The Effectiveness of Nurse-Led Preoperative Assessment Clinics for Patients Receiving Elective Orthopaedic Surgery: A Systematic Review

Conny, Chan Sau-Man; Wan-Yim, Ip

doi:10.1016/j.jopan.2014.08.147

Cited by 21 publications

(16 citation statements)

References 26 publications

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“…Evodia Rutaecarpa has the effect of relieving pain, while vinegar can accelerate the effective absorption of drug components. The interaction between them can promote the enhancement of gastrointestinal motility and improve the gastrointestinal function of bedridden patients [11] .…”

Section: Resultsmentioning

confidence: 99%

On the Effect of the Application of Traditional Chinese Medicine to Umbilicus with Timing Point Massage on Improving Gastrointestinal Function and Satisfaction Degree of Bedridden Patients in Department of Orthopedics

2018

2018 7th International Conference on Medical Engineering and Biotechnology (MEDEB 2018)

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To explore the effect of the application of traditional Chinese medicine to umbilicus combined with timing point massage on improving gastrointestinal function and satisfaction degree of bedridden patients in Department of Orthopedics, 148 bedridden patients in orthopedics department of our hospital were divided into control group and observation group according to the method of turning over cards and drawing lots. 74 patients in control group were treated with routine therapy and 74 patients in observation group were treated with the application of traditional Chinese medicine to umbilicus combined with timing point massage. The clinical efficacy, improvement of gastrointestinal function and satisfaction with the treatment were compared between two groups. After treatment, the total effective rate of patients in observation group was significantly higher than that of control group (P < 0.05). Besides, the time of first anus exhaust and defecation of observation group were earlier than that of control group and the former' incidence of abdominal distention were relatively lower (P < 0.05). The treatment satisfaction of observation group was significantly higher than that of control group (P < 0.05), and the incidence of adverse reactions of observation group was significantly lower than control group. These differences were statistically significant (P < 0.05). The treatment of bedridden patients in department of orthopedics with application of traditional Chinese medicine to umbilicus combined with timing point massage can effectively improve their gastrointestinal function, reduce the complications of abdominal distension, improve the overall clinical efficacy and patients' satisfaction, as well as help them have an early recover.

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Section: Resultsmentioning

confidence: 99%

On the Effect of the Application of Traditional Chinese Medicine to Umbilicus with Timing Point Massage on Improving Gastrointestinal Function and Satisfaction Degree of Bedridden Patients in Department of Orthopedics

2018

2018 7th International Conference on Medical Engineering and Biotechnology (MEDEB 2018)

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“…Previous reviews have focused on outcomes relating to preoperative function and pain, the in-hospital experience and long-term recovery 10 12–46. Review conclusions vary based on the outcomes and follow-up times.…”

Section: Discussionmentioning

confidence: 99%

“…In a systematic literature search of MEDLINE, Embase, PsycINFO, CINAHL and The Cochrane Library on 18 December 2018, we identified 36 systematic reviews of preoperative interventions in TKR. Twenty-five of these had searches conducted more than 5 years previously,10 12–35 and nine exclusively reported short-term outcomes (3 months or less after surgery) 36–44. Two more recent reviews considered the outcome of long-term pain45 46 but neither had a registered protocol.…”

Section: Introductionmentioning

confidence: 99%

Effects of presurgical interventions on chronic pain after total knee replacement: a systematic review and meta-analysis of randomised controlled trials

et al. 2020

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ObjectiveNearly 100 000 primary total knee replacements (TKR) are performed in the UK annually. The primary aim of TKR is pain relief, but 10%–34% of patients report chronic pain. The aim of this systematic review was to evaluate the effectiveness of presurgical interventions in preventing chronic pain after TKR.DesignMEDLINE, Embase, CINAHL,The Cochrane Libraryand PsycINFO were searched from inception to December 2018. Screening and data extraction were performed by two authors. Meta-analysis was conducted using a random effects model. Risk of bias was assessed using the Cochrane tool and quality of evidence was assessed by Grading of Recommendations Assessment, Development and Evaluation.Primary and secondary outcomesPain at 6 months or longer; adverse events.InterventionsPresurgical interventions aimed at improving TKR outcomes.ResultsEight randomised controlled trials (RCTs) with data from 960 participants were included. The studies involved nine eligible comparisons. We found moderate-quality evidence of no effect of exercise programmes on chronic pain after TKR, based on a meta-analysis of 6 interventions with 229 participants (standardised mean difference 0.20, 95% CI −0.06 to 0.47, I2=0%). Sensitivity analysis restricted to studies at overall low risk of bias confirmed findings. Another RCT of exercise with no data available for meta-analysis showed no benefit. Studies evaluating combined exercise and education intervention (n=1) and education alone (n=1) suggested similar findings. Adverse event data were reported by most studies, but events were too few to draw conclusions.ConclusionsWe found low to moderate-quality evidence to suggest that neither preoperative exercise, education nor a combination of both is effective in preventing chronic pain after TKR. This review also identified a lack of evaluations of other preoperative interventions, such as multimodal pain management, which may improve long-term pain outcomes after TKR.PROSPERO registration numberCRD42017041382.

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“…9 A recent systematic review on nurse-run preoperative assessment by Sau-man Conny and Wan-Yim confirms our findings. 2 In addition, other authors describe lower surgery cancellation rates and reduction in the rate of postoperative mortality and length of hospital stay. 6 10 The patient satisfaction survey also yielded encouraging results.…”

Section: Open Accessmentioning

confidence: 99%

Nurse-run preanaesthesia assessment clinics: an initiative towards improving the quality of perioperative care at the ambulatory care centre

et al. 2021

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IntroductionNurse-run preanaesthesia assessment is well established in ambulatory surgery. However, in the Middle East the implementation of such a service is new and needed careful preparation. Aim of this audit is to assess the feasibility and the quality of preoperative assessments by the specially trained nurses, patient and nurse satisfaction and overall perioperative quality of recovery.MethodsThe nurses were selected and trained first in an accredited programme. Then an implementation period of 3 month was used for them to gain experience. Hereafter, we performed a four-step audit on the quality of preassessment, the patient’s satisfaction, the quality of recovery and adverse events if any. Finally, we also monitored the nurse’s satisfaction of their new advanced role.ResultsThe quality of preanaesthesia assessment was high as with 95% compliance to the accepted standards. In the patient satisfaction survey, all 152 patients were either highly satisfied or satisfied with the nurse-run service. The nurses were also highly satisfied and felt that they were either highly or moderately valued. All the patients who were operated at the ambulatory care services were followed up postoperatively by telephone calls which revealed that most of them were highly satisfied. No major or minor adverse events occurred.ConclusionOur specially trained nurses perform preoperative assessments on high standard without adverse events, while patient and staff satisfaction is very high. Future projects will focus on reducing the rate of cancellation of surgeries, investigating the cost-effectiveness of this approach as well as training the specialised nurses for paediatric preoperative anaesthesia assessments. This model of care could induce further nurse-run models of care in the Middle East.

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The Effectiveness of Nurse-Led Preoperative Assessment Clinics for Patients Receiving Elective Orthopaedic Surgery: A Systematic Review

Cited by 21 publications

References 26 publications

On the Effect of the Application of Traditional Chinese Medicine to Umbilicus with Timing Point Massage on Improving Gastrointestinal Function and Satisfaction Degree of Bedridden Patients in Department of Orthopedics

On the Effect of the Application of Traditional Chinese Medicine to Umbilicus with Timing Point Massage on Improving Gastrointestinal Function and Satisfaction Degree of Bedridden Patients in Department of Orthopedics

Effects of presurgical interventions on chronic pain after total knee replacement: a systematic review and meta-analysis of randomised controlled trials

Nurse-run preanaesthesia assessment clinics: an initiative towards improving the quality of perioperative care at the ambulatory care centre

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