The Effect of Video-Based Education on Activities of Daily Living, Wound Healing and Prosthesis Dislocation of Patients With Total Hip Replacement
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Number of patients whose daily living activities increased thanks to video training
研究概览
简要总结
This study was conducted to examine the effects of video-based education on the activities of daily living, wound healing and prosthesis dislocation of patients who had total hip replacement surgery.
The main questions it aims to answer are:
Total hip replacement patients who received video-based education had higher postoperative daily living activities scale mean scores than patients who did not receive education.
Total hip replacement patients who received video-based education had lower postoperative Oxford Hip Score scale mean scores than patients who did not receive education.
Total hip replacement patients who received video-based education had lower postoperative Patient and Observer Scar Assessment scale mean scores than patients who did not receive education.
详细描述
The study was conducted in Balikesir Bandırma Education and Research Hospital, Orthopedics Clinic. Patients who met the inclusion criteria were randomly assigned to the intervention (video-based education) and control (standard nursing care) groups using randomizer.org. In collecting the study data; Individual Identification Form, Standardized Mini Mental Test, Barthel Daily Living Activities Index, Oxford Hip Score, Patient and Observer Scar Assessment Scale were used. Individual Identification Form, Barthel Daily Living Activities Index and Oxford Hip Score were applied to both groups before surgery. The intervention group received video-based education before surgery, the control group did not receive any education and received routine nursing care. On the 5th day after surgery, both groups were applied Barthel Daily Living Activities and Patient and Observer Scar Assessment Scale. Video-based education was repeated on the 2nd or 3rd day after surgery to the intervention group, and the control group received routine nursing care. Before discharge, video-based education was uploaded to the phones or computers of the patients and caregivers in the intervention group, and patients and caregivers were able to benefit from this education video whenever they wanted. Patients in the control group were discharged after receiving routine discharge education. Barthel Daily Living Activities, Oxford Hip Score and Patient and Observer Scar Assessment Scale were applied to both groups on the 30th day after surgery. Descriptive statistical methods (frequency, mean) were applied in the analysis of the data. Student t test was used in the analysis of normally distributed variables in independent groups, and the relationship between multiple independent variables was evaluated with the ANOVA test. Variance analysis was used in repeated measurements in the evaluation of quantitative data within the group. Pearson correlation analysis was used in the evaluation of the relationship between quantitative variables, and Fisher's Exact and Pearson Chi-square tests were used in the comparison of qualitative data.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Care Provider)
盲法说明
Participants were not informed of which group they were in when they agreed to participate in the study. Similarly, caregivers and hospital staff were not informed about the groups. Only the researcher knew which group the participants were in.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who volunteered to participate in the study,
- •Are conscious, oriented and cooperative,
- •Are over 18 years of age,
- •Speak Turkish,
- •Are at least primary school graduates,
- •Have received the Standardized Mini Mental Test and scored over 23 points according to the guideline were included.
排除标准
- •Patients with communication problems (hearing, visual impairment)
- •Patients diagnosed with a psychiatric disease
- •Patients whose mobilization was not permitted by the physician were not included.
研究组 & 干预措施
Group given video-based training
The application of the study to the active group;
- In addition to routine nursing care in the ward, video and education booklet were used. Video education was given to the patient and caregiver individually in the patient room. Watching the video takes 12 minutes.
- Video-based education was given in the preoperative period, on the 2nd-3rd postoperative day and at the discharge stage.
干预措施: GROUP GIVEN VIDEO TRAINING (Other)
GROUP RECEIVING ROUTINE NURSING CARE
The application of the study to the control group; The patient was informed about the process before and after the surgery by the physician and the nurse working in the ward that day. The patient's pre-operative, surgical preparation, post-operative and discharge periods were carried out by different nurses due to work schedules. The patients were prepared by the nurse working in the ward that day on the day of surgery and sent to the operating room. After the surgery, the patients were given patient care in the ward and their follow-up and treatments were performed. During the discharge period, discharge information was given and discharge procedures were carried out.
结局指标
主要结局
Number of patients whose daily living activities increased thanks to video training
时间窗: Change measurements for each participant were made at baseline, day 5, and day 30 after surgery.
Barthel Daily Living Activities Index will be used to evaluate this result. Cronbach alpha value was calculated as 0.90. ADL is the most preferred evaluation index among similar indexes that evaluates the level of independence of individuals in their daily activities. Barthel Index evaluates 10 areas including nutrition, washing, dressing, self-care, bowel care, bladder care, toilet use, mobility, going up and down stairs and transferring from wheelchair to bed and the lowest score is 0 and the highest score is 100. 0-20 points indicate that the individual is fully dependent, 21-61 points indicate that the individual is highly dependent, 62-90 points indicate that the individual is moderately dependent, 91-99 points indicate that the individual is slightly dependent and 100 points indicate that the individual is fully independent. In this study, Cronbach alpha coefficient of "Barthel Daily Living Activities Index" was found as 0.859.
次要结局
- Number of patients whose wound healing improved thanks to video training(Change measurements for each participant were made on day 5 and day 30 after surgery.)
研究者
AYŞE SİNEM TAŞ
Assistant Professor
Bandırma Onyedi Eylül University