Preliminary effects of a preoperative nursing consultation for patients undergoing hip or knee replacement surgery: A pre-experimental study

IF 0.3 Q4 Medicine Recherche en Soins Infirmiers Pub Date : 2023-01-01 DOI:10.3917/rsi.151.0099
Marie-Paule Bell, Maria Pilar Ramirez Garcia, Joris Thievenaz, Justine Zehr
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Abstract

Introduction: A large proportion of patients undergoing hip or knee replacement surgery experience preoperative anxiety, a predictor of postoperative pain.

Objective: To evaluate the preliminary effects of a preoperative nursing consultation incorporating therapeutic education with relaxation on pre- and postoperative anxiety and postoperative pain in patients undergoing hip or knee replacement surgery.

Method: Pre-experimental study conducted with a single group and several measurement times: before and after the consultation with a nurse; the day before surgery; and during the hospital stay.

Results: A total of 92 people participated in the study. There was a significant and progressive decrease in levels of pain and anxiety. The reduction in anxiety levels before/after the consultation (T0-T1) correlated with anxiety levels the day before surgery (T2), anxiety levels during the hospital stay (T3), and postoperative pain.

Discussion: This preoperative nursing consultation appears to have been effective in reducing levels of pre- and postoperative anxiety, as well as postoperative pain, in the patients studied.

Conclusion: This randomized clinical trial demonstrates the relevance of continuing to study this combined therapeutic approach in the management of pre- and postoperative anxiety and pain.

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髋关节或膝关节置换术患者术前护理会诊的初步效果:一项实验前研究
导言:很大一部分接受髋关节或膝关节置换手术的患者术前焦虑,这是术后疼痛的预测因素。目的:评价术前护理会诊结合放松治疗性教育对髋关节或膝关节置换术患者术后焦虑和术后疼痛的影响。方法:采用单组实验前研究,在护士会诊前和会诊后进行多次测量;手术前一天;在住院期间。结果:共有92人参与了这项研究。疼痛和焦虑程度有显著的逐步下降。会诊前后(T0-T1)焦虑水平的降低与术前(T2)、住院期间(T3)焦虑水平和术后疼痛相关。讨论:这种术前护理咨询似乎有效地降低了所研究患者的术前和术后焦虑以及术后疼痛水平。结论:这项随机临床试验证明了继续研究这种联合治疗方法在治疗术前和术后焦虑和疼痛方面的相关性。
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CiteScore
0.30
自引率
33.30%
发文量
25
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