Evidence Based Nursing Guidelines and Patients' Quality of Life after Knee Replacement Surgery.

Authors

1 Clinical instructor of Medical Surgical Nursing, Faculty of Nursing, Benha University

2 Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Benha University

3 Lecturer of Medical Surgical Nursing, Faculty of Nursing, Benha University

Abstract

Background: The surgical treatment for osteoarthritis in its advanced stages is knee replacement surgery, which is helpful in reducing pain, correcting deformities, and restoring function. In order to improve patient outcomes and their rate of recovery, evidence-based nursing recommendations are essential. Aim: Was to evaluate the effect of evidence-based nursing guidelines on patients' quality of life after knee replacement surgery. Research design: This research's aim was achieved through the use of a quasi-experimental research design specifically a one-group pre/post-test. Setting: The research was carried out at Benha University Hospital in the Qualyubia Governorate, Egypt, at the orthopedic department, which is connected to the surgery department and outpatient   clinics. Subjects: The research included a convenience sample of 100 patients   who underwent knee replacement surgery. Instruments: Two tools were used: Tool (I): A structured interviewing questionnaire, it involved the patients' personal data, medical history and patients' knowledge assessment. The second tool was the patients' Quality of Life Scale, which included three domains: The social, psychological, and physical. Results: According to the research's findings, the overall knowledge levels over the several research phases varied in a very statistically meaningful way. In contrast, 27% of the patients had a satisfactory level of overall knowledge about knee replacement surgery prior to the adoption of the guidelines, and 88%, 85%, and 82% of them had a satisfactory level of knowledge immediately following, three months after, and six months after the guidelines were implemented and the patients' overall mean quality of life score was 51.38 ± 3.83 prior to the nursing guidelines implementation, and it changed to 47.27 ± 4.27 and 31.92 ± 4.89 post three and six months of the guidelines' implementation, with highly significant differences (p=<0.001*). Conclusion: Following the implementation of nursing guidelines, patients' knowledge and all quality of life subscales regarding their physical, psychological, and social status significantly improved. Recommendations: Larger sample sizes should be used in future research to evaluate patients' quality of life following knee replacement surgery.

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