Effect of Bundled Care on Self-Efficacy and Functional Outcomes among Patients undergoing Total Hip Arthroplasty

Abstract

Background: Total hip arthroplasty (THA) is one of the greatest successful orthopedic procedures achieved today. For patients with hip pain due to a diversity conditions, total hip arthroplasty can relieve pain, restore function, and improve quality of life. Patient education is carefully related to the early recovery process and promotes outcomes after hip replacement by supporting people to become empowered during the period of regaining. The study aimed to evaluate the effect of bundled care on self-efficacy and functional outcomes among patients undergoing total hip arthroplasty. Study design: A quasi-experimental design was used to attain this aim. Setting: This study was conducted at orthopedic surgery departments and Joint outpatient clinic at El-Demerdash Surgical Hospital, affiliated with Ain Shams University Hospitals, Cairo. Sample: A purposive sample included 78 patients. Tools of data collection: Data were collected using four tools:1- Patient’s Interview Questionnaire, 2- Hip disability and osteoarthritis outcome score scale, 3-Selfefficacy for rehabilitation outcome scale and 4-Hip Strengthening exercises performance checklist. Results: This study shows a statistically significant difference between study and control groups regarding Hip disability and osteoarthritis outcome score, self-efficacy level, and Hip Strengthening exercises performance as indicators of functional outcomes post bundled care application at p (<0.05). There was a statistically significant positive correlation between patients' total knowledge, total hip Strengthening exercises performance and patients' total Hoos in the study group post bundled care application at (P<0.001). The Conclusion: bundled care was effective care in enhancing the functional ability among patients with total hip arthroplasty. Recommendation: Apply bundled care as a care protocols for patients undergoing total hip arthroplasty and replicate the study on a larger sample selected from different geographical areas in Egypt to obtain more generalized findings in relation to current study.