Nursing Intervention for Patient with Total Hip Replacement

Abstract

Total hip replacement got much successful in operations for patients with hip problems. However, its complications are seriously and re-admission is almost costly, also prolong hospital stay and more complex in caring. The aim of this study is how nurses intervention does to care and to prevent potential complications developing. By using Grounded theory in article selection and categories structure, also applying “Nursing as caring - A model for Transforming Practice” theory in analyzing and synthetic process with chosen articles to resolve research questions about nurse role in caring and prevent complication for patients with total hip replacement as well.

The results of this study are figured out three themes including recognizing risk factors might develop complications during three stages of surgery with preoperative, intraoperative and postoperative processes; required skills to care and to assist patients in recovery process; especially combinations of nursing skills and tools application such as self-report or clinical reported system to detect and prevent potential complications. The results also point out how to detect through observation and assessment, also education with exercises and using equipment properly in self-care progress; particularly with dislocation which account for the highest risk and being most common complication. Beside that, required nursing time consumption is pointed out as essential in caring.