The Effect of Tele-Consultation Supported Education Based on Watson's Theory of Human Caring on Daily Living Activities, Quality of Life, and Self-Care Ability in Patients Undergoing Total Knee Arthroplasty
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 122
- 试验地点
- 1
- 主要终点
- KATZ Activities of Daily Living Scale
研究概览
简要总结
Following total knee arthroplasty, patients may encounter numerous problems that can hinder the performance of daily living activities, negatively impact quality of life, and increase morbidity and mortality rates. In this context, this study was designed to evaluate the effect of nursing education and tele-consultation, based on Watson's Theory of Human Caring, on daily living activities, self-care agency, and quality of life in patients undergoing total knee arthroplasty.
详细描述
Type of the Study This research was designed as a quasi-experimental study with a pre-test and post-test control group. Initially, data will be collected from the "control group" patients receiving routine care. Subsequently, data will be gathered from the "intervention group" patients who will receive an education program supported by tele-consultation and based on Watson's Theory of Human Caring.
Study Location and Timeframe This study will be conducted in the Orthopedics Clinic of Van Yüzüncü Yıl University Research Hospital between March 2025 and March 2026.
Study Population and Sample The study population will consist of patients undergoing total knee arthroplasty at the Orthopedics Clinic of Van Yüzüncü Yıl University Research Hospital , affiliated with the University of Health Sciences, between March 2025 and March 2026. The sample will include patients who agree to participate and meet the inclusion criteria. A power analysis was conducted to determine the sample size using G*Power 3.1 software. Based on a similar study by Bozdemir and Aygin (2021), the effect size was determined as 0.632. To ensure a study power of over 95% at a 5% significance level and with an effect size of 0.632, a minimum of n=55 participants per group was required. Considering a potential 10% loss due to disease and treatment-related factors, it was planned to work with a total of 122 patients.
Variables of the Study Dependent Variables: Average scores of daily living activities, quality of life, and self-care agency
- Independent Variables: Education and tele-consultation based on Watson's Theory of Human Caring
- Control Variables: Patient age, marital status, gender, surgical history, education level, and comorbid conditions
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
盲法说明
Patients were not told which group they were in. In this way, single blinding was achieved.
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
- •Individuals who voluntarily consent to participate,
- •Aged 18 years or older,
- •Those scheduled for their first Total Knee Arthroplasty (TKA),
- •Patients undergoing unilateral knee prosthesis surgery,
- •Patients without verbal communication barriers for face-to-face and telephone interactions,
- •Patients who own a smartphone and have the WhatsApp application installed.
排除标准
- •Patients undergoing Total Knee Arthroplasty (TKA) as an emergency surgical intervention,
- •Patients diagnosed with any psychiatric disorder,
- •Patients who wish to withdraw from the study voluntarily,
- •Patients whose communication is interrupted before the completion of the data collection phase.
研究组 & 干预措施
Group provided with teleconsulting supported training
This group will be the group that will receive training and teleconsultancy services.
干预措施: Teleconsulting supported training (Other)
Group provided with standard care
This group will only be monitored with standard care and will not receive education or telecounseling.
结局指标
主要结局
KATZ Activities of Daily Living Scale
时间窗: 12 weeks
The scale was developed in 1963 by Katz and his colleagues to assess individuals' basic activities of daily living. This scale measures the level of dependency in six basic self-care activities: bathing, dressing, toileting, transferring, continence, and feeding. The total score ranges from 0 to 6, with lower scores indicating a higher level of dependence. The scale classifies as follows: 0-2 points indicates dependent, 3-4 points indicates partially dependent, and 5-6 points indicates independent.
Lawton Brody Activities of Daily Living Scale
时间窗: 12 weeks
The scale was developed in 1969 by Lawton and Brody to assess individuals' instrumental activities of daily living. This scale includes a total of eight items: using the telephone, shopping, preparing meals, housekeeping, doing laundry, traveling, managing medications, and handling finances. The total score ranges from 0 to 8, with lower scores indicating a higher level of dependence.
KATZ Activities of Daily Living Scale
时间窗: 1 day
The scale was developed in 1963 by Katz and his colleagues to assess individuals' basic activities of daily living. This scale measures the level of dependency in six basic self-care activities: bathing, dressing, toileting, transferring, continence, and feeding. The total score ranges from 0 to 6, with lower scores indicating a higher level of dependence. The scale classifies as follows: 0-2 points indicates dependent, 3-4 points indicates partially dependent, and 5-6 points indicates independent.
KATZ Activities of Daily Living Scale
时间窗: 2 day
The scale was developed in 1963 by Katz and his colleagues to assess individuals' basic activities of daily living. This scale measures the level of dependency in six basic self-care activities: bathing, dressing, toileting, transferring, continence, and feeding. The total score ranges from 0 to 6, with lower scores indicating a higher level of dependence. The scale classifies as follows: 0-2 points indicates dependent, 3-4 points indicates partially dependent, and 5-6 points indicates independent.
KATZ Activities of Daily Living Scale
时间窗: 3 weeks
The scale was developed in 1963 by Katz and his colleagues to assess individuals' basic activities of daily living. This scale measures the level of dependency in six basic self-care activities: bathing, dressing, toileting, transferring, continence, and feeding. The total score ranges from 0 to 6, with lower scores indicating a higher level of dependence. The scale classifies as follows: 0-2 points indicates dependent, 3-4 points indicates partially dependent, and 5-6 points indicates independent.
KATZ Activities of Daily Living Scale
时间窗: 6 weeks
The scale was developed in 1963 by Katz and his colleagues to assess individuals' basic activities of daily living. This scale measures the level of dependency in six basic self-care activities: bathing, dressing, toileting, transferring, continence, and feeding. The total score ranges from 0 to 6, with lower scores indicating a higher level of dependence. The scale classifies as follows: 0-2 points indicates dependent, 3-4 points indicates partially dependent, and 5-6 points indicates independent.
Lawton Brody Activities of Daily Living Scale
时间窗: 1 day
The scale was developed in 1969 by Lawton and Brody to assess individuals' instrumental activities of daily living. This scale includes a total of eight items: using the telephone, shopping, preparing meals, housekeeping, doing laundry, traveling, managing medications, and handling finances. The total score ranges from 0 to 8, with lower scores indicating a higher level of dependence.
Lawton Brody Activities of Daily Living Scale
时间窗: 2 day
The scale was developed in 1969 by Lawton and Brody to assess individuals' instrumental activities of daily living. This scale includes a total of eight items: using the telephone, shopping, preparing meals, housekeeping, doing laundry, traveling, managing medications, and handling finances. The total score ranges from 0 to 8, with lower scores indicating a higher level of dependence.
Lawton Brody Activities of Daily Living Scale
时间窗: 3 weeks
The scale was developed in 1969 by Lawton and Brody to assess individuals' instrumental activities of daily living. This scale includes a total of eight items: using the telephone, shopping, preparing meals, housekeeping, doing laundry, traveling, managing medications, and handling finances. The total score ranges from 0 to 8, with lower scores indicating a higher level of dependence.
Lawton Brody Activities of Daily Living Scale
时间窗: 6 weeks
The scale was developed in 1969 by Lawton and Brody to assess individuals' instrumental activities of daily living. This scale includes a total of eight items: using the telephone, shopping, preparing meals, housekeeping, doing laundry, traveling, managing medications, and handling finances. The total score ranges from 0 to 8, with lower scores indicating a higher level of dependence.
次要结局
- Short Form 36 Quality of Life Scale(12 weeks)
- Self-Care Agency Scale(12 weeks)
- Short Form 36 Quality of Life Scale(1 day)
- Short Form 36 Quality of Life Scale(2 day)
- Short Form 36 Quality of Life Scale(3 weeks)
- Short Form 36 Quality of Life Scale(6 weeks)
- Self-Care Agency Scale(1 day)
- Self-Care Agency Scale(2 day)
- Self-Care Agency Scale(3 weeks)
- Self-Care Agency Scale(6 weeks)
研究者
Turgut Sohret
Researcher
Ataturk Training and Research Hospital