The Effect of Coaching Strategy on Some Patient Outcomes After Total Knee Arthroplasty Surgery

NCT04683588 | Completed DMC

• 1 other identifier: 93804542-020
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

Total knee arthroplasty (TKA); It is frequently applied to adults, especially those over the age of 55. Total knee arthroplasty surgery is among the surgeries with a high satisfaction rate for the patient, although complications can develop and this rate varies between 1.65-11.3%. It has a privileged place in the prevention, early diagnosis and treatment of the problems and complications that may occur. In this way, patients' anxiety will be reduced, self-care competence will be provided, recovery process will be accelerated, quality of life and care satisfaction will increase. In this context, the training, information, skill-building, counseling and care practice that the nurse will provide to the patient; With the results to be obtained from this study, patients with TKA can be given pre-operative and post-operative nursing care using a nurse coaching strategy, and patients' anxiety level, pain control, patient satisfaction It is predicted to have a positive effect on self-care ability and re-hospitalization rates. Thus, it is thought that both quality healthcare services will be provided and will contribute to the creation of evidence-based data. It is thought that the study will also contribute to the dissemination of the pre-operative and postoperative nurse coaching strategy in patients undergoing TKA, and will guide the planning of nursing education. This study is an experimental study to determine the effect of continuous nursing care given with a coaching strategy to patients scheduled for TKA surgery on anxiety, pain, self-care ability, satisfaction, and re-hospitalization. The study will be carried out in Konya Private Hospital. Data collection time is set as September-December 2020. Data will be collected by the researcher using the Diagnostic questionnaire form, State Anxiety Scale, Visual Analog Scale, Newcastle Nursing Care Satisfaction Scale, Modified Barthel index and Self-Care Ability Scale. In this context, the training, information, skill-building, counseling and care practice that the nurse will provide to the patient; It will contribute to achieving the desired results by positively affecting both the success of the surgery and the healing process of the patient.

Conditions

Postoperative Pain; Anxiety; Self Efficacy; Patient Satisfaction; Lifestyle-related Condition

Keywords

Nursing coaching; Postoperative care; Total Knee arthroplasty

Outcome Measures

Primary Outcomes (5)

• Postoperative pain severity

  Pain severity assessment with Visual Assessment Scale (VAS) Score: 0-10; 0- No Pain, 10- Worst pain

  Reported pain severity in the first 24 hours after surgery

• Postoperative self-care ability scale

  Self -care ability scale with score: 0-5; 0-lowest, 5-highest

  Reported self-care ability status in the first 24 hours after surgery

• state anxiety scale

  state anxiety scale score :1-4 ; 1-Lowest , 4-Highest

  Reported self-care ability status in the first 24 hours after surgery

• New Castle Nursing Care Satisfaction

  New Castle Nursing Care Satisfaction Scale:1-5 1-Lowest , 5-Highest

  Postoperative will be evaluated 72. hour.

• Modified Barthel index

  Modified Barthel index 0-15 0-Lowest, 15 Highest

  After the outpatient clinic examination evaluation(preoperative); 72. hour after surgery; 15th day after discharge; 45 days after discharge; 90th day after discharge.

Study Arms (2)

intervention arm

EXPERIMENTAL

1. Polyclinic: Pre-tests (pain, anxiety, self-care and daily living activities), General coaching, 60 minutes 2. Before Surgery: Nursing coaching, 30-45 minutes 3. Surgery Day: Nursing coaching, 30-45 minutes 4. Postoperative 1st Day: Nursing coaching, 30-45 minutes 5. Postoperative 2nd Day: Nursing coaching practice, 30-45 minutes 6. Day of discharge: Nursing coaching, 30-45 minutes. 7. 15 days after discharge: Nursing coaching, 60 minutes 8. 45 days after the operation: Nursing coaching, 60 minutes. 9. 90 days after surgery: Nursing coaching, 60 minutes.

Other: Nursing Coaching

Control arm

NO INTERVENTION

Patients in the control group will receive routine postoperative nursing care.

Interventions

Nursing Coaching OTHER

Different strategies, methods and training techniques are used in the implementation of preoperative and postoperative nursing care of surgical patients scheduled for total knee arthroplasty surgery. One of them is patient coaching. Coaching is a method that increases the quality of nursing care.While the coaching strategy contributes more to the recovery process of the patient with the role of the case manager of the nurse, it provides a reduction in the problems related to surgery (pain, nausea-vomiting, mobilization problems), reduction in repeated hospitalizations and positive contributions to the cost.

intervention arm

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being literate, Turkish speaking and verbal communication, Absence of cognitive diseases such as Alzheimer's, delirium and dementia, No psychiatric problems, Being 18 years or older, Living in Konya city center

You may not qualify if:

• Having undergone a revision total knee replacement operation, Application of analgesic medication to the knee joint space during surgery, Application of patient controlled analgesia (PCA) in postoperative pain control, Not understanding the content of the research, Having a health problem that prevents exercising or evaluating,

Sponsors & Collaborators

• Selcuk University: lead

Study Sites (1)

Medova Hospital

Konya, Selçuklu, 42000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain, Postoperative; Anxiety Disorders; Patient Satisfaction; Mental Disorders

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Şerife Kurşun, PhD

  ŞEYH ŞAMİL NEIGHBORHOOD DOSTELİ AVENUE NO: 52/1 SELÇUKLU / KONYA (BEHİND SELÇUKLU MUNİCİPALİTY)

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Nurse

Model Details: The study was planned as a randomized controlled study to determine the pre- and postoperative nursing care patients' anxiety level, pain control, self-care capacity, nursing care service and hospital re-hospitalization in patients who underwent total knee prosthesis

Study Record Dates

• First Submitted: December 16, 2020
• First Posted: December 24, 2020
• Study Start: January 19, 2021
• Primary Completion: April 19, 2021
• Study Completion: October 28, 2021
• Last Updated: May 26, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)