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The Effect of Preoperative Anxiety and Uncertainty on Recovery After Total Knee (Hip) Replacement

Tuesday, 31 July 2012: 1:30 PM

Ting-Fang Yiu, MS, RN1
Kwua-Yun Wang, PhD, RN1
Kuan-Chia Lin, PhD2
Wen-Jinn Liaw, PhD3
Leou-Chyr Lin, PhD4
(1)Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan
(2)School of Nursing, National Taipei College of Nursing, Taiwan, Taipei City, Taiwan, National Taipei College of Nursing, Taipei, Taiwan
(3)Department of Anesthesiology, Tri-Service General Hospital, Taipei, Taiwan
(4)Department of Orthopedic, Tri-Service General Hospital, Taipei, Taiwan

Learning Objective 1: The clinical findings can provide a reference for nurses caring for elder patients to enhance the quality of postoperative recovery.

Learning Objective 2: In advance, the evidence-based and appropriate nursing interventions will be developed to improve the quality of life after returning home.

Purpose: The purpose of this study investigated the effects of preoperative uncertainty and anxiety on recovery after total knee or hip replacement. 

Methods: The study was a longitudinal design. Data collection with the structured questionnaires, including demographic and disease characteristics, the Chinese version of Mishel Uncertainty in illness Scale and situational anxiety Scale before the surgery day. The Quality of Recovery-40 Scale in the postoperative day 4, before discharge and the first outpatient day.Data analysis methods include descriptive statistics and inferential statistics including Generalized Estimated Equation (GEE) single-variable regression analysis, GEE hierarchical regression analysis to p<.05 was statistically significant.

 Results: We will further investigate the effects of preoperative uncertainty and anxiety on recovery after total knee or hip replacement, even adjustment of the demographic characteristics, disease characteristics, postoperative days, and the interaction postoperative days and pre-operative anxiety, the interaction postoperative days and uncertainty. The pre-operative anxiety and uncertainty still has a negative impact on postoperative recovery.

 Conclusion: The  clinical findings can provide a reference for nurses caring for elder patients to enhance the quality of postoperative recovery, thus improving the quality of life after returning home.

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