Effects of Clinical Practice Guideline Implementation for Patients Undergoing Total Knee Arthroplasty
Keywords:Clinical practice guideline, total knee arthroplasty
Persons with knee osteoarthritis undergoing total knee arthroplasty requires an evidenced-based clinical practice guideline for nursing care from admission to discharge from the hospital for better outcomes. This one group posttest only design aimed to investigate the effects of a clinical practice guideline for caring of persons undergoing total knee arthroplasty. The nursing role effectiveness model of Irvine, et.al (2003) was used as a conceptual framework. The purposive sample were 20 men and women who were admitted for total knee arthroplasty. The clinical practice guideline for caring persons undergoing total knee arthroplasty was employed by 13 trained professional nurses. Data were collected by using the recording form of demographic data, pain score assessment and pain management, range of knee motion, length of stay, and patients' satisfaction questionnaire. Descriptive statistics including frequency, percentage, mean, standard deviation and inferential statistic; one sample t-test were used for data analysis. The findings revealed that the clinical practice guideline's had effect on patients outcomes and hospital outcomes were statistically significant : mean score ofpain less than 3 during 24, 48, and 72 hours post operation [2.31, 2.42, and 2.07 respectively] (p < .01, p < .01, and p < .001 respectively), mean range of knee motion (more than 100 degree on day of discharge), mean length of stay [mean score 6.55 days , less than 9 days] (p < .001, and p < .001respectively). Moreover patients' satisfaction scores were significant statistically higher than 80% (p < .001). The Clinical practice guideline for caring persons undergoing total knee arthroplasty was recommended for further use to improve quality of nursing care.
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