Development of Clinical Nursing Practice Guidelines for Pain Management in the Elderly with Hip Arthroplasty
Hip arthroplasty rates are increasing since hip fractures are common in the growing elderly
population. The purpose of this research was to develop and study the effects of clinical nursing
practice guidelines for pain management in the elderly with hip arthroplasty. The sample consisted
of 30 elderly who had hip arthroplasty in Kalasin hospital in April-June 2019 and 15 nurses in the
Orthopedic Department. Data collection instruments were the clinical nursing practice guidelines
for pain management, pain management scale, and satisfaction with pain management. Data were
analyzed using descriptive statistics.
The results revealed that clinical nursing practice guidelines for pain management in the
elderly were implemented in four phases: pre-surgery, during surgery, post-operative, and pain
management aftercare. The majority of elderly (90%) had pain level reduced to a moderate level
within 72 hours after surgery. There was a high level of patient satisfaction with pain management
( = 27.21, x¯ SD = 1.07). All nurses used pharmacological management for pain. Long-term health
problems among community-dwelling elderly (80%) had moderate dependency. The effciency on
beneft of clinical nursing practice guidelines was highest level ( = 5.95, x¯ SD = 0.22). The results
suggest that these clinical nursing practice guidelines should be used from preoperative to
postoperative and aftercare phases in general and community hospitals with similar patients. Further
research should study cost effectiveness and days of hospitalization.
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