Effectiveness of home monitoring according to the Model of Living in hip replacement surgery patients

J Clin Nurs. 2013 May;22(9-10):1226-41. doi: 10.1111/jocn.12255.


Aims and objectives: To evaluate the effectiveness of home monitoring according to the Model of Living in hip replacement surgery patients.

Background: Hip replacement surgery is important for increasing the quality of life of patients. After these operations, patients may encounter many problems having an impact on their activities of daily living.

Design: Quasi-experimental.

Methods: Sixty patients were included in the study: 30 in the experimental group and 30 in the control group. Patients in the control group received the existing care provided in the hospital. In addition to existing care, patients in the experimental group received training and counselling according to the Model of Living from the time of admission to the clinic. After discharge, home monitoring was performed in the 1st and 6th weeks for control group patients and in the 1st, 3rd and 6th weeks for experimental group patients. Statistical analysis was carried out using percentage calculations, mean, median, chi-square test, Fisher's exact test, likelihood ratio test, Mann-Whitney U-test, Kruskal-Wallis test, anova for repeated measures, independent-sample t-test, Friedman test, McNemar test and McNemar-Bowker tests.

Results: It was found that the experimental group patients' knowledge scores increased, they were more independent in performing activities of daily living, and they encountered less problems in the 1st and 6th week after discharge.

Conclusion: As a result, it can be claimed that by means of providing training, counselling and home monitoring hip replacement surgery patients according to the Model of Living, the level of knowledge of patients on activities of daily living increased, they were more independent in daily living activities, and they experienced less problems.

Relevance to clinical practice: The use of the Model of Living in the home monitoring of patients who have undergone hip replacement surgery could assist in focusing on the problems most frequently experienced by patients in postoperative care and achieving effective solutions.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Arthroplasty, Replacement, Hip*
  • Female
  • Home Care Services*
  • Humans
  • Male
  • Middle Aged
  • Models, Theoretical*
  • Monitoring, Physiologic / methods
  • Monitoring, Physiologic / standards*