Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Preoperatif Diz Eklemi Fonksiyonu ve Açlık Süresinin Diz Artroplastisi Sonrası Kısa Dönem Hasta Sonuçlarına Etkisinin Belirlenmesi: Analitik Çalışma
Determining the Effect of Preoperative Knee Joint Function and Fasting Time on Short-Term Patient Outcomes After Knee Arthroplasty: Analytical Study
Çiğdem CANBOLAT SEYMANa, Çiğdem KAYAb
aHacettepe Üniversitesi Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği ABD, Ankara, Türkiye
bUşak Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Sağlık Bakım Hizmetleri Bölümü, Uşak, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(1):17-23
doi: 10.5336/nurses.2022-92991
Article Language: TR
Full Text
ÖZET
 Amaç: Son dönem osteoartrite bağlı ağrıyı gidermek ve fonksiyonel kapasiteyi artırmak için en etkili tedavi yöntemi total eklem artroplastisidir. Total diz artroplastisi (TDA) dünya üzerinde en çok yapılan cerrahi prosedürdür. Bu nedenle postoperatif hasta sonuçlarını değerlendirmek oldukça önemlidir. Bu araştırmada, preoperatif diz eklemi fonksiyonu ve açlık süresinin diz artroplastisi sonrası kısa dönem hasta sonuçlarına etkisini belirlemek amaçlanmıştır. Gereç ve Yöntemler: Etki arayıcı türde yapılan bu çalışma, bir üniversite hastanesinin ortopedi ve travmatoloji kliniğinde 16 Şubat-16 Haziran 2022 tarihleri arasında, 214 hasta üzerinde yürütülmüştür. Araştırmanın verileri Tanıtıcı Özellikler Formu, Oxford Diz Skoru (ODS) ve Postoperatif Hasta Sonuçları Formu aracılığıyla toplanmıştır. Veriler; tanımlayıcı istatistikler, ki-kare testi ve Pearson korelasyon testi kullanılarak analiz edilmiştir. Bulgular: Araştırmaya katılan 214 hastanın %51,9'unun sol diz TDA geçirdiği, %86'sının kadın, %85'inin kronik hastalıkları olduğu, yaş ortalamalarının 65,6, preoperatif aç bırakılma süre ortalamalarının 11,5 saat ve ODS puan ortalamalarının ise 9,9 olduğu bulunmuştur. Ayrıca ODS puanı azaldıkça postoperatif ağrı şiddetinin arttığı ve preoperatif açlık süresi uzadıkça postoperatif ağrı şiddetinin arttığı ve hastanede yatış süresinin uzadığı saptanmıştır. Sonuç: TDA hastalarının preoperatif diz eklemi fonksiyonunun kötü olması ve preoperatif açlık sürelerinin uzamasının postoperatif erken dönem sorunlara yol açtığı görülmektedir. Bu faktörlerin düzenlenmesinin erken dönem komplikasyonları azaltacağı düşünülmektedir.

Anahtar Kelimeler: Diz fonksiyonu; preoperatif açlık; diz artroplastisi; hasta sonuçları
ABSTRACT
 Objective: Total joint arthroplasty is the most effective treatment method to relieve pain and increase functional capacity due to end-stage osteoarthritis. Total knee arthroplasty (TKA) is the most performed surgical procedure in the world, so it is very important to evaluate postoperative patient outcomes. In this study, it was aimed to determine the effect of preoperative knee joint function and fasting time on short-term patient outcomes after knee arthroplasty. Material and Methods: This analytical study was conducted on 214 patients in the orthopedics and traumatology clinic of a university hospital between 16 February and 16 June 2022. The data of the study were collected with Personal Information Form, Oxford Knee Score (OKS) and Postoperative Patient Outcomes Form. Data were analyzed using descriptive statistics, chi-square test, and Pearson correlation test. Results: Out of 214 patients, 51.9% had left TKA, 86% were women, 85% had chronic diseases, their mean age was 65.6, the mean preoperative fasting time was 11.5 hours, and the mean OKS score was 9.9. In addition, it was found that as the OKS score decreases, the severity of postoperative pain increases, and as the preoperative fasting period increases, the severity of postoperative pain and the length of hospital stay increase. Conclusion: It is seen that the preoperative knee joint function of TKA patients is poor and the prolongation of the preoperative fasting period causes early postoperative problems. It is thought that the regulation of these factors will reduce early complications.

Keywords: Knee function; preoperative fasting; knee arthroplasty; patient outcomes
REFERENCES:
  1. Ringdahl E, Pandit S. Treatment of knee osteoarthritis. Am Fam Physician. 2011;83(11):1287-92. [PubMed] 
  2. Canovas F, Dagneaux L. Quality of life after total knee arthroplasty. Orthop Traumatol Surg Res. 2018;104(1S):S41-S6. [Crossref]  [PubMed] 
  3. Hossain FS, Konan S, Patel S, Rodriguez-Merchan EC, Haddad FS. The assessment of outcome after total knee arthroplasty: are we there yet? Bone Joint J. 2015;97-B(1):3-9. [Crossref]  [PubMed] 
  4. Gao J, Xing D, Dong S, Lin J. The primary total knee arthroplasty: a global analysis. J Orthop Surg Res. 2020;15(1):190. [Crossref]  [PubMed]  [PMC] 
  5. Maradit Kremers H, Larson DR, Crowson CS, Kremers WK, Washington RE, Steiner CA, et al. Prevalence of total hip and knee replacement in the United States. J Bone Joint Surg Am. 2015;97(17):1386-97. [Crossref]  [PubMed]  [PMC] 
  6. Kahlenberg CA, Nwachukwu BU, McLawhorn AS, Cross MB, Cornell CN, Padgett DE. Patient satisfaction after total knee replacement: a systematic review. HSS J. 2018;14(2):192-201. [Crossref]  [PubMed]  [PMC] 
  7. Verhaar J. Patient satisfaction after total knee replacement-still a challenge. Acta Orthop. 2020;91(3):241-2. [Crossref]  [PubMed]  [PMC] 
  8. Van Egmond JC, Hesseling B, Verburg H, Mathijssen NMC. Short-term functional outcome after fast-track primary total knee arthroplasty: analysis of 623 patients. Acta Orthop. 2021;92(5):602-7. [Crossref]  [PubMed]  [PMC] 
  9. Lingard EA, Katz JN, Wright EA, Sledge CB; Kinemax Outcomes Group. Predicting the outcome of total knee arthroplasty. J Bone Joint Surg Am. 2004;86(10):2179-86. [Crossref]  [PubMed] 
  10. Wainwright TW, Kehlet H. Fast-track hip and knee arthroplasty-have we reached the goal? Acta Orthop. 2019;90(1):3-5. [Crossref]  [PubMed]  [PMC] 
  11. Ramkumar PN, Harris JD, Noble PC. Patient-reported outcome measures after total knee arthroplasty: a systematic review. Bone Joint Res. 2015;4(7):120-7. [Crossref]  [PubMed]  [PMC] 
  12. Jenny JY, Diesinger Y. The Oxford Knee Score: compared performance before and after knee replacement. Orthop Traumatol Surg Res. 2012;98(4):409-12. [Crossref]  [PubMed] 
  13. Williams DP, Blakey CM, Hadfield SG, Murray DW, Price AJ, Field RE. Long-term trends in the Oxford knee score following total knee replacement. Bone Joint J. 2013;95-B(1):45-51. [Crossref]  [PubMed] 
  14. Klug A, Gramlich Y, Rudert M, Drees P, Hoffmann R, Weißenberger M, et al. The projected volume of primary and revision total knee arthroplasty will place an immense burden on future health care systems over the next 30 years. Knee Surg Sports Traumatol Arthrosc. 2021;29(10):3287-98. [Crossref]  [PubMed]  [PMC] 
  15. Dawson J, Fitzpatrick R, Murray D, Carr A. Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg Br. 1998;80(1):63-9. [Crossref]  [PubMed] 
  16. Tuğay BU, Tuğay N, Güney H, Kınıklı Gİ, Yüksel İ, Atilla B. Oxford Knee Score: cross-cultural adaptation and validation of the Turkish version in patients with osteoarthritis of the knee. Acta Orthop Traumatol Turc. 2016;50(2):198-206. [PubMed] 
  17. Goh GS, Bin Abd Razak HR, Tay DK, Lo NN, Yeo SJ. Early post-operative oxford knee score and knee society score predict patient satisfaction 2 years after total knee arthroplasty. Arch Orthop Trauma Surg. 2021;141(1):129-37. [Crossref]  [PubMed] 
  18. Hamilton DF, Loth FL, MacDonald DJ, Giesinger K, Patton JT, Simpson AH, et al. Treatment success following joint arthroplasty: defining thresholds for the Oxford Hip and Knee Scores. J Arthroplasty. 2018;33(8):2392-7. [Crossref]  [PubMed] 
  19. Inneh IA, Iorio R, Slover JD, Bosco JA 3rd. Role of sociodemographic, co-morbid and intraoperative factors in length of stay following primary total hip arthroplasty. J Arthroplasty. 2015;30(12):2092-7. [Crossref]  [PubMed] 
  20. Høvik LH, Winther SB, Foss OA, Gjeilo KH. Preoperative pain catastrophizing and postoperative pain after total knee arthroplasty: a prospective cohort study with one year follow-up. BMC Musculoskelet Disord. 2016;17:214. [Crossref]  [PubMed]  [PMC] 
  21. Sarpong NO, Boddapati V, Herndon CL, Shah RP, Cooper HJ, Geller JA. Trends in length of stay and 30-day complications after total knee arthroplasty: an analysis from 2006 to 2016. J Arthroplasty. 2019;34(8):1575-80. [Crossref]  [PubMed] 
  22. El Bitar YF, Illingworth KD, Scaife SL, Horberg JV, Saleh KJ. Hospital length of stay following primary total knee arthroplasty: data from the nationwide inpatient sample database. J Arthroplasty. 2015;30(10):1710-5. [Crossref]  [PubMed] 
  23. van den Belt L, van Essen P, Heesterbeek PJ, Defoort KC. Predictive factors of length of hospital stay after primary total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2015;23(6):1856-62. [Crossref]  [PubMed] 
  24. Judge A, Arden NK, Price A, Glyn-Jones S, Beard D, Carr AJ, et al. Assessing patients for joint replacement: can pre-operative Oxford hip and knee scores be used to predict patient satisfaction following joint replacement surgery and to guide patient selection? J Bone Joint Surg Br. 2011;93(12):1660-4. [Crossref]  [PubMed] 
  25. Soffin EM, YaDeau JT. Enhanced recovery after surgery for primary hip and knee arthroplasty: a review of the evidence. Br J Anaesth. 2016;117(suppl 3):iii62-iii72. [Crossref]  [PubMed] 

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