The Impact of a Phone Assistance Nursing Program on Adherence to Home Exercises and Final Outcomes in Patients Who Underwent Shoulder Instability Surgery
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Título: | The Impact of a Phone Assistance Nursing Program on Adherence to Home Exercises and Final Outcomes in Patients Who Underwent Shoulder Instability Surgery |
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Autor/es: | Martinez-Rico, Sandra | Lizaur-Utrilla, Alejandro | Sebastia-Forcada, Emilio | Vizcaya-Moreno, M. Flores | Juan Herrero, Joaquín de |
Grupo/s de investigación o GITE: | Enfermería Clínica (EC) | Biotecnología |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Enfermería | Universidad de Alicante. Departamento de Biotecnología |
Palabras clave: | Phone assistance nursing program | Adherence | Home exercise program | Functional outcomes | Shoulder instability surgery |
Área/s de conocimiento: | Enfermería | Biología Celular |
Fecha de publicación: | 2018 |
Editor: | Wolters Kluwer |
Cita bibliográfica: | Orthopaedic Nursing. 2018, 37(6): 372-378. doi:10.1097/NOR.0000000000000501 |
Resumen: | PURPOSE: The purpose of this study was to assess the impact of a phone assistance nursing program as an adjunct to conventional physiotherapy to increase adherence to a home exercise program on functional outcomes of patients who underwent shoulder instability surgery. METHODS: A randomized controlled study of 70 patients allocated to a phone assistance program (study group, n = 36 patients) or conventional postoperative management (control group, n = 34 patients) was conducted. All patients in both groups received conventional rehabilitation at the outpatient clinic after surgery. In addition, patients in the study group received phone calls from a nurse (who had access to a physiotherapist) 3 days per week. During the calls these patients received a coaching session about self-care and support with the home exercise program. Evaluations were performed during a follow-up of 12 months for range of motion (ROM), pain (visual analog scale [VAS] score), Disability of the Arm, Shoulder, and Hand (DASH) score, Oxford Shoulder Instability Score (OSIS), and Rowe score. RESULTS: All scores significantly improved from preoperative to the final follow-up in both groups (p = .001). At the final follow-up, there were no significant differences between groups in VAS, DASH, or Rowe scores. However, those in the study group had significantly better OSIS (p = .013) and ROM (p = .001), particularly for anterior forward motion (p = .001). Likewise, the study group achieved full motion and function significantly faster than the control group (p = .002). The amount of rehabilitation sessions at the outpatient clinic was 1.7 times higher in the control group (p = .004) than in the study group. CONCLUSION: The phone assistance nursing program was an effective procedure to significantly improve the outcomes of conventional physiotherapy in patients who have undergone an operation for shoulder instability. |
URI: | http://hdl.handle.net/10045/90618 |
ISSN: | 0744-6020 (Print) | 1542-538X (Online) |
DOI: | 10.1097/NOR.0000000000000501 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © 2018 National Association of Orthopaedic Nurses |
Revisión científica: | si |
Versión del editor: | https://doi.org/10.1097/NOR.0000000000000501 |
Aparece en las colecciones: | INV - Enfermería Clínica - Artículos de Revistas INV - GIDBT - Artículos de Revistas |
Archivos en este ítem:
Archivo | Descripción | Tamaño | Formato | |
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2018_Martinez-Rico_etal_OrthopaedicNurs_final.pdf | Versión final (acceso restringido) | 2,73 MB | Adobe PDF | Abrir Solicitar una copia |
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