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Patients were undergraduates and 30% were graduates.70%of patients were from middle-class socioeconomic status and 20%were from higher class and 10% were from lower class. In this study, total male patients were 30% and female patients were 70%.Total 55% of patients were of age 50-59yrs, 30% were in 60 -69 age criteria and 15%were in 70-79years age.35% Patients with co-morbidities like hypertension, diabetes ,seizures, hypothyroidism, etc.10%of patients were having family history of osteoarthritis.70% Expert nurses observed TKR patients for defining characteristics of impaired physical mobility when patients were on bed and when they were mobilized from bed to chair and from chair to ward environment (ward passage) and they were rated by using CDV model –inter rater method. Total 20 samples of TKR patients were observed for their mobility on first and second postoperative day. Data was collected by two expert nurses on observational checklist by observing for presence or absence of defining characteristic. The main study was conducted on patients who underwent TKR surgery having first and second postoperative day in LEVEL 4, 5, 6 of FORTIS HOSPITAL. The mean of their age was 31.5 and mean of their work experience was 8.The pilot study was conducted on 5 TKR patients in FORTIS HOSPITAL which determined that the tool was unambiguous and practicable. Two expert nurses were selected based on their education and work experience. A structured observation checklist was developed by the researchers on basis of modified Likert scale.
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The objectives of this study is to validate defining characteristics of impaired physical mobility in TKR patients and to categorize them into major and minor, by using Clinical Diagnostic Validity (CDV) of Fehring model (1986).įor this purpose, Non experimental descriptive research design was used. As per previous ROL, impaired physical mobility is one of the most common nursing diagnoses found in TKR patients mainly on first and second postoperative day, because of delayed identification of defining characteristics and improper nursing interventions.
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In our study, we validated defining characteristics of NANDA nursing diagnosis of Impaired Physical Mobility in Total knee replacement patients. Validation studies are important for advancing evidence based nursing practice.