A randomized clinical trial of a new perioperative practice model on anxiety and health-related quality of life in arthroplasty patients

Maria Pulkkinen; Irma Jousela; Harri Sintonen; Janne Engblom; Sanna Salanterä; Kristiina Junttila

doi:10.1002/nop2.776

A randomized clinical trial of a new perioperative practice model on anxiety and health-related quality of life in arthroplasty patients

Nurs Open. 2021 Jul;8(4):1593-1605. doi: 10.1002/nop2.776. Epub 2021 Feb 12.

Authors

Maria Pulkkinen^{1

2}, Irma Jousela^{1

3}, Harri Sintonen⁴, Janne Engblom^{5

6}, Sanna Salanterä^{2

7}, Kristiina Junttila^{1

2

8}

Affiliations

¹ Helsinki University Hospital, Helsinki University, Helsinki, Finland.
² Department of Nursing Science, University of Turku, Turku, Finland.
³ University of Eastern Finland, Kuopio, Finland.
⁴ Department of Public Health, University of Helsinki, Helsinki, Finland.
⁵ Department of Mathematics and Statistics, University of Turku, Turku, Finland.
⁶ School of Economics, University of Turku, Turku, Finland.
⁷ Turku University Hospital, Turku, Finland.
⁸ Nursing Research Center, Helsinki University Hospital, Helsinki, Finland.

Abstract

Aims: To explore the effectiveness of a new perioperative practice model on anxiety and health-related quality of life in patients undergoing total hip arthroplasty and total knee arthroplasty under spinal anaesthesia.

Design: A randomized clinical trial.

Methods: Control group participants (N = 222) received standard perioperative care, meaning they were cared for by various nurses during their perioperative process without postoperative visits. Intervention group participants (N = 231) were assigned one named anaesthesia nurse during their entire perioperative process who visited them postoperatively. Both groups responded to two self-reported questionnaires: the generic 15D health-related quality of life instrument and the State-Trait Anxiety Inventory (STAI) measuring anxiety two to three weeks pre-operatively and three months postoperatively.

Results: There were no statistically significant differences between the groups at baseline or at follow-up in health-related quality of life or anxiety.

Trial registration: ClinicalTrials.gov NCT02906033.

Keywords: anxiety; continuity; health-related quality of life; nursing; perioperative practice model; randomized clinical trial.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Anxiety / etiology
Anxiety Disorders
Arthroplasty, Replacement, Hip* / adverse effects
Arthroplasty, Replacement, Knee* / adverse effects
Humans
Quality of Life

Associated data

ClinicalTrials.gov/NCT02906033