Pre‐operative self‐efficacy education vs. usual care for patients undergoing joint replacement surgery: a pilot randomised controlled trial

Cooke, Marie; Walker, Rachel; Aitken, Leanne M.; Freeman, Andrea; Pavey, Sharlene; Cantrill, Ruth Merle

doi:10.1111/scs.12223

Cited by 20 publications

(40 citation statements)

References 30 publications

(34 reference statements)

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“…Fragmentation of continuity of care may result in confusing treatment orientations for the patient, with a strong probability of errors and duplications, inadequate follow-up, as well as a lack of preparation/information for the user and informal care providers (3,5,7) . Some authors consider that the existence of structured programs with a focus on preoperative preparation through information, education, walk training and daily life activities training directed at both the patient and the caregiver, has a positive impact when returning home, since they are associated with an improvement in functional capacity at discharge and after discharge (2,13) .…”

Section: Discussionmentioning

confidence: 99%

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Active Life: a project for a safe hospital-community transition after arthroplasty

Ferreira¹,

Lourenço

Costa³

et al. 2019

Rev. Bras. Enferm.

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Objective: To define the criteria for the continuity of care to elderly people submitted to arthroplasty. Method: This is a qualitative study, inserted in the constructivist paradigm, whose methodological option fell on research-action. The participants were the health professionals of an orthopedic service and of the community care teams in the area of the hospital. Results: The different techniques allowed us to identify the difficulties in the safe transition from the hospital to the community. At this level, two categories of criteria for continuity of care emerged: criteria associated with the risk of ineffective management of the therapeutic regimen, and criteria associated with the knowledge and level of competence of the informal caregiver. Final Considerations: An elderly person undergoing arthroplasty (hip or knee) has functional alterations that affect their capacity for self-care and may lead to dependence, our findings allowed the design of an algorithm to facilitate clinical decision making and promote a safe hospital-community transition.

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Section: Discussionmentioning

confidence: 99%

“…The preoperative preparation and the organization of care according to the postoperative rehabilitation promote positive and sustainable results, not only in the short term but also in the long term (2,13) .…”

Section: Discussionmentioning

confidence: 99%

Active Life: a project for a safe hospital-community transition after arthroplasty

Ferreira¹,

Lourenço

Costa³

et al. 2019

Rev. Bras. Enferm.

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“…A moderate, statistically significant effect was demonstrated in favour of the psychological intervention ( g = −0.26 (−0.49, −0.03), P = 0.024), with non‐significant low heterogeneity ( I 2 = 29.46, P = 0.21). Of the six studies, four utilized relaxation techniques, one examined CBI and one utilized mixed therapies. There was no evidence of publication bias based on Egger's regression analysis ( P = 0.60; Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Findings were similarly polarized looking at pain outcomes in the subacute time period, with three studies 27,31,34 reporting statistically significant reductions in pain with the use of psychological interventions, but two studies 35,42 finding no difference. Only one study 31 reported pain outcomes at longer term follow-up, finding statistically significant improvement with the use of guided imagery.…”

Section: Painmentioning

confidence: 99%

“…Fourteen studies reported on post-operative anxiety, with three studies 33,37,39 finding statistically significant reductions acutely in the intervention group, and 10 15,26,[28][29][30]32,38,[40][41][42] trials unable to find a statistically significant effect between groups. Two studies 27,42 followed up to the subacute time point and both found no difference. No studies reported on anxiety in the longer term.…”

Section: Anxietymentioning

confidence: 99%

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Effect of preoperative psychological interventions on elective orthopaedic surgery outcomes: a systematic review and meta‐analysis

Tong

Dannaway

Enke

et al. 2019

ANZ Journal of Surgery

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Background Orthopaedic surgery is largely successful; however, a proportion of patients are dissatisfied and report pain and poor function. Psychological factors have been shown to influence orthopaedic surgical outcomes. This systematic review and meta‐analysis investigates the types and effectiveness of preoperative psychological interventions in elective orthopaedic surgery. Methods A registered systematic review (PROSPERO CRD42017073833) was performed on literature (1960–January 2018) using eight databases. Prospective controlled clinical trials involving adult and adolescent elective orthopaedic surgery were included. Interventions examined included relaxation, cognitive behavioural therapy, hypnosis, emotional counselling and mixed psychotherapies; general procedural education was excluded. Outcomes extracted included pain, anxiety, quality of life and disability. Results A total of 19 studies met the inclusion criteria (n = 1893 patients). Meta‐analyses were performed for pain, anxiety and quality of life. Analysis did not find enough evidence to confirm reduction in post‐operative pain (seven studies, 666 patients; g = −0.15 (95% CI −0.42, 0.13), P = 0.305). Pooled data from six studies on acute post‐operative anxiety (589 patients) showed a moderate statistically significant benefit (g = −0.26 (−0.49, −0.03), P = 0.024). There was an improved quality of life (mental component) at longer term follow‐up (g = 0.25 (0.02, 0.49), P = 0.034). Conclusions These studies provide evidence that psychological interventions have a positive effect on anxiety in the acute post‐operative period, and on mental components of quality of life at longer term follow‐up.

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The quality of counselling in rehabilitation evaluated by orthopaedic surgery patients at a university hospital: A cross sectional study

Kaakinen

Meriläinen

Putila

et al. 2020

International Journal of Orthopaedic and Trauma Nursing

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Pre‐operative self‐efficacy education vs. usual care for patients undergoing joint replacement surgery: a pilot randomised controlled trial

Cited by 20 publications

References 30 publications

Active Life: a project for a safe hospital-community transition after arthroplasty

Active Life: a project for a safe hospital-community transition after arthroplasty

Effect of preoperative psychological interventions on elective orthopaedic surgery outcomes: a systematic review and meta‐analysis

The quality of counselling in rehabilitation evaluated by orthopaedic surgery patients at a university hospital: A cross sectional study

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