Perioperative Experience of Elderly Patients Undergoing Joint Replacement Surgery: An Integrative Literature Review

Tay, Rosy

Wednesday, 1 August 2012: 8:30 AM

Rosy Tay, MSc¹
Sandra Mackey, PhD, RN²
Piyanee Klainin-Yobas, PhD, MSc, BS, RN²
Desley G. Hegney, RN, BA, (Hons), PhD³
(1)Alice Lee School of Nursing, National University of Singapore, Singapore, Singapore
(2)Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore
(3)School of Population Health, The University of Western Australia and Sir Charles Gairdner Hospital, Perth, Australia

Learning Objective 1: The learner will be able to understand the lived perioperative experience of elderly patients' undergoing joint replacement surgery.

Learning Objective 2: The learner will be able to understand the rigour of an integrative literature review of perioperative experience of elderly patients' undergoing joint replacement surgery.

Purpose:

This integrative literature review explores the evidence of elderly patients’ experience undergoing joint replacement surgery

Methods:

Studies were identified through an extensive electronic search and hand-searched key texts from the databases of PubMed, CINAHL, PsyInfo from 2001 until 2011 for primary quantitative and qualitative English Language peer reviewed articles (2001–2011) describing perioperative experience of elderly patients undergoing joint replacement surgery. Critical appraisal of both qualitative and quantitative articles was conducted using JBI (2011)

Results:

Twenty four papers were categorized into themes: factors influencing Health Related Quality of Life (HRQoL) and pain experience, factors influencing perioperative experience and care continuity on perioperative experience, Patients undergoing joint replacement surgery are engaged in constant contemplations and anxiety in experiencing a deteriorating, distress and anticipating an abled body during the perioperative period. This review provides valuable insights and information to inform nursing practice on the experience of elderly patients undergoing joint replacement surgery.

Conclusion:

This review provides valuable insights and information to inform nursing practice on the experience of elderly patients undergoing joint replacement surgery. Nursing interventions can be guided and reviewed based on the insights of these elderly patients to ensure holistic nursing care.

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