Total Diz Protezi Uygulanan Hastalarda Video-Destekli Eğitimin Diz Fonksiyonu ve Yaşam Kalitesine Etkisi: Randomize Kontrollü Çalışma

Yıl 2024, Cilt: 27 Sayı: 3, 171 - 181, 27.09.2024

Bedriye Biricik , Gülay Altun Uğraş , Recep Ünal , Servet Can Dönmez , Bahar Taşdelen , Volkan Öztuna

https://doi.org/10.17049/jnursology.1418019

Öz

Amaç: Bu araştırmanın amacı, total diz protezi (TDP) uygulanan hastalarda video-destekli hasta eğitiminin (VHE) diz fonksiyonları, yaşam kalitesi (YK) ve komplikasyonların azaltılmasına etkisini belirlemektir.

Yöntemler: Bu araştırma prospektif, parallel, iki kollu, randomize kontrollü çalışmadır. Bu araştırma ortopedi ve travmatoloji kliniğinde elektif TDP uygulanan 44 hasta ile gerçekleştirildi. VHE grubuna kliniğin rutin bakımına ek olarak TDP için erken postoperatif bakım, günlük yaşam aktiviteleri ve kademeli egzersiz programını kapsayan VHE uygulandı. Kontrol grubuna rutin bakım uygulandı. Araştırma verileri başlangıçta, TDP sonrası 1. ve 3. ayda Western Ontario ve McMaster Üniversiteleri Osteoartrit İndeksi (WOMAC) ve Kısa Form-36 (SF-36) ile toplandı.

Bulgular: VHE grubunun WOMAC ağrı, tutukluk ve fiziksel fonksiyon puan ortalamaları TDP sonrası 3. ayda kontrol grubuna göre anlamlı olarak düşüktü. TDP sonrası 3. ayda VHE grubunun SF-36'nın ağrı, emosyonel rol ve mental sağlık hariç tüm alt boyut puanları kontrol grubundan anlamlı olarak daha yüksekti.

Sonuç: VHE, TDP hastalarında diz fonksiyonlarını ve YK’yi arttırabilir. Hemşireler VHE yöntemini TDP sonrası diz fonksiyonlarının ve YK’nin geliştirilmesinde kullanabilir.

Anahtar Kelimeler

Diz protezi, hasta eğitimi, diz fonksiyonu, yaşam kalitesi

Etik Beyan

The study protocol was approved by Ethics Committee (Date:21.09.2017, No:266) and by the hospital management (Date:09.10.2017, No:74419321-903.99).

Proje Numarası

2019-1-TP2-3299

The Effect of Video-Assisted Education on Knee Function and Quality of Life after Total Knee Replacement: A Randomized Controlled Trial

Öz

Objective: This study aims to investigate the effect of video-assisted patient education (VPE) on knee functions, quality of life (QoL) and decrease complications in total knee replacement (TKR) patients.

Methods: This study is designed as a prospective, parallel, two-arm, randomized clinical trial. It included 44 patients who underwent elective TKR at an orthopedics and traumatology clinic. The VPE group received VPE including early postoperative care for TKR, activities of daily living, and gradual exercise program in addition to the existing routine care at the clinic. The control group received only routine care. The results were collected with Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Short Form-36 (SF-36) scores measured at baseline, 1st and 3rd months after TKR.

Results: The mean scores of the VPE group on the pain, stiffness, and physical function of the WOMAC were significantly lower in 3rd month after TKR than the control group. The VPE group had significantly higher scores than the control group on SF-36 of all subcategories except pain, emotional role, and mental health in 3rd month after TKR.

Conclusion: The VPE can improve knee function and QoL in TKR patients. Nurses can use the VPE method in patients to improve knee functions and QoL after TKR.

Anahtar Kelimeler

Knee replacement, patient education, knee function, quality of life

Etik Beyan

The study protocol was approved by Ethics Committee (Date:21.09.2017, No:266) and by the hospital management (Date:09.10.2017, No:74419321-903.99).

Destekleyen Kurum

This work was supported by the Mersin University Scientific Research Projects Unit

Proje Numarası

2019-1-TP2-3299

Teşekkür

The authors would like to thank all the participants and nurses in the orthopedics surgery unit of of Mersin University Faculty Hospital.

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