Preoperative Education for Pain Relief after the Lower Limb Joint Replacement Surgery: A Systematic Review and Meta-Analysis

Document Type : Meta-analysis


1 Department of Orthopedics, Medicine Faculty, Tabriz University of Medical Sciences, Tabriz, Iran

2 Associated Professor of Anesthesia, Paramedical Faculty, Tabriz University of Medical Sciences, Tabriz, Iran

3 Ph.D Student of Epidemiology, Department of Statistics and Epidemiology, Faculty of Health, Kerman University of Medical Sciences, Kerman, Iran


Background: Knee and hip replacement surgeries are associated with chronic postoperative pain, and since their management is a clinical challenge to nurses.
Objective: The present meta-analysis aimed at investigating preoperative education for pain relief after the lower limb joint replacement surgery.
Methods: Quasi-experimental studies and clinical trials of preoperative education for the management of pain after hip and knee replacement surgeries published in English were searched in the databases of Web of Science, Cochrane Library, CINAHL, PubMed, Embase, and Scopus.
Results: Out of 209 articles retrieved, five were eligible to enter the meta-analysis. Based on the obtained results, the difference in the mean scores of pain on days 1, 2, and 3 after surgery in the intervention groups was lower than that of the control groups; however, the relationship was statistically insignificant.
Conclusion: Evidence from study results suggests that pre-THA and Total knee arthroplasty (TKA) training may not significantly reduce pain; However further studies are required.


Volume 26, Issue 1
January and February 2021
Pages 52-60
  • Receive Date: 28 November 2020
  • Revise Date: 30 December 2020
  • Accept Date: 18 February 2021