responded perceived the occupational therapist's advice and education, and assistive devices provided, to be useful in achieving discharge criteria, and in enhancing their ability to undertake activities of daily living once back in a home environment.

Strengthening Quadriceps Muscles with Neuromuscular Electrical Stimulation Following Total Hip Replacement: a Review

“…Recovery is a complex process that is only complete once the patient returns to normal function [5]. This has been promoted more recently in Enhanced Recovery after Surgery programmes, where there is an additional emphasis on enabling a patient to return to work, activities of daily living and pre-surgery function [6]. There is evidence to suggest that physical activity levels do not increase after surgery [7], and in some cases, patients are less active at 2-year follow-up than before hospital admission [8•].…”

Linguagens padronizadas de enfermagem em ortopedia na perspectiva do nursing role effectiveness model

“…Isso engloba um processo de atendimento diferenciado para o paciente que se recupera dessa cirurgia. Um estudo realizado na Europa sobre a importância do uso de dispositivos auxiliares na reabilitação de cirurgia do quadril e joelho demonstrou que 95% dos participantes afirmaram que aumentaram a capacidade de realizar atividades da vida diária e eram úteis para alcançar a alta precoce (16) . Apesar da evidência do componente de Estrutura ser prevalente, neste estudo a taxa de prescrição de enfermagem sobre a utilização da cama com quadro balcânico e trapézio foi baixa, o que indicaria pouca relação entre o componente de Estrutura e Processo para este fenômeno.…”

Standardized nursing languages in orthopedics from the perspective of the nursing role effectiveness model

“…This encompasses a special care process for patients recovering from this surgery. A study conducted in Europe on the importance of using auxiliary devices in the rehabilitation from hip and knee replacement showed that 95% of the participants stated that they had increased their ability to perform activities of daily living and were eligible for early discharge (16) . Despite the evidence of prevalence of the Structure component, in that study, the rate of nursing prescription on the use of bed with Balkan frame and trapeze was low, suggesting a weak relationship between the Structure and Process component with this phenomenon.…”