Master's Theses or Doctor of Nursing Practice

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Department

Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Abstract

Research has shown that preoperative anxiety can negatively affect a patient’s rehabilitation after a total joint arthroplasty (TJA). Offering patients education prior to surgery can give them the tools needed to reduce preoperative anxiety for a successful rehabilitation. This project assessed the effectiveness of a preoperative education course on patients’ anxiety levels. A one-hour in-person educational course was offered. Information provided in the course included a review of anatomy, common causes for a total joint arthroplasty, home safety tips, preoperative exercises, postsurgical realistic expectations, pain reduction modalities including non-pharmacological and pharmacological, day of surgery expectations, physical therapy after surgery, and other additional information for a successful postoperative recovery. The State Anxiety Inventory Questionnaire (SAIQ) was given to patients before and after the class to measure the participant's anxiety levels. The goal of this project was that by December 31, 2024, 60% of patients who attended the TJA educational course will report reduced preoperative anxiety. Data from the SAIQs was analyzed using the Mann-Whitney U test to compare survey scores before and after the course. Results indicated that post-intervention scores (mean rank = 35.61) were significantly lower than pre-intervention scores (mean rank = 59.39), U = 545.50, Z = -4.29, p < .001 and there was a 70% increase in ratio from pre to post intervention. This suggests that the course had a significant effect on patients’ anxiety levels before and after the course. Information from the project was disseminated first to the orthopedic team and then throughout the facility for others to use as reference in their specific departments for their educational program

Keywords

total joint arthroplasty, preoperative anxiety, educational course, The State Anxiety Inventory Questionnaire (SAIQ)

Advisor

Dr. Jenny Manry

Date of Award

Spring 2025

Document Type

DNP Project

Rights

© The Author

Additional Files
2025_DNP_Ekblad, A Poster.pdf (686 kB)
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