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Rehabil Nurs ; 44(3): 151-160, 2019.
Article in English | MEDLINE | ID: mdl-31034457

ABSTRACT

PURPOSE: The aim of the study was to reduce postoperative edema in total knee and hip arthroplasty rehabilitation patients. DESIGN: A pre- and posttest design was used for this quality improvement project at a rehabilitation facility. METHODS: Staff and patient edema education was standardized. Staff pre- and posttests were administered. Patients were interviewed to assess for knowledge of edema management. Chart audits were assessed for edema management and length of stay. FINDINGS: Average staff knowledge scores (n = 50) increased pre- to posteducational video (64% vs. 70%). Of patients interviewed posteducation (n = 24), 38% were able to list two characteristics of edema. Two chart audits completed pre- and posteducation demonstrated that the majority of patients (n = 30 per group) had edema upon admission (96% vs. 97%). However, length of stay decreased by 3 days (19.2 vs. 16.3). CONCLUSION: Standardized postoperative edema education can improve staff and patient edema knowledge and management. CLINICAL RELEVANCE: Edema education is recommended for orthopedic patients in rehabilitation facilities.


Subject(s)
Edema/nursing , Rehabilitation Nursing/standards , Adult , Aged , Aged, 80 and over , Female , Humans , Length of Stay/statistics & numerical data , Male , Middle Aged , Postoperative Complications/nursing , Postoperative Complications/prevention & control , Psychometrics/instrumentation , Psychometrics/methods , Quality Improvement , Quality of Health Care/standards , Rehabilitation Nursing/methods , Surveys and Questionnaires
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