Effect of nursing interventions on the rehabilitation of patients after knee and hip replacements.
Qing Sheng, Guangling Wang, Pengfei Wang
PMID 40955917WHAT IT FOUND
After knee or hip replacement, programs labelled as nursing interventions improved hip function, daily activities, knee motion and function, and reduced knee pain in most studies, but some remote programs showed no benefit.
Key findings
01Pooled studies labelled as nursing interventions showed improved Harris hip score and activities of daily living after hip replacement compared with usual care.
02Pooled studies labelled as nursing interventions showed improved range of motion and knee function and reduced knee pain after knee replacement compared with usual care.
03Some included nursing-related programs for knee replacement did not show a clear benefit over the comparison group.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The review combined very different programs labelled as nursing interventions, from perioperative care to apps and home visits, so it cannot say which specific intervention caused the improvements. The included interventions were delivered by teams that included general nurses, orthopedic nurses, geriatric nurse practitioners, home care nurses, clinical nurses, physiotherapists, physical therapists, rehabilitation therapists, surgeons, orthopedic physicians, anesthesiologists, nutritionists, pharmacists, rehabilitators, app developers, research teams, and other medical staff. The review cannot separate the nurse component from the other treatments. Only English articles were included, so the results may not represent all available studies. The paper gives different intervention duration ranges, so the true spread is unclear. The certainty was low for Harris hip score, and publication bias was suspected for several outcomes. Some remote nursing programs showed no clear benefit, so not all nurse-related remote care appears effective.
The easy way to misread this
Do not conclude that nurses alone caused the improvements. The included interventions were delivered by teams that included general nurses, orthopedic nurses, geriatric nurse practitioners, home care nurses, clinical nurses, physiotherapists, physical therapists, rehabilitation therapists, surgeons, orthopedic physicians, anesthesiologists, nutritionists, pharmacists, rehabilitators, app developers, research teams, and other medical staff. The review cannot separate the nurse component from the other treatments.