Effect of preoperative incentive spirometry patient education on patient outcomes in the knee and hip joint replacement population.
OBJECTIVE
This study examined the effects of preoperative incentive spirometry (IS) education (POISE) on postoperative outcomes for knee and hip total joint replacement patients.


METHODS
In this prospective study, 140 patients were randomized to Group 1 (POISE intervention = 50 completing) or Group 2 (no intervention = 56 completing) (34 dropped).


METHODS
The Group 1 intervention consisted of formal instruction preoperatively for IS home use, postoperative use, and IS volumes documentation. Group 2 patients received no intervention. Patients recorded postoperative IS volumes, which were used to determine return to baseline volume.


RESULTS
One hundred six patients completed the study. Most were Caucasian females averaging 64 years. Although IS return to baseline volume time was not significantly different between groups, POISE patients had fewer postoperative complications, hospital days, and charges. POISE patients ranked the intervention as helpful.


CONCLUSIONS
Although IS volumes were not significantly different between groups, POISE patients had better outcomes and ranked the intervention as helpful.
Carole
C
Bergin
Karen Gabel
KG
Speroni
Tom
T
Travis
John
J
Bergin
Michael J
MJ
Sheridan
Karen
K
Kelly
Marlon G
MG
Daniel
D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D005260:Female; D006801:Humans; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D057234:Preoperative Period; D011446:Prospective Studies; D013147:Spirometry
PPCs; incentive spirometry; physical therapy; postoperative complications; preoperative care, patient education; pulmonary complications