A Randomized Controlled Trial of an Individualized Preoperative Education Intervention for Symptom Management After Total Knee Arthroplasty

Orthopaedic Nursing
Rosemary A WilsonJoan Tranmer

Abstract

Pain and nausea limit recovery after total knee arthroplasty (TKA) patients. The aim of this study was to determine the effect of a preoperative educational intervention on postsurgical pain-related interference in activities, pain, and nausea. Participants (n = 143) were randomized to intervention or standard care. The standard care group received the usual teaching. The intervention group received the usual teaching, a booklet containing symptom management after TKA, an individual teaching session, and a follow-up support call. Outcome measures assessed pain, pain interference, and nausea. There were no differences between groups in patient outcomes. There were no group differences for pain at any time point. Respondents had severe postoperative pain and nausea and received inadequate doses of analgesia and antiemetics. Individualizing education content was insufficient to produce a change in symptoms for patients. Further research involving the modification of system factors affecting the provision of symptom management interventions is warranted.

References

Apr 1, 1978·Research in Nursing & Health·J E JohnsonM P Endress
Sep 1, 1989·Journal of Pain and Symptom Management·R Melzack
Aug 1, 1987·Pain·Ronald Melzack
Jan 1, 1994·Annals of Emergency Medicine·T J Krisanda, S O Laucks
Apr 1, 1997·Image--the Journal of Nursing Scholarship·M L Zalon
May 1, 1997·British Journal of Anaesthesia·H Kehlet
May 1, 1997·Journal of Clinical Nursing·E C Carr, V J Thomas
Sep 24, 1999·Pain·Howard L Fields
Sep 15, 2001·Nature·D Julius, A I Basbaum
Dec 18, 2001·Research in Nursing & Health·D D McDonaldJ Moore
Jun 13, 2003·International Journal of Nursing Practice·Brent HodgkinsonJacky Wood
Sep 23, 2003·Anesthesia and Analgesia·Christopher L WuLee A Fleisher
Oct 24, 2003·Patient Education and Counseling·Mats SjölingKenneth Asplund
Mar 25, 2005·Journal of Advanced Nursing·Kirsi JohanssonSanna Salanterä
Jun 28, 2005·European Journal of Pain : EJP·A Vania ApkarianJon-Kar Zubieta
Oct 7, 2005·Arthritis and Rheumatism·Dina L JonesVictoria Brander
Nov 5, 2005·Oncology Nursing Forum·Paula SherwoodPatrick O Monahan
Aug 19, 2008·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Debra B GordonKathleen Murphy-Ende
Jul 17, 2010·American Journal of Therapeutics·Roger DzwonczykSergio D Bergese
Apr 1, 2005·International Journal of Evidence-based Healthcare·Cindy Stern, Craig Lockwood

❮ Previous
Next ❯

Citations

Aug 22, 2020·Journal of Multidisciplinary Healthcare·Judy MundayFiona Coyer
Jul 31, 2020·Rheumatology International·Juliette Caroline SorelRudolf Wilhelm Poolman
Dec 24, 2020·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Mir MoonYoung Man Kim

❮ Previous
Next ❯

Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

PASW
SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.