Effectiveness of Celebrex on Total Hip Replacement Patients

Faculty Mentor(s)

Kristie Dennett, Holland Hospital
Dr. Nancy Barnum, Hope College

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A postoperative pain score has been a helpful too for identifying a patient’s level of pain during hospitalization. Using non-steroidal anti-inflammatory drugs (NSAIDs) are one of the ways of relieving pain for patients with arthritis who have undergone total joint replacement surgeries. The purpose of this research is to examine the effectiveness of Celebrex in reducing pain, and enhancing patient performance in post-operative patients. The conceptual model for this study is Pender’s Health Promotion Model as it emphasizes how health promotion, in this case the pain control management, is targeted to increase client’s level of wellbeing and functional ability. This is a quantitative, cross-sectional, retrospective study with randomly-selected sample size of 60 patients between the ages of 50 and 90 years old who underwent a total hip replacement surgery in 2010 and 2011. The data was collected through a chart review on a joint replacement unit of a hospital in West Michigan. Gender, age, visual analog scale (VAS) pain scores, length of stay, and single longest distance walked were measured. Descriptive statistics, independent t-test, and mean pain scores will be examined using SPSS statistical software. Results and conclusions are pending. Limitations of this study include a small sample size, two different surgical approaches, and inconsistent use of the VAS by patients to rate their pain level. Future nursing implications for this study would include providing effective pain control management, therefore enhancing patient’s postoperative mobility and satisfaction with their pain management during hospitalization.

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