Autor: |
Alexa B, Lisevick, Stephanie, Kelly, Michael S, Cremins, Smitha S, Vellanky, Grace P, McCann, Kathy, LeBlanc, Marlo, Derla, Erica, Comerford, Sanjay K, Sinha |
Rok vydání: |
2020 |
Předmět: |
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Zdroj: |
Orthopedic nursing. 39(5) |
ISSN: |
1542-538X |
Popis: |
Early ambulation of patients with total joint replacement (TJR) has been shown to improve outcomes while reducing length of stay and postoperative complications. Limited physical therapy (PT) resources and late-in-the-day cases may challenge day-of-surgery (POD0) ambulation. At our institution, a Mobility Technician (MT) program, composed of specially trained nurse's aides, was developed to address this issue.The purpose of this study was to compare the effectiveness of the MT model with a traditional PT model in the early ambulation of patients with TJR.Patients undergoing unilateral primary TJR at a single institution between June 1, 2014, and October 31, 2018, were included. Ambulation measures were retrospectively assessed between pre- and post-MT program groups.This study included 11,777 patients with TJR. Following the MT program, number of POD0 ambulations, POD0 ambulation distance, and total distance ambulated all increased while time-to-first ambulation decreased.Preliminary analyses indicate that the MT program has been successful in the early ambulation of patients with TJR. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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