Video-Assisted Education for Patients With Knee Replacement

NCT04924049 | Completed DMC

• 1 other identifier: Mersin University Surgical
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Total knee replacement (TKR) is the most effective treatment modality for the correction of knee deformities, increasing the knee functions (KF), relieving pain, and improving quality of life (QoL) of patients. According to the health statistics of the Organisation for Economic Co-operation and Development (OECD), TKR is most commonly used in Sweden (240/100,000), United States (226/100,000), and Austria (215/100,000), while this rate is estimated as 67/100,000 in Turkey (OECD, 2017). Although it has been increasingly applied in Turkey and worldwide, it is associated with postoperative pain, restricted range of motion (ROM), and reduced muscle strength, leading to prolonged recovery process and return to activities of daily living (ADLs) with impaired QoL . In addition, inadequate patient education on knee care and ADLs following TKR may result in repetitive and uncontrollable movements and complications such as severe pain and dislocation. Postoperative complications have been shown to be associated with rehospitalization and redo surgery.

Conditions

Quality of Life

Keywords

Knee Function; Quality of Life; Surgical Nursing; Video-Assisted Education

Outcome Measures

Primary Outcomes (1)

• Physical function will evaluate using Western Ontario and McMaster Universities Osteoarthritis Index

  It consists of a total of 24 items including pain (5 items), stiffness (2 items), and physical function (17 items). Items are rated on a five-point Likert scale as follows: 0=none, 1=mild, 2=moderate, 3=severe, 4=extreme). The highest possible scores which can be obtained are 20 for pain, 8 for stiffness, and 68 for physical function (difficulties experienced when engaging in ADLs). The total score ranges from 0 (the best) to 96 (the worst). Higher scores indicate worse KF, while lower scores indicate better KF.

  Change from before implementation, after, 1st month and 3rd month

Secondary Outcomes (1)

• Quality of life will evaluate using Short Form 36 Quality of Life Scale

  Change from before implementation, after, 1st month and 3rd month

Study Arms (2)

Experimental

EXPERIMENTAL

The video-assisted education group also received routine treatment and care per protocol. Additionally, this patient group watched patient education through video in the patient room before TKR. The contents of the VE were developed by the researchers and included early postoperative care for TKR (knee positioning, early mobilization, pain control, and cold application), ADLs at home (bathing and toileting, eating, sleeping, vehicle driving, housekeeping, sexual life, praying, and maintaining home safety), and gradual exercise at home (for the first 90 days after discharge).

Other: Video-assisted education

Control

NO INTERVENTION

The control group received routine treatment and care per protocol.

Interventions

Video-assisted education OTHER

Prior the study, the content and comprehensibility of the VE were evaluated by an orthopedic surgeon, two orthopedic nurses, and a physiotherapist who were not involved in the study and relevant amendments were made based on their suggestions. The preview of the final version of the VE was shown to four patients (10% of the sample) and these patients were excluded from the study. The patients were interviewed by phone calls on a weekly basis and watching VE at home, the frequency of watching VE, and doing home-based exercises were questioned.

Also known as: Education

Experimental

Eligibility Criteria

• Age: 33 Years - 81 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Written and verbal consent was obtained to participate in the research,
• years and over,
• Conscious, oriented and cooperative,
• Able to speak and understand Turkish,
• Not diagnosed with any psychiatric illness,
• No known cancer disease,
• Elective surgical intervention applied,
• Total knee replacement applied for the first time,
• Unilateral total knee replacement applied,
• Patients with an Standardized Mini-Mental Test score of 23 and above were included.

You may not qualify if:

• To research:
• Those who do not agree to participate in the research,
• Under 18 years old,
• Unconscious, without orientation and cooperation,
• Can't speak or understand Turkish,
• Having previously been diagnosed with a psychiatric diagnosis,
• Having a history of cancer,
• Emergency surgical intervention applied,
• Total knee replacement applied before,
• Bilateral (bilateral) total knee replacement applied,
• Patients with an Standardized Mini-Mental Test value below 23 were not included.

Sponsors & Collaborators

• Mersin University: lead

Study Sites (1)

Turkey, Mersin University,

Mersin, Turkey/Mersin,Yenişehir, 33343, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Educational Status

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Officials

• Gulay Altun Ugras, Doctorate

  Mersin University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor Doctor

Model Details: Two-arm \[1:1\], parallel group, prospective, randomized-controlled clinical trial

Study Record Dates

• First Submitted: June 7, 2021
• First Posted: June 11, 2021
• Study Start: July 1, 2018
• Primary Completion: March 30, 2019
• Study Completion: August 1, 2019
• Last Updated: June 16, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)