The Effects of Using the Empowerment Model Intervention in Primary Total Hip Replacement Surgery Elders
2018년 5월 22일 업데이트: Tzu-Ting Huang
The Effects of Using the Empowerment Model Intervention in Primary Total Hip
Degenerative arthritis is a common and serious chronic illness that impacts the quality of life of older adults.
Knowledge about the effects of empowerment education program in older adults with total hip replacement surgery are limited.
As far as the investigators know, this is the first study done using empowerment education intervention to promote total hip replacement patients' self-care.
This partnership is achieved through active participation to learn as well as sharing their knowledge and experiences with clinicians and patients.
Furthermore, patients had developed some degree of self-efficacy and improve their depressive mood from the disease related knowledge acquired.
연구 개요
상세 설명
Aims. To exam the effectiveness of the empowerment education program on primary (self-care self-efficacy and competence) and secondary outcomes (Activities of Daily Life, mobility, depressive mood, and quality of life) for older adults with total hip replacement surgery.
Background. Degenerative arthritis is a common and serious chronic illness that impacts the quality of life of older adults. As joints degenerate continuously and the hip has been damaged by arthritis, Activities of Daily Life will be difficult to perform due to severe hip pain and joint stiffness. Therefore, hip replacement surgery should be considered, and effective nursing care should be provided to improve the recovery of older adults.
Design. A prospective randomized control trial. Methods. A trial was conducted from September of 2013 to May of 2014 in two hospitals in northern Taiwan. 108 participants were randomly assigned to either the empowerment education group or the comparison group. The outcomes were collected at the day of discharge (T2), one month after (T3), and 3 months (T4) after the discharge.
연구 유형
중재적
등록 (실제)
108
단계
- 해당 없음
참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
50년 이상 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
설명
Inclusion Criteria:
- had 1st THRS
- ability to speak and read Chinese
- willingness to participate in this study
Exclusion Criteria:
- cognitive impairment or been diagnosed with a psychiatric illness
- participation in another study
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 지지 요법
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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간섭 없음: comparison group
The CG received no extra care; they could receive the usual routine care for THR in the unit as they had before participation in the study.
The routine care included oral instruction by nurses follow by the handout.
Also, a brochure was provided of the structure of hip, the risk factors of THR, care before and after THR, complications, care of discharge, and demonstration of rehabilitation with pictures) of THR designed by researchers in this study.
Five orthopedics health care experts independently reviewed and rated each item in the brochure on a five-point Likert-type scale in terms of relevance, representativeness, specificity, and clarity.
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실험적: Empowerment education group
The 5 times total, 12-week EE intervention was aimed to empower older patients with THR to develop their own self-management program to meet their needs.
This empowerment education intervention based on 6 empowerment components: "Partnership, listening, dialogue, reflection, action, feedback" and 5-step empowerment strategies: motivating patients self-awareness, assessing the causes of the problem, goal setting, individual self-care plan development, and checking whether goals or plans have been achieved who modified from Freire's 3-stage methodology.
The difference between this program and the other health educations for patients with THR are that this program encourages them to explore their needs and worries, their own ability and power to meet their needs, and their capacity to seek and use their social support and resources etc.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Total Hip Replacement Self-efficacy Scale
기간: 5min
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A five-item evaluation list measured self-efficacy (environment, self-monitoring, regular check-up, medicine, exercise), all components were rated on a 5-point Likert-type scale (4= fully confident to 0= no confidence at all) with higher scores signifying greater self-efficacy.
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5min
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Self-care competence Scale
기간: 5min
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The knowledge and behaviors subscales measured this variable, which includes knowledge and behavior related to THR self-care.
The knowledge subscale contains 15 yes/no questions (6 for posture/ environment, 6 for wound/pain, and 3 for exercise), each with only one correct response.
In order to prevent participants that guessed answers from confounding the data, the choice 'I do not know' was also provided.
The scores range from 0 to 15, with higher scores indicating greater knowledge.
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5min
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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ADL
기간: 3min
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ADL was assessed using the Barthel scale, which was introduced in 1965 and yielded a score of 0-100, the measure 10 variables.
These variables included fecal incontinence, urinary incontinence, and assistance with grooming, feeding, transfers, walking, dressing, climbing stairs, and bathing.
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3min
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Tinetti mobility
기간: 3min
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The Tinetti Mobility Scale (Tinetti et al. 1986) assessed mobility (gait and balance).
This scale is simple: no required equipment attached and is quick and convenient to use.
Each participant took around 5 minutes to perform the series of activities to assess mobility.
The better a participant's performance, the higher the score.
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3min
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GDS-15
기간: 3min
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consisting of 15 questions, was the primary outcome evaluator (Sheikh and Yesavage, 1986).
Scores of 0-4 are considered to be normal; 5-8 indicates mild depression; 9-11 indicates moderate depression; and 12-15 indicates severe depression.
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3min
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SF-36
기간: 3min
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The SF-36 questionnaire assesses health-related functions for eight distinct domains, which can be divided into physical component and mental component scales.
This 36-item questionnaire was used to measure quality of life.
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3min
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
스폰서
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작
2013년 9월 1일
기본 완료 (실제)
2014년 5월 1일
연구 완료 (실제)
2014년 5월 1일
연구 등록 날짜
최초 제출
2016년 6월 21일
QC 기준을 충족하는 최초 제출
2016년 6월 23일
처음 게시됨 (추정)
2016년 6월 28일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2018년 5월 23일
QC 기준을 충족하는 마지막 업데이트 제출
2018년 5월 22일
마지막으로 확인됨
2018년 5월 1일
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- 97-2081B
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
아니
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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