The Effect of Simulation-Based Preoperative Education on Surgical Fear and Kinesiophobia in Patients Undergoing Total Knee Arthroplasty: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Surgical Fear
研究概览
简要总结
This randomized controlled trial aims to evaluate the effect of simulation-based preoperative education on surgical fear and kinesiophobia in patients undergoing total knee arthroplasty. Eligible patients are randomly assigned to either a simulation-based education group or a standard verbal education (control) group. Surgical fear, kinesiophobia, and postoperative pain are assessed using validated measurement tools. The findings of this study are expected to contribute to evidence-based nursing practices by informing the development of effective preoperative education strategies to improve postoperative recovery outcomes.
详细描述
Total knee arthroplasty is a major orthopedic surgical procedure that may lead to significant physical and psychological challenges for patients during the perioperative period. In addition to postoperative pain and functional limitations, patients frequently experience surgical fear and fear of movement (kinesiophobia), which may negatively affect early mobilization and recovery. Preoperative education is considered an essential nursing intervention to support patients in coping with these challenges; however, the optimal method for delivering such education remains an area of ongoing research.
Simulation-based education has increasingly been used in healthcare education to enhance understanding, reduce uncertainty, and improve preparedness by allowing individuals to actively engage with the anticipated care process. While its effectiveness has been well documented in student education, evidence regarding its use in preoperative patient education, particularly in orthopedic surgery, is limited.
This randomized controlled trial aims to examine the effect of simulation-based preoperative education on surgical fear and kinesiophobia in patients undergoing primary total knee arthroplasty. Eligible patients are randomly assigned to either an intervention group receiving simulation-based preoperative education or a control group receiving standard verbal preoperative education according to institutional routine practice. The educational intervention is delivered one day prior to surgery.
Data are collected using validated instruments, including the Surgical Fear Questionnaire, the Tampa Scale of Kinesiophobia, and the Visual Analog Scale for pain assessment. Surgical fear is assessed during the preoperative period, while kinesiophobia and postoperative pain are evaluated following surgery during the early mobilization phase.
The results of this study are expected to provide evidence to inform nursing-led preoperative education strategies and to support the development of patient-centered approaches aimed at improving psychological preparedness and postoperative recovery in individuals undergoing total knee arthroplasty.
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
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 18 years and older
- •Scheduled for primary total knee arthroplasty
- •Able to communicate and cooperate
- •Able to speak and understand Turkish
- •No diagnosed major psychiatric disorder
- •No diagnosed neurological disorder
- •Willing to participate and able to provide written informed consent
排除标准
- •Revision total knee arthroplasty
- •Bilateral total knee arthroplasty
- •Total knee arthroplasty performed due to trauma
- •Presence of neurological, traumatic, or systemic conditions that may limit mobility
- •Development of postoperative surgical or prosthesis-related complications
- •Development of any condition preventing postoperative mobilization
研究组 & 干预措施
Simulation-Based Preoperative Education
Participants receive simulation-based preoperative education focusing on postoperative mobilization and recovery one day before surgery.
干预措施: Total Knee Arthroplasty (Procedure)
Simulation-Based Preoperative Education
Participants receive simulation-based preoperative education focusing on postoperative mobilization and recovery one day before surgery.
干预措施: Simulation-Based Preoperative Education (Other)
Standard Verbal Preoperative Education
Participants receive routine standard verbal preoperative education according to institutional practice.
干预措施: Standard Verbal Preoperative Education (Other)
Standard Verbal Preoperative Education
Participants receive routine standard verbal preoperative education according to institutional practice.
干预措施: Total Knee Arthroplasty (Procedure)
结局指标
主要结局
Surgical Fear
时间窗: Preoperative period (one day before surgery)
Surgical fear will be assessed using the Surgical Fear Questionnaire, a validated self-report instrument measuring short-term and long-term fear related to surgery. Surgical fear will be assessed using the Surgical Fear Questionnaire, a validated self-report instrument measuring short-term and long-term fear related to surgery. Scores range from 0 to 80, with higher scores indicating greater levels of surgical fear.
Surgical Fear
时间窗: Preoperative period (one day before surgery)
Surgical fear will be assessed using the Surgical Fear Questionnaire, a validated self-report instrument measuring short-term and long-term fear related to surgery. Surgical fear will be assessed using the Surgical Fear Questionnaire, a validated self-report instrument measuring short-term and long-term fear related to surgery. Scores range from 0 to 80, with higher scores indicating greater levels of surgical fear.
次要结局
- Kinesiophobia(Postoperative period after recovery of cognitive function)
- Postoperative Pain Intensity(Early postoperative period during first mobilization)
- Postoperative Pain Intensity(Early postoperative period during first mobilization)
- Kinesiophobia(Postoperative period after recovery of cognitive function)
研究者
Nermin Ocaktan
PhD
Acibadem University