Enhancing the Effectiveness of Nursing Guidance for Total Knee Arthroplasties.

This project aimed to enhance the effectiveness of nursing guidance and patient education to improve the recovery ability of patients after total knee arthroplasties. There is a high level of stress and challenge when the elderly face surgery. The patient recovery rate after total knee arthroplastie...

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Published in:Tzu Chi Nursing Journal Vol. 21; no. 4; pp. 76 - 87
Main Authors: Yen-Ti Chen, Chiung-Wen Chang, Wan-Ching Tsai, Wan-Ping Yang
Format: research tables/charts Journal Article
Published: Buddhist Tzu Chi General Hospital Aug2022
Online Access:View this record in EBSCOhost
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      dt: Aug2022
      vid: 21
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      pub: Buddhist Tzu Chi General Hospital
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        atl: Enhancing the Effectiveness of Nursing Guidance for Total Knee Arthroplasties.
      aug:
        au:
          Yen-Ti Chen
          Chiung-Wen Chang
          Wan-Ching Tsai
          Wan-Ping Yang
        affil: Case Manager, Kaohsiung Municipal Ta-Tung Hospital
      sug:
        subj:
          Arthroplasty, Replacement, Knee Nursing
          Nursing Care
          Patient Education
          Recovery
          Nursing Outcomes
          Human
          Group Processes
          Interprofessional Relations
          Confidence
          Motivation
      ab: This project aimed to enhance the effectiveness of nursing guidance and patient education to improve the recovery ability of patients after total knee arthroplasties. There is a high level of stress and challenge when the elderly face surgery. The patient recovery rate after total knee arthroplasties in 2019 is 50-70%, due in part to problems in nursing guidance including : 1. lacks coherent and consistent multi-point integrated content; 2. one-byone nursing guidance time consuming and ineffective; 3. lack of innovative strategies and tools. To address these issues we implemented the following strategies: interdisciplinary cooperation; multi-point nursing guidance; plan on-the-job education and group health education; formulation of standard health education tools; rehabilitation formula leaflets and rehabilitation daily schedule.. Group dynamics were used to enhance confidence, motivation, and willingness to improve patient rehabilitation skills and recovery. After implementation of this multi-intervention approach, the "patient recovery effectiveness rate" increased from 58.3% to 98.3%, and the progress rate was 68.6%. The target achievement rate is 123%. The completed rate of the "Knee Replacement Patient Nursing Guidance Sheet" is 98%. This project establishes effective, standardized nursing guidance for total knee arthroplasties through rolling revision.
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        tables/charts
        Journal Article
      ougenre: Article
    language: Chinese
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