Genel Tıp Dergisi (Oct 2022)
The Effect of Continuous Nursing Care Applied with Coaching Strategy for Patients with Total Knee Arthroplasty on Some Patient Outcomes: A Randomized Controlled Study Protocol
Abstract
Aim: The aim of this study is to determine the effect of continuous nursing care applied with a pre- and postoperative coaching strategy to patients with total knee replacement on some patient outcomes (pain control, anxiety level, self-care power, activities of daily living, patient satisfaction, hospital readmission status, and use of painkillers) is to determine. Materials and methods: The research is a parallel group (experiment-control) randomized controlled clinical trial.Data were obtained from patients who underwent 72 knee replacement surgeries between January 20, 2021 and October 28, 2021. Patients were assigned to the experimental and control groups using a simple randomization method.The patients in the experimental group received nursing care with the coaching strategy, while the patients in the control group received routine nursing care.Data; It was obtained by using the Patient Identification Form, the Visual Analog Scale, the Self-Care Scale, the Newcastle Nursing Satisfaction Scale, the State Anxiety Inventory, and the Barthel Daily Living Activity Index.The patients were followed up preoperatively and in the postoperative period (0., 1., 2. days, on the day of discharge, on the 15th day, 45th day and 90th day after discharge). Results: Statistical analysis of the data obtained as a result of the research was calculated using the SPSS 25 package program in computer environment. Number, percentage, mean and standard deviation were used for descriptive statistics, and chi-square analysis was used to compare the similarity/homogeneity of the groups in terms of descriptive characteristics. In the study, which was carried out in experimental design in independent groups and repeated tests, the compatibility of the data with the normal distribution will be determined by the Kolmogorov-Smirnov test and the normal distribution curve, Skewness and Kurtosis test. Obtained results were evaluated at p<0.05 significance level. Conclusion: As a result of the research, it was concluded that the patients in the experimental group showed a positive change in pain, analgesic use, anxiety, self-care agency, activities of daily living, patient satisfaction compared to the patients in the control group, while the rates of readmission were similar.
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