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.


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