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
研究概览
详细说明
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.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Kaohsiung、台湾
- Kaohsiung Medical University Hospital
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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.
学习计划
研究是如何设计的？
设计细节
- 主要用途：支持治疗
- 分配：非随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：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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无干预：normal total knee arthroplasty clinical pathway
no integrated rehabilitatoin program for total knee arthroplasty patients with our conventional clinical pathway
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Visual Analogue Pain Score (VAS)
大体时间：From admission to 3 months after surgery
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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)
大体时间：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)
大体时间：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)
大体时间：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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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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