The Efficacy of Collaborative Patient Education on Total Knee Arthroplasty
The Effects of a Patient-specific Integrated Education Program on Pain, Perioperative Anxiety, and Functional Recovery Following Total Knee Replacement
調査の概要
詳細な説明
This is a quasi-experimental design study. The participants received total knee arthroplasty by one single surgeon in two facilities within the same medical system (Kaohsiung Medical University affiliated hospitals). The intervention groups received integrated rehabilitation program including verbal one-on-one education, personalized post-operation rehabilitation during admission and scheduled post-operation follow up by a nurse case manager. The control group received the same surgery with traditional clinical pathway by the single surgeon in another affiliated hospital.
We recorded the pain scores, state-trait anxiety inventory scores, WOMAC(Western Ontario and Mcmaster Universities Arthritis Index) scores, American Knee society scores for these participants.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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-
-
Kaohsiung、台湾
- Kaohsiung Medical University Hospital
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-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria
- Patients over 65 years of age
- Patients scheduled to receive unilateral total knee arthroplasty due to advanced osteoarthritis
- Patients are able to understand the study and express opinions clearly
- Patients are willing to participate in this study and provide informed consents
Exclusion Criteria
- Patients with inflammatory joint disease
- Patients with neurosensory system disease (such as stroke or parkinsonism)
- Patients have intellectual impairment, or dementia.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：非ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：integrated rehabilitation program for total knee arthroplasty
the intervention was performed in one KMUH affiliated facility
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Pre-operative education and rehabilitation.
During hospitalization: group rehabilitation education program.
Discharge: post-operative care navigation for total knee arthroplasty
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介入なし：normal total knee arthroplasty clinical pathway
no integrated rehabilitatoin program for total knee arthroplasty patients with our conventional clinical pathway
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Visual Analogue Pain Score (VAS)
時間枠：From admission to 3 months after surgery
|
Minimum pain intensity from 0 to Maximum of 10.
Higher scores mean a higher pain intensity.
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From admission to 3 months after surgery
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State-trait Anxiety Inventory (STAI)
時間枠：From admission to 3 months after surgery
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Peri-operative anxiety scoring system.
STAI varies from a minimum score of 20 to a maximum score of 80. STAI scores are commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).
Higher scores mean higher anxiety.
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From admission to 3 months after surgery
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American Knee Society Scores(AKS)
時間枠：From admission to 3 months after surgery
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The AKS ranges from 100 (normal knee function score) to 0 (worst knee function score).
Higher scores mean a better outcome.
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From admission to 3 months after surgery
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WOMAC (Western Ontario and Mcmaster Universities Arthritis Index)
時間枠：From admission to 3 months after surgery
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The WOMAC evaluates 3 dimensions : pain(maximal score of 20), stiffness(maximal score of 8), and physical function(maximal score of 68).
Higher scores mean worse outcomes.
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From admission to 3 months after surgery
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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