Preoperative education addressing postoperative pain in total joint arthroplasty: Review of content and educational delivery methods

Abstract

Preoperative education centered on a biomedical model of anatomy and pathoanatomy as well as procedural information has limited effect in reducing postoperative pain after THA and TKA surgeries. Preoperative educational sessions that aim to increase patient knowledge of pain science may be more effective in managing postoperative pain.

Retention of pain neuroscience knowledge: A multi-centre trial

“…Although various factors such as motivation, social and environmental influences, all play a role in deep learning (Sandberg andBarnard 1997, WittmannPrice andGodshall 2009), it can be argued that a fundamental starting point has to be a gained knowledge of the healthcare information imparted by the healthcare provider and this information should not erode over time. To prevent the erosion of gained information, various strategies such as follow-up phone calls; websites with information; and providing a handout of the educational material can be implemented (Cherkin et al 1996, Louw et al 2013b, Oshodi 2007. In regards to PNE and physiotherapy, this is the first study to report that gained PNE knowledge immediately after a single PNE educational session remains intact three months later.…”

Premedication and preoperative information reduces pain intensity and increases satisfaction in patients undergoing ablation for atrial fibrillation. A randomised controlled study

“…The authors also argued that preoperative information increases patients' knowledge about treatment, increases their selfconfidence, and promotes self-efficacy and cognitive coping strategies (Johansson et al, 2005). A more recent review also claimed that preoperative education methods aiming to increase patient knowledge about pain and pain treatment are more effective in managing postoperative pain, as these methods help patients to experience less fear and anxiety, and ultimately help to alleviate postoperative pain (Louw, Diener, Butler, & Puentedura, 2013). Patients who receive information about their surgery and its implications are less anxious than those who do not receive such information (O'Brien, McKeough, & Abbasi, 2013).…”

Empowering knowledge and Quality of Recovery after hip or knee replacement

“…The outcome of patient education in the orthopaedic context has diverse results. Educational interventions have been shown to have no effect on pain, or rehabilitation, after hip and knee replacement (Louw et al 2013, van den AkkerScheek et al 2007). Positive effects have been found in the level of knowledge and independency on activities in daily living, and patients' also experienced fewer problems (Demir & Erdil 2013), and shorter hospital stays (Yoon et al 2010).…”