title: A Randomized Controlled Trial of an Individualized Preoperative Education Intervention for Symptom Management After Total Knee Arthroplasty.
abstract: Pain and nausea limit recovery after total knee arthroplasty (TKA) patients. The aim of this study was to determine the effect of a preoperative educational intervention on postsurgical pain-related interference in activities, pain, and nausea. Participants (n = 143) were randomized to intervention or standard care. The standard care group received the usual teaching. The intervention group received the usual teaching, a booklet containing symptom management after TKA, an individual teaching session, and a follow-up support call. Outcome measures assessed pain, pain interference, and nausea. There were no differences between groups in patient outcomes. There were no group differences for pain at any time point. Respondents had severe postoperative pain and nausea and received inadequate doses of analgesia and antiemetics. Individualizing education content was insufficient to produce a change in symptoms for patients. Further research involving the modification of system factors affecting the provision of symptom management interventions is warranted.
authors.affiliation: Rosemary A. Wilson, RN(EC), PhD, Assistant Professor, School of Nursing, Queen's University, Kingston, Ontario, Canada. Judith Watt-Watson, RN, PhD, Professor Emeritus, Lawrence S. Bloomberg Faculty of Nursing, Senior Fellow, Massey College, University of Toronto, Toronto, Ontario, Canada. Ellen Hodnett, RN, PhD, Professor Emeritus, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. Joan Tranmer, RN, PhD, Professor, School of Nursing, Queen's University, Kingston, Ontario, Canada.
authors.forename: Rosemary A
authors.initials: RA
authors.lastname: Wilson
authors.forename: Judith
authors.initials: J
authors.lastname: Watt-Watson
authors.forename: Ellen
authors.initials: E
authors.lastname: Hodnett
authors.forename: Joan
authors.initials: J
authors.lastname: Tranmer
mesh_terms: D000368:Aged; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000932:Antiemetics / Q000627:therapeutic use; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy / Q000517:prevention & control*; D010353:Patient Education as Topic / Q000379:methods*; D020250:Postoperative Nausea and Vomiting / Q000188:drug therapy / Q000517:prevention & control*; D057234:Preoperative Period
chemical_list: D000701:Analgesics, Opioid; D000932:Antiemetics