Rheumatology: Current Research
Open Access

Nursing rehabilitation of patients after total hip replacement: Based on clinical nursing research

International Conference and Exhibition on Orthopedics & Rheumatology

August 13-15, 2012 Hilton Chicago/Northbrook, USA

Britta Hordam

Posters: Rheumatology & Orthopedics

Abstract :

Objective: Based on results of a ph.d.study aimed to study the effect of rehabilitation nursing to patients with new hip after early discharge. Method: Two post docs randomised clinical trials of 260 patients focusing on patients ́ health status by using SF-36 at 4 weeks pre- and 3 and 9 months postoperatively were carried out. Patients were randomised 4 weeks preoperatively to either to control or intervention groups. Both groups received the conventional surgical treatment, but the intervention groups 1 and 2 were either interviewed by telephone 2 and 10 weeks (group1) or 1, 3 and 7 weeks (group 2) after surgery by a nurse specialist. Patients were given counselling within eight main dimensions with reference to their postoperative situation based on specific developed counselling and clinical guidelines to patients after hip replacement. Results: All patients experienced improvement in health status. The counselling significantly reduced the time patients needed to reach their habitual levels: the intervention patients reached their habitual levels at least 3 months whereas the control patients reached theirs after 9 months. Conclusion: Nursing intervention and innovation by telephone interviews and support in the postoperative phase seems to benefit patients ́ improvement within rehabilitation. Relevance to clinical practice: Rehabilitation nursing based on research in patients self-rated health and intervention program by using clinical guidelines postoperatively after early discharged