SYSTEMATIC REVIEW article
Front. Med.
Sec. Geriatric Medicine
This article is part of the Research TopicPerioperative Management and Clinical Challenges in Elderly Major Surgical PatientsView all 5 articles
Effect of Pain-Relief Nursing on Activities of Daily Living in Patients Following Hip Arthroplasty: A Systematic Review and Meta-Analysis
Provisionally accepted
- The Second Affiliated Hospital of Chengdu Medical College (China National Nuclear Corporation 416 Hospital), Chengdu, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Background: Discomfort and reduced physical function can often be significant after hip arthroplasty procedures, especially in older adults. This can lead to delays in rehabilitation and affect the person's capability to participate in self-care activities. Nursing care directed toward pain relief may be another meaningful step toward advancement in early mobility and functional independence. Purpose: To conduct a systematic review and meta-analysis to examine the effects of nursing care interventions focused on pain relief on activities of daily living outcomes for participants undergoing hip arthroplasty. Methods: Articles published from January 2010 to December 2023 were identified as a result of searches of the PubMed, Web of Science, and Scopus databases. The inclusion criteria consisted of randomized controlled trials and cohort studies in which nursing care interventions directed toward pain relief were examined against standard care. Random effects models were used to calculate pooled standardized mean differences and 95 percent confidence intervals. The risk of bias assessment was conducted using the Newcastle–Ottawa Scale to evaluate each article included in the study. Results: Five articles were reviewed and analyzed with a total of 539 patients. Pain relief-focused nursing care interventions, such as individualized patient education, multimodal analgesia, or guided early ambulation, resulted in improved activities of daily living outcomes when compared to standard care. Overall, the pooled effect size was statistically significant, with an indication of overall greater improvement and minimal variability between studies. Conclusion: Structured planning through nursing care directed toward pain relief is an effective nursing intervention to achieve and sustain improved functional independence and daily activity outcomes, while also decreasing the experience of pain. Implementing evidence-based nursing interventions can enhance recovery and improve patient satisfaction when used as part of postoperative protocols.
Keywords: Activities of Daily Living, hip arthroplasty, Meta-analysis, Pain-relief nursing, postoperative recovery
Received: 19 Aug 2025; Accepted: 29 Oct 2025.
Copyright: © 2025 Xie, Bai, Lei, Bi and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ying Chen, 15827586281@163.com
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.