Uloga medicinske sestre u artroplastici kuka i koljena u jednodnevnoj kirurgiji

Abstract

Background. Arthroplasty is a surgical procedure that has been shown extremely effective in reducing pain, improving joint function and overall quality of life. As a result, arthroplasty is steadily increasing as a procedure, especially in the hip and knee, thereby placing a financial burden on the healthcare system. It is believed that performing hip and knee replacements in day surgery should decrease public health costs. Aim. The aim of the research is to determine the current knowledge and doubts arising from the literature published so far regarding the performance of hip and knee arthroplasty in day surgery, perioperative nursing care, as well as detecting possible potential perioperative complications. Methods. The research of literature was conducted through the electronic databases, Medline via Pub Med (PMC), from March 3, 1992, till December 30, 2021. Key words used in the literature search are arthroplasty, replacement, hip, knee, adverse effects, ambulatory surgical procedures, nursing. Total of 22 papers was analyzed. Results. A clinical algorithm is suggested to accelerate recovery as a possible solution to complications of arthroplasty in outpatient procedures. These algorithms reduce the cost of treatment and the risk of complications. In addition to the aforementioned benefits, perioperative outcomes and patient satisfaction are also improved, enabling recovery in the comfort of one's own home, which is especially important for the successful rehabilitation of elderly patients. Nurses should develop empathy for patients, respecting their individuality and right to participate in treatment. Patients expect professionalism and trust from nurses and have specific expectations of nursing care. Conclusion. Minimally invasive arthroplasty results in less trauma, less blood loss, less postoperative pain, painful surgical reactions, and improved hip mobility. The development of surgery and anesthesia in ambulatory surgery requires nurses to play a particularly important role in postoperative recovery