Effectiveness of the Transitional Care Model in Total Knee Arthroplasty Patients: A Randomized Controlled Study
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
- 2
- 主要终点
- Arthritis Self-efficacy Scale (ASES)
研究概览
简要总结
The aim of this study was to determine the effectiveness of transitional care in patients with total knee arthroplasty on patients' functional status, perceived self-efficacy, and health care use. Based on the sampling inclusion criteria, we assigned the patients who would undergo knee arthroplasty to the control (n=35) and intervention (n=35) groups, via the block randomization method. The intervention group received transitional care, while the control group received usual care. Data were collected on post-intervention functional status, level of self-efficacy, and hospital visits outside of routine control.
详细描述
This randomised control study was conducted 70 eligible partients with total knee arthroplasty in a public hospital orthopedic and traumatology service. Participants were randomly assigned to receive either the 6-week 'Transitional Care Model' program or usual care. Assessments of self-efficacy and functional status of patients were conducted at baseline, 2nd and 9th weeks after discharge. Time-dependent changes in patient outcomes were assessed by using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Arthritis Self-efficacy Scale (ASES) measurements tools. Assessments of hospital visits outside of routine control were conducted 2nd week, 6th week, 9th week, and 12th weeks after discharge. The functional status of the intervention group patients improved more than the control group according to WOMAC mean scores. Intervention group patients receiving transitional care had higher mean scores at the 2nd-week and 9th-week postoperatively in perceived self-efficacy . Besides, the rate of admission to the hospital in the intervention group was lower compared to the control group, and a significant difference was observed in the 6th-week follow-up.
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
- None
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having decided to undergo total knee arthroplasty for the first time due to osteoarthritis
- •Volunteering to participate in the research, not having a psychological, physical, and mental disability that may prevent communication, not having any major chronic problems such as end-stage organ failure, kidney, neurological, cancer
- •Being discharged to the home from a hospital
- •Being able to speak Turkish
- •Being available by phone
- •Being aged 50 and over
排除标准
- •Unwillingness to continue the study
- •Rehospitalization
- •Exposure to a disease or trauma that would affect functional independence during the study
结局指标
主要结局
Arthritis Self-efficacy Scale (ASES)
时间窗: up to 9 weeks
Assessments of self-efficacy of patients were conducted at baseline, 2nd and 9th weeks after discharge.
Western Ontario and McMaster Universities Osteoarthritis Index-WOMAC
时间窗: up to 9 weeks
Assessments of functional status of patients were conducted at baseline, 2nd and 9th weeks after discharge.
次要结局
- number of hospital visits(up to 12 weeks)
研究者
Ayla Güllü
Principal Investigator
Hasan Kalyoncu University