Total Diz Protezi Olan Hastalarda Video-Temelli Eğitim Programının Ağrı, Fiziksel Fonksiyon ve Yaşam Kalitesi Üzerine Etkileri

Yıl 2022, Cilt: 10 Sayı: 1, 96 - 115, 10.03.2022

Hale Turhan Damar , Ozlem Bilik

https://doi.org/10.33715/inonusaglik.1026363

Cited By: 2

Öz

Bu araştırmada total diz protezi olan hastalarda video tabanlı bir eğitim programının ağrı, fiziksel fonksiyon ve yaşam kalitesi üzerindeki etkilerinin incelenmesi ve müdahaleye ilişkin algılarının belirlenmesi amaçlandı. Bu çalışmada karma yöntem (mix) kullanılmıştır. Girişim grubu hastalara (n= 40) Video Temelli Eğitim Programı verilirken, kontrol grubu hastalara (n=43) olağan bakım verildi. Veriler, WOMAC İndeksi ve SF-36 Yaşam Kalitesi ölçekleri kullanılarak değerlendirildi. Veriler postoperatif altıncı hafta ve üçüncü ayda toplandı. Yarı deneysel çalışma verileri toplandıktan sonra on bir hastayla derinlemesine görüşme yöntemiyle görüşüldü. Hastalar arasında ağrı, fiziksel işlevsellik, fiziksel rol, sosyal işlevsellik, emosyonel rol ve zihinsel bileşen özeti açısından anlamlı farklılıklar saptanırken (p<0.05), tutukluk, genel sağlık, canlılık ve fiziksel bileşen özeti açısından anlamlı fark saptanmadı (p>0.05). Kalitatif analizler sonucunda beş tema belirlendi. Video eğitiminin, katılımcıların ağrılarını, fiziksel fonksiyonlarını ve yaşam kalitelerini olumlu yönde etkilediği görülmektedir. Hastaların bilgiyi hatırlamakta güçlük çekmesi ve öğretilen bilgiyi uygulamada desteğe ihtiyaç duyması nedeniyle perioperatif süreçte hastalara görsel ve interaktif eğitim verilmesi önerilebilir.

Anahtar Kelimeler

Hemşirelik, Total diz replasmanı, Video eğitimi

Destekleyen Kurum

Dokuz Eylül Üniversitesi

Proje Numarası

2012.KB.SAG.067

EFFECTS OF VIDEO-BASED EDUCATION PROGRAM ON PAIN, PHYSICAL FUNCTION, AND QUALITY OF LIFE IN PATIENTS WITH TOTAL KNEE REPLACEMENT

Öz

This study aimed to examine the effects of a video-based education program on pain, physical function, and quality of life in patients with total knee replacement and to explore their perceptions of the intervention. In this study, mixed methods were used. The intervention group (n= 40) patients were given the Video Based Education Program, whereas control group patients were given usual care (n=43). Data were evaluated using the WOMAC Index and Short Form-36 Health Survey. Data were collected at the postoperative sixth week and third month. After the quasi-experimental study data were collected, eleven patients were interviewed by in-depth interview method. While statistically significant differences were determined among patients in terms of pain, physical functioning, physical role, social functioning, emotional role, and mental component summary (p<0.05), no significant differences were determined in terms of stiffness, general health, vitality, and physical component summary (p>0.05). Five themes were identified after qualitative analyses. The video education seems to positively affect the participants’ pain, physical function, and quality of life. Because patients have difficulty in remembering information and need support in applying the taught information, it may be recommended that the education is given to the patients be visual and interactive during the perioperative process.

Anahtar Kelimeler

Nursing, Total knee replacement, Video education

Proje Numarası

2012.KB.SAG.067

Kaynakça

• Abu Abed, M., Himmel, W., Vormfelde, S., Koschack, J. (2014). Video-assisted patient education to modify behavior: A systematic review. Patient Education and Counseling, 97(1), 16–22.
• Belmont, P. J., Goodman, G. P., Rodriguez, M., Bader, J. O., Waterman, B. R., Schoenfeld, A. J. (2016). Predictors of hospital readmission following revision total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy, 24(10), 3329–3338.
• Bradshaw, P., Hariharan, S., Chen, D. (2016). Does preoperative psychological status of patients affect postoperative pain? A prospective study from the Caribbean. British Journal of Pain, 10(2), 108–115.
• Creswell, J. W., Hanson, W. E., Clark Plano, V. L., Morales, A. (2007). Qualitative Research Designs: Selection and Implementation. The Counseling Psychologist, 35(2), 236–264.
• Dash, S. K., Palo, N., Arora, G., Chandel, S. S., Kumar, M. (2017). Effects of preoperative walking ability and patient’s surgical education on quality of life and functional outcomes after total knee arthroplasty. Revista Brasileira de Ortopedia (English Edition), 52(4), 435–441.
• Demir, S. G., Erdil, F. (2013). Effectiveness of home monitoring according to the Model of Living in hip replacement surgery patients. Journal of Clinical Nursing, 22(9–10), 1226–1241.
• Donoghue, O. A., Ryan, H., Duggan, E., Finucane, C., Savva, G. M., Cronin, H., Kenny, R. A. (2014). Relationship between fear of falling and mobility varies with visual function among older adults. Geriatrics & gerontology international, 14(4), 827-836.
• Dyson, P. A., Beatty, S., Matthews, D. R. (2010). An assessment of lifestyle video education for people newly diagnosed with type 2 diabetes. Journal of Human Nutrition and Dietetics, 23(4), 353–359.
• Edwards, P. K., Mears, S. C., Lowry Barnes, C. (2017). Preoperative Education for Hip and Knee Replacement: Never Stop Learning. Current Reviews in Musculoskeletal Medicine, 10(3), 356–364.
• Habibzadeh, H., Milan, Z. D., Radfar, M., Alilu, L., Cund, A. (2018). Effects of peer-facilitated, video-based and combined peer-and-video education on anxiety among patients undergoing coronary angiography: Randomised controlled trial. Sultan Qaboos University Medical Journal, 18(1), e61–e67.
• Haddad, N. E., Saleh, M. N., Eshah, N. F. (2018). Effectiveness of nurse‐led video interventions on anxiety in patients having percutaneous coronary intervention. International Journal of Nursing Practice, 24(4), 1–8.
• Haines, T. P., Russell, T., Brauer, S. G., Erwin, S., Lane, P., Urry, S., Condie, P. (2009). Effectiveness of a video-based exercise programme to reduce falls and improve health-related quality of life among older adults discharged from hospital: A pilot randomized controlled trial. Clinical Rehabilitation, 23(11), 973–985.
• Ihrig, A., Herzog, W., Huber, C. G., Hadaschik, B., Pahernik, S., Hohenfellner, M., Huber, J. (2012). Multimedia support in preoperative patient education for radical prostatectomy: The physicians’ point of view. Patient Education and Counseling, 87(2), 239–242.
• Jeon, S., Park, H. (2016). Effect of Preoperative Education using Multimedia on Pain, Uncertainty, Anxiety and Depression in Hysterectomy Patients. Korean Journal of Women Health Nursing, 22(1), 39.
• Koekenbier, K., Leino-Kilpi, H., Cabrera, E., Istomina, N., Stark, Å. J., Katajisto, J., Eloranta, S. (2016). Empowering knowledge and its connection to health-related quality of life: A cross-cultural study. A concise and informative title: Empowering knowledge and its connection to health-related quality of life. Applied Nursing Research, 29, 211–216.
• Lim, Y. C., Yobas, P., Chen, H. C. (2014). Efficacy of relaxation intervention on pain, self-efficacy, and stress-related variables in patients following total knee replacement surgery. Pain Management Nursing, 15(4), 888–896.
• Louw, A., Diener, I., Butler, D. S., Puentedura, E. J. (2013a). Preoperative education addressing postoperative pain in total joint arthroplasty: Review of content and educational delivery methods. Physiotherapy Theory and Practice, 29(3), 175–194.
• Louw, A., Diener, I., Butler, D. S., Puentedura, E. J. (2013b). Preoperative education addressing postoperative pain in total joint arthroplasty: Review of content and educational delivery methods. Physiotherapy Theory and Practice, 29(3), 175–194.
• Mcdonald, S., Mj, P., Beringer, K., Wasiak, J., Sprowson, A., Mcdonald, S., Sprowson, A. (2014). Preoperative education for hip or knee replacement (Review) Preoperative education for hip or knee replacement. (5).
• O’Connor, M. I., Brennan, K., Kazmerchak, S., Pratt, J. (2016). YouTube Videos to Create a “Virtual Hospital Experience” for Hip and Knee Replacement Patients to Decrease Preoperative Anxiety: A Randomized Trial. Interactive Journal of Medical Research, 5(2), e10.
• O’Donnell, K. F. (2015). Preoperative Pain Management Education: A Quality Improvement Project. Journal of Perianesthesia Nursing, 30(3), 221–227.
• Peker Vermisli, S., Yılmaz, E., Baydur, H. (2020). The Effect of Preoperative Video-assisted Patient Education on Postoperative Activities of Daily Living and Quality of Life in Patients with Femoral Fracture. Journal of Clinical Ad Experimental Investigation, 11(2), 1–9.
• Robert, D. (2014). Arthritis and connective tissue diseases. In H. M. Lewis SL, Dirksen SR, Heitkemper MM, Bucher L (Ed.), Medical surgical nursing. assesment of clinical problems (Ninhth Edi, pp. 1563–1574). Elseiver Mosby.
• Shan, L., Shan, B., Suzuki, A., Nouh, F., Saxena, A. (2015). Intermediate and Long-Term Quality of Life After Total Knee Replacement.A systematic Review and Meta-Analysis. The Journal of Bone & Joint Surgery, American Volume, 97-A(2), 156–168.
• Shao, J., Xiao, T., Shi, M., Zhou, X., Wang, Z., Lin, T., Zhang, A. (2019). Effect of multimedia-based nursing visit on perioperative anxiety in esophageal squamous cell carcinoma patients undergoing video-assisted thoracoscopic surgery. Psychology, Health and Medicine, 24(10), 1198–1206.
• Sørlie, T., Busund, R., Sexton, J., Sexton, H., Sørlie, D. (2007). Video information combined with individualized information sessions: Effects upon emotional well-being following coronary artery bypass surgery-A randomized trial. Patient Education and Counseling, 65(2), 180–188.
• Timmers, T., Janssen, L., Van der Weegen, W., Das, D., Marijnissen, W. J., Hannink, G., Heerspink, F. O. L. (2019). The effect of an app for day-to-day postoperative care education on patients with total knee replacement: randomized controlled trial. JMIR mHealth and Health, 7(10), e15323.
• Turhan Damar, H., Bilik, O., Karayurt, O., Ursavas, F. E. (2018). Factors related to older patients’ fear of falling during the first mobilization after total knee replacement and total hip replacement. Geriatric Nursing, 19–24.
• Tüzün, E. H., Eker, L., Aytar, A., Daşkapan, A., Bayramoǧlu, M. (2005). Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis and Cartilage, 13(1), 28–33.
• Watkins-Castillo, S.I. (2017). The burden of musculoskeletal diseases in the united states. Avaible from http://www.boneandjointburden.org Accessed 25 September 2021.
• Ware, J., Sherbourne, C. (1992). The MOS 36-Item Short-Form Health Survey (SF-36). Medical Care, 30(6), 473–483.
• Welsh, R. L., Graham, J. E., Karmarkar, A. M., Leland, N. E., Baillargeon, J. G., Wild, D. L., Ottenbacher, K. J. (2017). Effects of Postacute Settings on Readmission Rates and Reasons for Readmission Following Total Knee Arthroplasty. Journal of the American Medical Directors Association, 18(4), 367.e1-367.e10.
• Wischer, J. L., Oermann, M. H., Zadvinskis, I. M., Kinney, K. C. (2018). Effects of iPad Video Education on Patient Knowledge, Satisfaction, and Cardiac Rehabilitation Attendance. Quality Management in Health Care, 27(4), 204–208.
• Zarei, B., Valiee, S., Nouri, B., Khosravi, F., Fathi, M. (2018). The effect of multimedia-based nursing visit on preoperative anxiety and vital signs in patients undergoing lumbar disc herniation surgery: A randomised clinical trial. Journal of Perioperative Practice, 28(1–2), 7–15. 5