Preliminary effects of a preoperative nursing consultation for patients undergoing hip or knee replacement surgery: A
Marie-Paule Bell1, Maria Pilar Ramirez Garcia2, Joris Thievenaz3
1Infirmière, Ph.Dc, Faculté des sciences infirmières (FSI), Université de Montréal, Laboratoire interdisciplinaire de recherche sur les transformations des pratiques éducatives et des pratiques sociales (LIRTES), Université Paris-Est Créteil, Cabinets chirurgicaux Claude Bernard et Mistral et ISIS-Infirmiers, Valence, Gémenos, France
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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