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Nursing intervention by telephone interviews of patients aged over 65 years after total hip replacement improves health status: a randomised clinical trial
Author(s) -
Hørdam Britta,
Sabroe Svend,
Pedersen Preben Ulrich,
Mejdahl Steen,
Søballe Kjeld
Publication year - 2010
Publication title -
scandinavian journal of caring sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.678
H-Index - 66
eISSN - 1471-6712
pISSN - 0283-9318
DOI - 10.1111/j.1471-6712.2009.00691.x
Subject(s) - medicine , intervention (counseling) , physical therapy , randomized controlled trial , clinical trial , telephone interview , nursing , surgery , social science , sociology
Scand J Caring Sci; 2010; 24; 94–100
Nursing intervention by telephone interviews of patients aged over 65 years after total hip replacement improves health status: a randomised clinical trialObjective: We hypothesised that all areas of health status after total hip replacement could be improved in patients aged over 65 years and over by using telephone support and counselling 2 and 10 weeks after surgery compared with a control group receiving conventional care and treatment. Design: A randomised clinical trial focusing on patients’ health status by using short‐form 36 at 4 weeks preoperatively and 3 and 9 months postoperatively was carried out. Sample: 180 patients aged 65 years and over were randomised 4 weeks preoperatively to either control or intervention groups. Measurements: both groups received conventional surgical treatment, but the intervention group was interviewed by telephone 2 and 10 weeks after surgery. Patients were given counselling within eight main dimensions with reference to their postoperative situation. Results: All patients experienced improvement in health status. The intervention significantly reduced the time patients needed to reach their habitual levels in three of eight areas of their health status: the intervention patients reached their habitual levels at 3 months whereas the control patients reached theirs after 9 months. Conclusion: Intervention by telephone support and counselling in the postoperative phase seems to benefit patients’ improvement in health status.