EORNA2022_Abstract Book

Stavanger, Norway | 12 - 15 May 2022 10th EORNA Congress ePosters 57 eP17 Patient experience with early discharge after total knee arthroplasty: a focus group study V.S. Husby1,2, L.H. Høvik3, B. Aglen4 1Norwegian University of Science and Technology (NTNU), Department of Health Sciences, Ålesund, Norway, 2St. Olavs Hospital, Department of Orthopaedic Surgery, Trondheim, Norway, 3St Olavs Hospital, Clinic of Anaesthesia and Intensive Care Medicine, Trondheim, Norway, 4Norwegian University of Science and Technology (NTNU), Department of Public Health and Nursing, Trondheim, Norway Objectives: To explore the experiences of patients undergoing total knee arthroplasty in a fast-track pathway during the first 2 weeks after surgery. Methods: Three focus group interviews, including 13 patients from two different units of an orthopaedic department in central Norway, were conducted from May to June 2015. The interviews were analysed using Malteruds’ method of systematic text condensation. Results: The main finding was the patients’ determination and ability to cope at home. The fast-track pathway seemed to enable patients to take an active role in own self-care. The patient’s coping capacity was strengthened by education, knowledge and predictability. Four main areas related to coping emerged after discharge. First, most of the patients expressed that it was good to come home and take responsibility for their own rehabilitation. Second, prerequisites for feeling secure after returning home were highlighted. Third, the patients seemed empowered by sharing experiences with others. Fourth, postoperative pain was prevalent in many patients after discharge, but the patients seemed prepared by information provided in the fast-track pathway. Conclusions: The fast-track pathway released coping skills and resources among the patients. The expectation of, and preparation for early discharge made the patients feel confident when discharged few days after surgery. The patients expected to take great responsibility for their own rehabilitation process. Published in: Scand J Caring Sci. 2018 Jun;32(2):833-842. doi: 10.1111/scs.12514 eP18 Determining the factors affecting fear of movement in patients undergoing total knee replacement N. Yildiz Emre1, M. Karadağ2 1Gazi University/Health Science Institute, Department of Nursing, Ankara, Turkey, 2Yüksek İhtisas University/Faculty of Health Science, Department of Nursing, Ankara, Turkey Background: Total knee replacement (TKR) negatively affects the recovery process because TKR patients avoid movement and have difficulty meeting their needs. Method: The sample consisted of 150 TKR patients at a university hospital. Data were collected three times using the Tampa Scale of Kinesiophobia (TSK) (1) before surgery, (2) one day after surgery, and (3) three weeks after discharge. The data were analysed using independent samples t-test, analysis of variance (ANOVA), Tukey, Tamhane, Mann-Whitney U, Kruskal-Wallis H tests, and Bonferroni correction. Results: Participants had a mean TSK score of 44.05±6.24, 45.54±7.05, and 42.79±8.15 before surgery, one day after surgery, and three weeks after discharge, respectively. Most participants needed help with their activities of daily living after surgery (89.3%). More than three-quarters of the participants avoided movement due to postoperative pain (78.7%). Participants who did not exercise after discharge had higher pain levels than those who did. Participants who exercised regularly had less fear of movement than those who did not. Discussion: Post-TKR pain and fear of movement cause patients to avoid moving, which negatively affects the recovery process. Patients who exercise regularly recover more quickly. Therefore, it is important to identify the factors affecting fear of movement in TKR patients.

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