Article

OBJECTIVE: Evaluate content and educational delivery methods of preoperative
education in total joint arthroplasties of the hip and knee (THA and TKA)
addressing postoperative pain. DATA SOURCES: Systematic searches conducted on
Biomed Central, BMJ.com, CINAHL, the Cochrane Library, NLM Central Gateway, OVID,
ProQuest (Digital Dissertations), PsycInfo, PubMed/Medline, ScienceDirect, and
Web of Science. Secondary searching (pearling) was undertaken. DatA EXTRACTION:
Data were extracted utilizing the participants, interventions, comparisons, and
outcomes approach. STUDY SELECTION: All randomized controlled trials (RCTs)
evaluating the effect of preoperative education on postoperative pain in THA and
TKA surgery were considered for inclusion. LIMITATIONS: Studies published in
English; published within the last 20 years and patients over the age of 18. No
limitations were set on specific outcome measures of pain. DATA SYNTHESIS: This
review included 13 RCTs involving a total of 1,017 subjects who underwent THA or
TKA. Educational delivery methods comprised verbal one-on-one or group education
sessions, delivered within 4 weeks of surgery lasting an average of 30 minutes,
and accompanied by other written materials. The educational content centered on
descriptions of preoperative preparation, hospital stay, surgical procedure,
immediate/intermediate experiences, expectations following surgery,
rehabilitation, encouragement/reassurance, and answering common question
associated with the surgical experience. CONCLUSIONS: Preoperative education
centered on a biomedical model of anatomy and pathoanatomy as well as procedural
information has limited effect in reducing postoperative pain after THA and TKA
surgeries. Preoperative educational sessions that aim to increase patient
knowledge of pain science may be more effective in managing postoperative pain.

Langue : ANGLAIS