The Effect of Preoperative Information and Education in the Clinical Outcome of Total Hip Arthroplasty
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Hip pain and functionality
研究概览
简要总结
Preoperative patient information and education is an essential aspect of modern surgical care, particularly for patients undergoing total hip arthroplasty (THA). This prospective, randomized trial aims to assess the effects of structured preoperative education and information on clinical outcomes in patients undergoing THA.
详细描述
A total of 100 patients will be randomized into two groups: the intervention group (n = 50) receiving standardized preoperative information and education, and the control group (n = 50) receiving standard preoperative care without a formal educational component. Postoperative outcomes, including pain, functionality, mobility, length of hospital stay (LOS), health-related quality of life, anxiety and depression will be compared between the 2 groups.
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
- Single (Outcomes Assessor)
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
- •Exclusion criteria in the study will be patients:
- •under 50 years old
- •with reduced mental abilities
- •with a presence of mental illness
- •who have had previous hip surgery
排除标准
- 未提供
研究组 & 干预措施
preoperative education
The intervention will include oral and written education about the operation, nursing and active participation in self-care. The intervention will take place in 3 phases: One week before THA, one day before THA after patient admission and postoperatively, before patient discharge. After a rough description of the operation, the anatomy and functionality of the joint will be presented, underlining the necessity of the operation. Instructions for recognizing and managing potential complications will be given. Patients will be informed about the appropriate post-operative walking aids, walking style, sitting up techniques, standing-up techniques, lying down techniques and getting in and out of the car. There will be a demonstration of muscle strengthening exercises, isometric quadriceps and gluteal exercises, Patients will also be informed about the necessity of prophylactic postoperative antithrombotic and antibiotic treatment.
干预措施: preoparative information and education (Behavioral)
no preoparative education (basic information)
Patients will receive the standard preoperative care, which will not include formalized education beyond routine consent.
结局指标
主要结局
Hip pain and functionality
时间窗: 30 days postoperatively
Assessed using modified Harris Hip Score (mHHS), validated in Greek, one day preoperatively and one month postoperatively
Length of Hospital Stay
时间窗: 30 days postoperatively
Duration of hospitalization, measured in days
Anxiety and Depression
时间窗: 30 days postoperatively
Assessed using the Hospital Anxiety and Depression Scale (HADS), validated in Greek, one day preoperatively, one day before discharge from hospital, and one month postoperatively
Health-related quality of life
时间窗: 30 days postoperatively
Assessed using EQ-5D-5L index and EQ-5D-5L visual analog scale (VAS), validated in Greek one day preoperatively, one day before discharge from hospital, and one month postoperatively
次要结局
未报告次要终点
研究者
SARA ELENI AMPRACHIM
RN, MSc, MSc, PhD (c), General Hospital of Attica "KAT", Athens, Greece
National and Kapodistrian University of Athens
