The Effects of a Patient-specific Integrated Education Program on Pain, Perioperative Anxiety, and Functional Recovery Following Total Knee Replacement
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Knee Arthritis
- Sponsor
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- American Knee Society Scores(AKS)
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This project is about the integrated rehabilitation program for the patients receiving total knee arthroplasty. The investigators are monitoring the WOMAC(Western Ontario and Mcmaster University Arthritis Index)/ Pain scores/Anxiety scores/Knee society scores in the treatment course between the intervention group and the control group.
Detailed Description
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
American Knee Society Scores(AKS)
Time Frame: From admission to 3 months after surgery
The AKS ranges from 100 (normal knee function score) to 0 (worst knee function score). Higher scores mean a better outcome.
Visual Analogue Pain Score (VAS)
Time Frame: From admission to 3 months after surgery
Minimum pain intensity from 0 to Maximum of 10. Higher scores mean a higher pain intensity.
State-trait Anxiety Inventory (STAI)
Time Frame: From admission to 3 months after surgery
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.
WOMAC (Western Ontario and Mcmaster Universities Arthritis Index)
Time Frame: From admission to 3 months after surgery
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.