Effect of Bundled Care on Self-Efficacy and Functional Outcomes among Patients undergoing Total Hip Arthroplasty

AdelEbada El Sayed, Reham; Shaban Hassan, Ahmed; Sadek Ramadan Fayed, Sedika; El Ashery Ashery Asker, Reham

doi:10.21608/ejhc.2021.195791

Effect of Bundled Care on Self-Efficacy and Functional Outcomes among Patients undergoing Total Hip Arthroplasty

Document Type : Original Article

Authors

¹ Lecturer of Medical-Surgical Nursing Department, Faculty of Nursing. Ain Shams University. Abbasia, Cairo, Egypt.

² Lecturer of Orthopaedic Surgery, Faculty of Medicine, Helwan University, Egypt

³ Lecturer of Adult Health Nursing Department, Faculty of Nursing, Helwan University, Egypt

⁴ Lecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Fayoum University

10.21608/ejhc.2021.195791

Abstract

Background: Total hip arthroplasty (THA) is one of the greatest successful orthopedic procedures
achieved today. For patients with hip pain due to a diversity conditions, total hip arthroplasty can
relieve pain, restore function, and improve quality of life. Patient education is carefully
related to
the early recovery process and promotes outcomes after hip replacement by supporting
people to
become empowered during the period of regaining. The study aimed to evaluate the
effect of
bundled care on self-efficacy and functional outcomes among patients undergoing
total hip < /div>
arthroplasty. Study design: A quasi-experimental design was used to attain
this aim. Setting: This
study was conducted at orthopedic surgery departments and Joint outpatient
clinic at El-Demerdash
Surgical Hospital, affiliated with Ain Shams University Hospitals, Cairo. Sample: A purposive
sample included 78 patients. Tools of data collection: Data were collected using four tools:1-
Patient’s Interview Questionnaire, 2- Hip disability and osteoarthritis outcome score scale, 3-Self-
efficacy for rehabilitation outcome scale and 4-Hip Strengthening exercises performance checklist.
Results: This study shows a statistically significant difference between study and control groups
regarding Hip disability and osteoarthritis outcome score, self-efficacy level, and Hip Strengthening
exercises performance as indicators of functional outcomes post bundled care application at p < /div>
(<0.05). There was a statistically significant positive correlation between patients' total knowledge,
total hip Strengthening exercises performance and patients' total Hoos in the study group post
bundled care application at (P<0.001). The Conclusion: bundled care was effective care in
enhancing the functional ability among patients with total hip arthroplasty. Recommendation:
Apply bundled care as a care protocols for patients undergoing total hip arthroplasty and replicate
the study on a larger sample selected from different geographical areas in Egypt to obtain more
generalized findings in relation to current study

Keywords