Satisfaction of elderly patients undergoing orthopedic surgery in terms of nursing care and affecting factors

Figen Dığın 1 * , Zeynep Kizilcik Özkan 2, Gürcühan Fidan 3
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1 Department of Surgical Nursing, Faculty of Health Sciences, Kırklareli University, Kırklareli, Turkey
2 Department of Surgical Nursing, Faculty of Health Sciences, Trakya University, Edirne, Turkey
3 Oncological Surgery Clinics, Ankara City Hospital, Ankara, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 18, Issue 6, pp. 50-55.
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Background: Patient satisfaction is accepted as a criterion in the evaluation of nursing care, it’s important to know the factors affecting satisfaction.
Aim: The aim of this study was to determine the satisfaction of older adult patients with orthopaedic surgery and factors affecting.
Methods: This descriptive study was conducted with 135 patients who underwent orthopaedics surgery. Data were collected using Patient identification form and Newcastle Satisfaction with Nursing Scales. Mann Whitney U, Kruskal Wallis H tests and correlation analysis were performed.
Results: The mean score of the patients on the Newcastle Satisfaction with Nursing Scale was determined to be 83.5 ± 15.5. It was found that the mean score of the patients on the Newcastle Nursing Care Satisfaction Scale varied according to the companion support and socioeconomic status (p <0.05). 
Conclusion: It was determined that older adult patients who underwent orthopaedic surgery had a good level of satisfaction with nursing care.


Dığın F, Özkan ZK, Fidan G. Satisfaction of elderly patients undergoing orthopedic surgery in terms of nursing care and affecting factors. J CLIN MED KAZ. 2021;18(6):50-5.


  • Wyman MF, Shiovitz-Ezra S, Bengel J. Ageism in the health care system: providers, patients, and systems. In: Ayalon L., Tesch-Römer C. (Eds.), Contemporary perspectives on ageism. International Perspectives on Aging, 19. Cham: Springer; 2018.
  • Svanström R, Sundler AJ, Berglund M, Westin L. Suffering caused by care-elderly patients’ experiences in community care. Int J Qual Stud Health Well-Being. 2013; 8(1):20603. doi: 10.3402/qhw.v8i0.20603
  • Centers for Disease Control and Prevention (CDC). (2020). Keep on your feet—preventing older adult falls. Retrieved March 14, 2021, from Updated: December 16, 2020.
  • Savcı A, Bilik O. Assessment of geriatric patients in the clinic of orthopaedic and traumatology. Dokuz Eylul University E-Journal of Nursing Faculty. 2014; 7(2):156-163.
  • Deiner S, Silverstein JH. Long-term outcomes in elderly surgical patients. Mt Sinai J Med. 2012; 79(1):95–106. doi:10.1002/msj.21288.
  • Moreno-Monsivais MG, Moreno-Rodruguez C, Interial-Guzman MG. Missed nursing care in hospitalized patients. Aquichan. 2015; 15(3):318-328. doi:10.5294/aqui.2015.15.3.2
  • Tekin F, Yıldız Fındık U. Level of perception of ındividualized care and satisfaction with nursing in orthopaedic surgery patients. Orthop Nurs. 2015; 34(6):371-374. doi:10.1097/NOR.0000000000000194
  • Apay SE, Arslan S. Satisfaction level of inpatient in an university hospital. TAF Preventive Medicine Bulletin. 2009; 8(3):239-244.
  • Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res. 2010; 468:57-63. doi: 10.1007/s11999-009-1119-9
  • Batbaar E, Dorjdagva J, Luvsannyamm A, Savino MM, Amenta P. Determinants of patient satisfaction: a systematic review. Perspectives in Public Health. 2017; 137(2):89-101. doi: 10.1177/1757913916634136.
  • Day MS, Hutzler LH, Karia R, Vangsness K, Setia N, Bosco 3rd JA. Hospital-acquired conditions after orthopedic surgery do not affect patient satisfaction scores. J Healthc Quality. 2014; 36(6):33-40. doi: 10.1111/jhq.12031
  • Kim SJ, Bamne A, Song YD, Kang YG, Kim TK. Patients still wish for key improvements after total knee arthroplasty. Knee Surg Relat Res. 2015; 27(1):24-33. doi: 10.5792/ksrr.2015.27.1.24.
  • Kelly MP, Calkins TE, Culvern C, Kogan M, Valle CJD. Inpatient versus outpatient hip and knee arthroplasty: which has higher patient satisfaction? J Arthroplasty. 2018; 33:3402-3406. doi: 10.1016/j.arth.2018.07.025
  • Sendir M, Büyükyılmaz F, Yazgan I, Bakan N, Mutlu A, Tekin F. Evaluation of experience and satisfaction with nursing care in orthopedic and traumatology patients. Florence Nightingale J Nurs. 2012; 20(1):35-42.
  • Padilla JA, Feng J, Anoushiravani AA, Hozack WJ, Schwarzkopf R, Macaulay B. Modifying patient expectations can enhance total hip arthroplasty postoperative satisfaction. J Arthroplasty. 2019; 34(7):209-214. doi: 10.1016/j.arth.2018.12.038
  • Janet HY, Luk HKB. Patient satisfaction: Concept analysis in the healthcare context. Patient Educ Couns. 2019; 102:790–796. doi: 10.1016/j.pec.2018.11.013
  • Lautamatti E, Sumanen M, Raivio R, Mattila KJ. Continuity of care is associated with satisfaction with local health care services. BMC Family Practice. 2020; 21:181. doi: 10.1186/s12875-020-01251-5
  • Azizi-Fini I, Mousavi MS, Mazroui-Sabdani A, Adib-Hajbaghery M. Correlation between nurses’ caring behaviors and patients’ satisfaction. Nurs Midwifery Stud. 2012; 1(1):36-40. doi: 10.5812/nms.7901
  • Ozturk H, Demirsoy N, Saylıgil O. Patients’ perceptions of nursing care in a university hospital. Nurs Sci Q. 2020; 33(1):12-18. doi: 10.1177/0894318419881798
  • Thomas LH, McColl E, Priest J. Newcastle satisfaction with nursing scales: An ınstrument for quality assessment of nursing care. Quality in Health Care. 1996; 5:67–72.
  • Akın S, Erdoğan S. The Turkish version of the Newcastle Satisfaction with Nursing Care Scale used on medical and surgical patients. J Clin Nurs. 2007; 16(4):646-653.
  • Abd El-Moniem MM, Mahfouz MI, Elsoued Hussein HA. Geriatric inpatients perception of nurses’ communication: the relationship between patient-centered communication practices and satisfaction with nursing care. World Journal of Nursing Sciences. 2015; 1(3):138-151. doi: 10.5829/idosi.wjns.2015.138.151
  • Heyman N, Osman I, Natan MB. Ageist attitudes among healthcare professionals and older patients in a geriatric rehabilitation facility and their association with patients' satisfaction with care. Int J Older People Nurs. 2020; 15:1-10. e12307. doi: 10.1111/opn.12307
  • Deka C, Borboruah L, Sarmah PP. Paul I. A study on patient satisfaction among the patients admitted in the in-patient departments of a tertiary health care institution in North East India. Nati J Community Med. 2020; 11(9):356-361. doi: 10.5455/njcm.20200623063100
  • Amiri M, Sadeghi E, Khosravi A. Factors influencing patient satisfaction in Shahroud Hospitals in 2018. International Journal of Health Studies. 2018; 4(1):37-41. doi: 10.22100/ijhs.v4i1.382
  • Footman K, Roberts B, Mills A, Richardson E, McKee M. Public satisfaction as a measure of health system performance: A study of nine countries in the former Soviet Union. Health Policy. 2013; 112:62-69. doi: 10.1016/j.healthpol.2013.03.004
  • Kashkoli SA, Zarei E, Daneshkohan A, Khodakarim S. Hospital responsiveness and its effect on overall patient satisfaction. Int J Health Care Qual Assur. 2017; 30(8):728-736. doi: 10.1108/IJHCQA-07-2016-0098
  • Klem NR, Smith A, O’Sullivan P, Dowsey MM, Schütze R, Kent P, et al. What influences patient satisfaction after TKA? A qualitative investigation. Clin Orthop Relat Res. 2020; 478:1850-1866. doi: 10.1097/CORR.0000000000001284
  • Bridges J, Collins P, Flatley M, Hope J, Young A. Older people’s experiences in acute care settings: Systematic review and synthesis of qualitative studies. Int J Nurs Stud. 2020; 102:103469. doi: 10.1016/j.ijnurstu.2019.103469
  • Zhang J, Yang L, Wang X, Dai J, Shan W, Wang J. Inpatient satisfaction with nursing care in a backward region: a cross-sectional study from northwestern China. BMJ Open. 2020; 10:e034196. doi: 10.1136/bmjopen-2019-034196
  • Dawood SS, GaleleAbd El Moneam AA, Al Anwer Ashour HM. Nurses` caring behaviors as perceived by hospitalized geriatric patients' and its relation to their satisfaction with the quality of nursing care. IOSR Journal of Nursing and Health Science. 2020; 9(1):24-34. doi: 10.9790/1959-0901132434
  • Ozsaker E, Sevilmis H, Ozcan Y, Samast M. Nursing care perception and satisfaction levels of surgical patients. J Contemp Med. 2021; 1(2). doi: 10.16899/jcm.711131
  • Marcelina CF, Machado Saito KA, Mirancos da Cunha ALS, Elizabeth dos Santos A. Patient’s satisfaction with nursing care on the post-surgery of radical prostatectomy. Rev Rene. 2018; 19:e33961.
  • Yanmıs S. Patients’ satisfaction levels of nursing services at a urology unit of a university hospital. JOJ Nursing & Health Care. 2018; 9(2):1-6. doi: 10.19080/JOJNHC.2018.09.555759
  • Shankar KN, Bhatia BK, Schuur JD. Toward patient-centered care: A systematic review of older adults’ views of quality emergency care. Ann Emerg Med. 2014; 63(5):529-550. Doi: 10.1016/j.annemergmed.2013.07.509
  • Chumbler N, Otani K, Desai SP, Herrmann PA, Kurz RS. Hospitalized older adults’ patient satisfaction: inpatient care experiences. SAGE Open. 2016; 1-7. doi: 10.1177/2158244016645639
  • Silero AS, Zabalegui A. Satisfaction of surgical patients with perioperative nursing care in a Spanish tertiary care hospital. SAGE Open Medicine. 2020; 6:1-9. doi: 10.1177/2050312118818304
  • Gebremedhn EG, Lemma GF. Patient satisfaction with the perioperative surgical services and associated factors at a University Referral and Teaching Hospital, 2014: a cross-sectional study. Pan Afr Med J. 2017: 27:176-190. doi: 10.11604/pamj.2017.27.176.10671
  • Forsberg A, Vikman I, Wälivaara BM, Engström Å. Patients’ perceptions of quality of care during the perioperative procedure. J Perianesth Nurs. 2015; 30(4):280–289.
  • Bae JY, Kim JK, Yoon J, Kim JH, Ho BC. Preoperative predictors of patient satisfaction after carpal tunnel release. Orthop Traumatol Surg Res. 2018; 104:907–909. doi: 10.1016/j.otsr.2018.04.004