Development of the Nursing Process for Elderly Patients Undergoing Total Knee Replacement Surgery at Suddhavej Hospital
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Abstract
BACKGROUND: Osteoarthritis is one of the diseases faced by many Thai people, and it is one of the important causes of disability among the elderly. Recovering quickly after surgery, receiving proper care after a surgical procedure, and behaving properly after knee replacement surgery will help patients quickly return to their normal lives.
OBJECTIVES: To develop the nursing process for elderly patients undergoing knee replacement surgery at Suddhavej Hospital.
METHODS: A developmental research approach was used to examine a sample group comprising patients who had knee replacement surgery in the special ward, 11th floor, Suddhavej Hospital between June and December 2023. A total of 19 people were selected by purposive sampling. Data were analyzed with descriptive statistics by frequency distribution mean and standard deviation.
RESULTS: It was found that all nurses (100 percent) agreed with the feasibility of implementing the guidelines in the ward at a high level. Most users of the guidelines had opinions on the feasibility of implementing the guidelines and were highly satisfied with the use of the guidelines. The clinical outcome assessment found that, on the day before discharge from the hospital, all patients (100 percent) could flex their knees to an average of 91.7±1.8 degrees. Two weeks after discharge, all patients (100 percent) could flex their knees to an average of 96.5±5.8 degrees. All patients (100 percent) could walk horizontally for the target distance of more than 20 meters within 6 minutes, both on the day before discharge from the hospital (41.8±8.5) and two weeks after discharge (54.7±1.6).
CONCLUSIONS: Nursing practice guidelines for promoting recovery among elderly patients undergoing knee replacement surgery can be applied in practice, covering the preoperative period, postoperative period, and pre-discharge period, resulting in patients being able to bend their knees 90 degrees, walk horizontally for a distance of not less than 20 meters within 6 minutes, and show an improvement trend.
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References
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