Outcome of Using Evidence-Based Clinical Nursing Practice Guideline for Hip Arthroplasty Patients: A Retrospective Comparative Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/153991
Type:
Presentation
Title:
Outcome of Using Evidence-Based Clinical Nursing Practice Guideline for Hip Arthroplasty Patients: A Retrospective Comparative Study
Abstract:
Outcome of Using Evidence-Based Clinical Nursing Practice Guideline for Hip Arthroplasty Patients: A Retrospective Comparative Study
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Lausawatchaikul, Pensri, RN, MNS
P.I. Institution Name:Mahidol University
Title:Supervisor
21st INRC [Evidence-Based Practice Presentation] Purpose: This retrospective comparative study was performed to compare the outcomes of nursing care for hip arthroplasty patients on postoperative pain, number of days for first postoperative ambulation, LOS, postoperative complications and unplanned-readmission within 3 months after operation. Methods:  The sample consisted of 80 hip arthroplasty patients who were admitted to orthopedic wards, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.  The samples were divided into two groups, which consisted of 40 participants in each group.  Group 1 were participants who received usual nursing care.  Group 2 were participants who received nursing care using Evidence-Based clinical nursing practice guideline for hip arthroplasty patients. Results: The characteristics of participants among two groups were not difference.  The majority was elderly, female and diagnosed fracture hip.  The mean age were 65.55 and 66.33 in group 1 and group 2, respectively.  The result  showed that postoperative pain score, number of days for first postoperative ambulation and LOS of  group 1 slightly more than group 2 but were not statistically significant difference.  Most postoperative complication was UTI, there were 5 patients in group 1 and 2 patients in group 2. They were elderly (age 70-100), had diagnosed UTI or Urinary retention prior operations. Acute confusional state, GI bleeding and Lung atelectasis were found 3, 2 and 1, respectively in each group. There was 1 patient in each group unplanned-readmission for UTI and AF (group 1) and Bronchiectasis (group 2). Both patients were elderly (age 70 and 84) and diagnosed SLE before surgery.  The most common side effect in this study was constipation; there were 35% in group 1 and 47.50% in group 2. Conclusion: The result of this study is useful for improving clinical nursing practice guideline for prevention complications in the elderly patients with underlying diseases to enhance more effective nursing outcome in this area.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOutcome of Using Evidence-Based Clinical Nursing Practice Guideline for Hip Arthroplasty Patients: A Retrospective Comparative Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153991-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Outcome of Using Evidence-Based Clinical Nursing Practice Guideline for Hip Arthroplasty Patients: A Retrospective Comparative Study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lausawatchaikul, Pensri, RN, MNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Mahidol University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Supervisor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rapenlk@hotmail.com</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] Purpose: This retrospective comparative study was performed to compare the outcomes of nursing care for hip arthroplasty patients on postoperative pain, number of days for first postoperative ambulation, LOS, postoperative complications and unplanned-readmission within 3 months after operation. Methods:&nbsp; The sample consisted of 80 hip arthroplasty patients who were admitted to orthopedic wards, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.&nbsp; The samples were divided into two groups, which consisted of 40 participants in each group.&nbsp; Group 1 were participants who received usual nursing care.&nbsp; Group 2 were participants who received nursing care using Evidence-Based clinical nursing practice guideline for hip arthroplasty patients. Results: The characteristics of participants among two groups were not difference.&nbsp; The majority was elderly, female and diagnosed fracture hip.&nbsp; The mean age were 65.55 and 66.33 in group 1 and group 2, respectively.&nbsp; The result&nbsp; showed that postoperative pain score, number of days for first postoperative ambulation and LOS of &nbsp;group 1 slightly more than group 2 but were not statistically significant difference.&nbsp; Most postoperative complication was UTI, there were 5 patients in group 1 and 2 patients in group 2. They were elderly (age 70-100), had diagnosed UTI or Urinary retention prior operations. Acute confusional state, GI bleeding and Lung atelectasis were found 3, 2 and 1, respectively in each group. There was 1 patient in each group unplanned-readmission for UTI and AF (group 1) and Bronchiectasis (group 2). Both patients were elderly (age 70 and 84) and diagnosed SLE before surgery.&nbsp; The most common side effect in this study was constipation; there were 35% in group 1 and 47.50% in group 2. Conclusion: The result of this study is useful for improving clinical nursing practice guideline for prevention complications in the elderly patients with underlying diseases to enhance more effective nursing outcome in this area.</td></tr></table>en_GB
dc.date.available2011-10-26T12:39:48Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:39:48Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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