Effect of Preoperative Incentive Spirometry Patient Education on Patient Outcomes in聽the Knee and Hip Joint Replacement Population

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• 作者：Carole Bergin ; Karen Gabel Speroni ; Tom Travis ; John Bergin ; Michael J. Sheridan ; Karen Kelly ; Marlon G. Daniel
• 关键词：incentive spirometry ; postoperative complications ; pulmonary complications ; physical therapy ; PPCs ; preoperative care ; patient education
• 刊名：Journal of PeriAnesthesia Nursing
• 出版年：February, 2014
• 年：2014
• 卷：29
• 期：1
• 页码：20-27
• 全文大小：103 K

文摘

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Purpose

This study examined the effects of preoperative incentive spirometry (IS) education (POISE) on postoperative outcomes for knee and hip total joint replacement patients.

Design

In this prospective study, 140 patients were randomized to Group 1 (POISE intervention聽=聽50 completing) or Group 2 (no intervention聽= 56 completing) (34 dropped).

Methods

The Group 1 intervention consisted of formal instruction preoperatively for IS home use, postoperative use, and IS volumes documentation. Group 2 patients received no intervention. Patients recorded postoperative IS volumes, which were used to determine return to baseline volume.

Findings

One hundred six patients completed the study. Most were Caucasian females averaging 64 years. Although IS return to baseline volume time was not significantly different between groups, POISE patients had fewer postoperative complications, hospital days, and charges. POISE patients ranked the intervention as helpful.

Conclusions

Although IS volumes were not significantly different between groups, POISE patients had better outcomes and ranked the intervention as helpful.