Preoperative education for orthopaedic patients: systematic review
Abstract
Aims. This paper presents a systematic review whose aim was to describe the scope and methods of the current literature on preoperative patient education and to identify the effects of this education. Background. Preoperative patient education is a common and important intervention in surgical nursing, yet there is very limited systematic evidence on its precise role. Methods. The Medline, CINAHL, Eric, Psycinfo and Social Sciences Index databases and the Cochrane Library were searched, covering the period from the beginning of each database to April 2003. Studies were included if they concerned adult orthopaedic patients, preoperative nursing patient education and were based on randomized controlled or clinical trials. Meta‐analysis was carried out where appropriate. Results. We identified 11 articles involving 1044 participants. Most studies included one experimental and one control group; only two had more than one experimental and control group. The educational interventions varied widely, but the majority were based on written materials alone, or written materials in combination with other teaching methods. The most common outcome measures related to pain, knowledge, anxiety, exercises and length of stay, and the least common to self‐efficacy and empowerment. The methodological quality of the studies varied. Almost all reported one or more statistically significant effects. Based on the findings of the meta‐analysis, preoperative education appears to have some impacts on patients’ anxiety and knowledge levels. Conclusions. The review clearly highlights the need for well‐designed, methodologically sound research into the outcomes of patient education. It also points to the need to study patient education from the point of view of empowerment.
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Most evidence on preoperative education has focused on general surgery.
“However, most of the evidence focused on general surgery.6, 7”
From A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery (2017) · cites this paper as [7]
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Self-citation
- Authors
- Johansson, K., Nuutila, L., Virtanen, H., Katajisto, J., & Salanterä, S.
- Affiliations
- University of Turku (FI)
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2005-03-17
- Volume
- 50
- Issue
- 2
- Pages
- 212-223
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2163485591
- Cited by
- 241
- References
- 42
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 13 · 2023: 6 · 2022: 13 · 2021: 13 · 2020: 10 · 2019: 13 · 2018: 17 · 2017: 11 · 2016: 13 · 2015: 20 · 2014: 22 · 2013: 12 · 2012: 18
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Keywords
- preoperative patient education, orthopedic surgery, surgical nursing, patient anxiety, patient knowledge, written patient information, empowerment, length of hospital stay, postoperative pain, exercise adherence
- MeSH terms
- Anxiety, Humans, Patient Education as Topic, Preoperative Care, Perioperative Nursing, Orthopedic Procedures
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