- Email: [email protected]
Ambulatory orthopaedic surgery patients’ anxiety with Internet-based education (Concurrent)
212 patients and 12 nurses. The questionnaires included: Expected (and Received) Knowledge of Hospital Patient (and Significant Other), Access to Knowledge Scale, QoR40, EQ5D, Patients’ Satisfaction of Care Scale, Krantz Health Opinion Survey and nurses’ questionnaire on patients’ education. Results: So far data have been collected from 15 patients and significant others (response rate 68%) and 2 nurses. Patients experienced stress and pain (due to the operation or the mobilisation) both preand post-operatively and good scores in QoR40 (except daily activities) postoperatively. They feel satisfied with the health care and information provided (except for insurance questions, patients’ rights in the hospital and physiotherapy). They recognize the shortage and the limited time of nursing staff and they appreciate the effort. The EQ5D scores are similar pre- and post-operatively, probably because more time is required before their quality of life is improved. Their satisfaction is not related to their situation post-operatively, but to whether the staff met their expectations. Nurses evaluate their work as excessively demanding and that lack of staff prevents patients’ education. Conclusions: Patients were satisfied with the care and information provided, but there are still many areas for improvement. The shortage of nursing staff is the most important barrier for promoting patients’ education. doi:10.1016/j.joon.2009.08.011
Abstracts the knowledge they receive. In this study it is assumed that that the closer the patients’ and significant others’ expectations and received knowledge are, the more empowered they are and possibilities for self-management are created. Material and methods: The data from hip and knee arthroplasty patients (30) and their significant others ðn ¼ 30Þ were collected with structured questionnaires at two measurement points: (1) prior to the patients’ surgery and (2) at discharge. The patient’s questionnaires included items about their expected knowledge and received knowledge as well as health and recovery related issues. The significant others’ questionnaires concerned their knowledge expectations and received knowledge. Expected Results and Conclusion: The data analysis is ongoing and the results and conclusions will be available for the conference. This study provides evidence about the orthopaedic patients’ and their significant others’ knowledge related to the arthroplasty procedure. With this evidence it will be possible to develop orthopaedic patients’ and their significant others’ education in the surgical context. doi:10.1016/j.joon.2009.08.012
Ambulatory orthopaedic surgery patients’ anxiety with Internet-based education (Concurrent) Katja Heikkinen University of Turku Applied Sciences, Finland
Finnish pilot study of empowering patient education from the point of view of orthopaedic patients and their significant others (Concurrent) Johansson Kirsi, Lehtikunnas Tuij, Leino-Kilpi Helena University of Turku, Finland & Turku University Hospital, Finland
Introduction: Orthopaedic procedures are some of the most common major surgical procedures in western countries and have beneficial short-term and long-term effects. Patient education plays a major role in these procedures, but still there is limited evidence of this. Purpose: The focus of this Finnish pilot study is on empowering education for orthopaedic patients and their significant others. In empowering education it is important to understand patients’ and their significant others’ knowledge and to measure
Introduction: Earlier studies indicate that patients undergoing surgery suffer anxiety. There is, however, little evidence about the effect of Internet-based education to reduce anxiety. Objective: The aim of this study was to compare ambulatory orthopaedic surgery patients’ anxiety with Internet-based education (experiment) and with face to face education conducted, by the nurse (control). Methods: Elective ambulatory orthopaedic surgery patients were randomised to either an experiment group ðn ¼ 72Þ receiving education through a website or to a control group ðn ¼ 75Þ receiving face to face education with a nurse. The data were collected at seven different time points: before the education (baseline), after education, on the day of the operation and four times postoperatively. Patients’ anxiety was measured with a Vertical Visual Analogue Scale (VAS; 100 mm), where the left side (0) indicated low intensity of anxiety
Selected Abstracts from the Association of Maltese Orthopaedic Nurses and right side (100) indicated intolerable intensity of anxiety. Patients’ demographic information was requested from the patients at baseline. Results: The results indicated that Internetbased patient education’s effect on patients’ anxiety scores are similar to face to face education. Patients’ education did not reduce patients’ anxiety scores. However, anxiety scores decreased on the operation day, before the operation and after the operation. The amount of patients scoring their anxiety moderate or high was quite low in all phases of ambulatory surgery care. Implications for nursing: Internet-based patient education is as effective a method as face to face education for the ambulatory orthopaedic surgery patient. doi:10.1016/j.joon.2009.08.013
Patient-perceived health-related quality of life after total hip arthroplasty (Concurrent) Liisa Montin ORTON Research Helsinki, Finland
Institute,
Invalidfoundation,
The prevalence of osteoarthritis will increase as the population ages. Osteoarthritis of the hip causes pain and impairs patients’ function and psychosocial well-being. Total hip arthroplasty has been shown to be effective surgery for patients with osteoarthritis in the hip. The aim of this follow-up study was to evaluate patient-perceived health-related quality of life after surgery. The ultimate goal is to use this knowledge when planning postoperative patient care and support. Patients (n ¼ 100, mean age 64 years, 54 female, 46 male) evaluated the outcomes up to three years after surgery, between 2004 and 2008. The response rate at three years was 71%. The data were collected by using different questionnaires (Sickness Impact Profile, Finnish Version, Numeric Rating Scale, and a purpose-designed Physical function questionnaire) and analysed using statistical methods. Patients’ health-related quality of life was improved and pain relieved after surgery and their physical function increased during the follow-up. The more detailed results are available and will be presented at the conference. Patients’ individual characteristics should be taken into consideration in nursing when planning postoperative, relevant and sufficient care for recovery. Patients need personally tailored, short-
213
and long-term advice, depending on several background factors (e.g. age, gender, preoperative pain). doi:10.1016/j.joon.2009.08.014
Pneumatic tourniquet: Irish orthopaedic nurses experiences (Concurrent) Caroline O. Connor, Siobhan Murphy University College Cork, Ireland Pneumatic (inflatable) tourniquets are used worldwide for a variety of extremity surgeries and anaesthesia (Biers block) to temporarily control the circulation of blood. However, they exert both systemic and localised effects on patients. Responsibility for protecting patients from the hazards of tourniquet use is shared among the entire health care team. Kam et al. (2001) suggests that each health service provider must establish authority responsibility and accountability for pneumatic tourniquet management. Orthopaedic nurses are well placed to monitor and detect any abnormalities which may result following tourniquet use. Hegarty and Burton (2006) suggest research is the central to advancing nursing practice. Thus a quantitative descriptive study ðn ¼ 69Þ of orthopaedic nurses was conducted to advance orthopaedic nursing practice in this area. Aim of study: To obtain orthopaedic nurse’s awareness of pneumatic tourniquet use. Findings: Demographic and quantitative results, analysed using SPSS will be presented.
References Hegarty, J., Burton, A., 2006. The use of discharge criterion in Irish post anaesthetic care units. Anaesthetic and Recovery Nursing 3 (1), 6–10. Kam, P., Kavanaugh, R., Yoong, F., 2001. The arterial tourniquet: pathophysiological consequences and anaesthetic implications. Journal of the Association of Anaesthetists of Great Britain and Ireland 58 (6), 534–545. doi:10.1016/j.joon.2009.08.015
Evaluation of the coping methods used by knee osteoarthritis patients for pain and their effect on the disease-specific quality of life (Concurrent) Semra Aciksoz, Senay Uzun, Servet Tunay
Abstracts the knowledge they receive. In this study it is assumed that that the closer the patients’ and significant others’ expectations and received knowledge are, the more empowered they are and possibilities for self-management are created. Material and methods: The data from hip and knee arthroplasty patients (30) and their significant others ðn ¼ 30Þ were collected with structured questionnaires at two measurement points: (1) prior to the patients’ surgery and (2) at discharge. The patient’s questionnaires included items about their expected knowledge and received knowledge as well as health and recovery related issues. The significant others’ questionnaires concerned their knowledge expectations and received knowledge. Expected Results and Conclusion: The data analysis is ongoing and the results and conclusions will be available for the conference. This study provides evidence about the orthopaedic patients’ and their significant others’ knowledge related to the arthroplasty procedure. With this evidence it will be possible to develop orthopaedic patients’ and their significant others’ education in the surgical context. doi:10.1016/j.joon.2009.08.012
Ambulatory orthopaedic surgery patients’ anxiety with Internet-based education (Concurrent) Katja Heikkinen University of Turku Applied Sciences, Finland
Finnish pilot study of empowering patient education from the point of view of orthopaedic patients and their significant others (Concurrent) Johansson Kirsi, Lehtikunnas Tuij, Leino-Kilpi Helena University of Turku, Finland & Turku University Hospital, Finland
Introduction: Orthopaedic procedures are some of the most common major surgical procedures in western countries and have beneficial short-term and long-term effects. Patient education plays a major role in these procedures, but still there is limited evidence of this. Purpose: The focus of this Finnish pilot study is on empowering education for orthopaedic patients and their significant others. In empowering education it is important to understand patients’ and their significant others’ knowledge and to measure
Introduction: Earlier studies indicate that patients undergoing surgery suffer anxiety. There is, however, little evidence about the effect of Internet-based education to reduce anxiety. Objective: The aim of this study was to compare ambulatory orthopaedic surgery patients’ anxiety with Internet-based education (experiment) and with face to face education conducted, by the nurse (control). Methods: Elective ambulatory orthopaedic surgery patients were randomised to either an experiment group ðn ¼ 72Þ receiving education through a website or to a control group ðn ¼ 75Þ receiving face to face education with a nurse. The data were collected at seven different time points: before the education (baseline), after education, on the day of the operation and four times postoperatively. Patients’ anxiety was measured with a Vertical Visual Analogue Scale (VAS; 100 mm), where the left side (0) indicated low intensity of anxiety
Selected Abstracts from the Association of Maltese Orthopaedic Nurses and right side (100) indicated intolerable intensity of anxiety. Patients’ demographic information was requested from the patients at baseline. Results: The results indicated that Internetbased patient education’s effect on patients’ anxiety scores are similar to face to face education. Patients’ education did not reduce patients’ anxiety scores. However, anxiety scores decreased on the operation day, before the operation and after the operation. The amount of patients scoring their anxiety moderate or high was quite low in all phases of ambulatory surgery care. Implications for nursing: Internet-based patient education is as effective a method as face to face education for the ambulatory orthopaedic surgery patient. doi:10.1016/j.joon.2009.08.013
Patient-perceived health-related quality of life after total hip arthroplasty (Concurrent) Liisa Montin ORTON Research Helsinki, Finland
Institute,
Invalidfoundation,
The prevalence of osteoarthritis will increase as the population ages. Osteoarthritis of the hip causes pain and impairs patients’ function and psychosocial well-being. Total hip arthroplasty has been shown to be effective surgery for patients with osteoarthritis in the hip. The aim of this follow-up study was to evaluate patient-perceived health-related quality of life after surgery. The ultimate goal is to use this knowledge when planning postoperative patient care and support. Patients (n ¼ 100, mean age 64 years, 54 female, 46 male) evaluated the outcomes up to three years after surgery, between 2004 and 2008. The response rate at three years was 71%. The data were collected by using different questionnaires (Sickness Impact Profile, Finnish Version, Numeric Rating Scale, and a purpose-designed Physical function questionnaire) and analysed using statistical methods. Patients’ health-related quality of life was improved and pain relieved after surgery and their physical function increased during the follow-up. The more detailed results are available and will be presented at the conference. Patients’ individual characteristics should be taken into consideration in nursing when planning postoperative, relevant and sufficient care for recovery. Patients need personally tailored, short-
213
and long-term advice, depending on several background factors (e.g. age, gender, preoperative pain). doi:10.1016/j.joon.2009.08.014
Pneumatic tourniquet: Irish orthopaedic nurses experiences (Concurrent) Caroline O. Connor, Siobhan Murphy University College Cork, Ireland Pneumatic (inflatable) tourniquets are used worldwide for a variety of extremity surgeries and anaesthesia (Biers block) to temporarily control the circulation of blood. However, they exert both systemic and localised effects on patients. Responsibility for protecting patients from the hazards of tourniquet use is shared among the entire health care team. Kam et al. (2001) suggests that each health service provider must establish authority responsibility and accountability for pneumatic tourniquet management. Orthopaedic nurses are well placed to monitor and detect any abnormalities which may result following tourniquet use. Hegarty and Burton (2006) suggest research is the central to advancing nursing practice. Thus a quantitative descriptive study ðn ¼ 69Þ of orthopaedic nurses was conducted to advance orthopaedic nursing practice in this area. Aim of study: To obtain orthopaedic nurse’s awareness of pneumatic tourniquet use. Findings: Demographic and quantitative results, analysed using SPSS will be presented.
References Hegarty, J., Burton, A., 2006. The use of discharge criterion in Irish post anaesthetic care units. Anaesthetic and Recovery Nursing 3 (1), 6–10. Kam, P., Kavanaugh, R., Yoong, F., 2001. The arterial tourniquet: pathophysiological consequences and anaesthetic implications. Journal of the Association of Anaesthetists of Great Britain and Ireland 58 (6), 534–545. doi:10.1016/j.joon.2009.08.015
Evaluation of the coping methods used by knee osteoarthritis patients for pain and their effect on the disease-specific quality of life (Concurrent) Semra Aciksoz, Senay Uzun, Servet Tunay