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Exploring the Learning Needs for Discharge Planning Among Postoperative Orthopedic Patients: A Scoping Review
Urip Rahayu1,2, Kusman Ibrahim2, Herry Herman3
1Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Postoperative orthopedic patients have key learning needs including pain management and wound care. Optimizing discharge education can improve recovery and reduce complications for these patients.
Area of Science:
- Orthopaedic Surgery
- Patient Education
- Healthcare Management
Background:
- Postoperative orthopedic patients frequently experience pain and swelling, impacting mobility and prolonging hospital stays.
- Effective discharge planning is crucial for preventing complications and enhancing patient self-care post-orthopedic surgery.
- Current discharge education may not fully address the learning needs of orthopedic patients, necessitating further investigation.
Purpose of the Study:
- To conduct a scoping review to explore and categorize the learning needs of postoperative orthopedic patients.
- To identify key areas for optimizing discharge education and transitional care for orthopedic surgery patients.
- To inform the development of more effective patient education strategies in orthopedic care.
Main Methods:
- A comprehensive literature search was performed across major databases including PubMed, Scopus, and EBSCOhost.
- Keywords focused on postoperative orthopedic patients, learning needs, and discharge planning.
- Data extraction and synthesis were employed to identify and categorize patient learning needs.
Main Results:
- Seven primary learning needs were identified: pain management, wound care, complication management, mobility/rehabilitation, daily activities, medication monitoring, and digital/family support.
- Significant gaps in patient education were noted, particularly concerning pain management and complication recognition.
- The review highlighted a need for enhanced post-discharge support for orthopedic patients.
Conclusions:
- This scoping review reveals critical gaps in current patient education for postoperative orthopedic patients.
- There is a clear need for structured, comprehensive discharge planning and education tailored to orthopedic surgery recovery.
- Future research should focus on longitudinal studies and the efficacy of digital and personalized educational interventions.
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