The effect of Discharge Planning Program on Total Knee ArthroplastyPatient Rehabitation, Lamphun Hospital

Abstract

The discharge planning for total knee arthroplasty patient is an important nursing care process for promoting safety, helps to restore postoperative conditions and improve the quality of life for patients. The purpose of this quasi-experimental research was to compare the knowledge scores, postoperative rehabitation and complications of patients after knee arthroplasty between the group that received the discharge planning program and the group that received regular care. The sample group is patient osteoarthritis of knee underwent knee arthroplasty at Lamphun Hospital the participants were divided into a control group of 25 people and an experimental group. 25 people. The tools used in conducting the trial include a discharge planning program of total knee arthroplasty patient. The tools used to collect data include personal data and health records, self-care knowledge assessments, and post-knee arthroplasty behavior assessments, pain score record form, knee mobility record form, 10-meter flat walking ability record form, and postoperative complications recording form. Data analysis statistics were used, including frequency, percentage, mean, standard deviation, and inferential statistics, including: fisher exact probability test and independent t-test.

The results of the study showed that the experimental group that received the discharge planning had higher scores on self-care knowledge and post-knee arthroplasty behavior than the control group with was statistically significant (p<0.001) Pain score was statistically significantly lower than that of the control group (p<0.001). It was statistically significant that both knee and flat ground movements were restored at a distance of 10 meters better than the control group, which was statistically significant (p<0.001).No postoperative complications. The experimental group also had a statistically significant decrease in the length of hospital stay less than the control group (p<0.001)

Conclusion, the discharge planning program helps patients rehabilitate themselves, improves their knowledge of self-care and post-operative behavior after total knee arthroplasty and effectively prevents post-operative complications.