Investigation of the Effect of Preoperative Education on Postoperative Outcomes in Total Knee Arthroplasty Patients

NCT05178615 | Unknown

• 1 other identifier: 2021-344
• Study Type: interventional
• Target: 50
• Locations: 0 countries
• Sites: N/A

Brief Summary

Total knee arthroplasty surgery is a common surgical procedure used in the treatment of patients in the end stages of osteoarthritis. Arthroplasty surgery is a process that creates physical and psychological stress on the patient. Preoperative education can reduce anxiety and improve postoperative outcomes. In the studies on education in the literature, it is seen that there are trainings in the form of seminars, trainings made with video recordings, trainings in the form of brochures. Studies in the literature have shown that training given synchronously (live) by a healthcare professional is more effective in reducing anxiety in one-on-one or small-person groups. Less anxiety does not significantly reduce pain levels, but improves patients' ability to cope with pain and increases their perception of preparedness. Together, these two factors can improve patients' overall experience by increasing their sense of control and comfort.

Conditions

Knee Osteoarthritis; Pain, Postoperative; Kinesiophobia

Outcome Measures

Primary Outcomes (2)

• Pain Beliefs Questionnaire

  It contains 12 items related to pain beliefs. PBQ-O is an 8-item subscale, and PBQ-P is a 4-item subscale. The organic subscale reflects predominantly organic aspects of pain, with items such as "pain is a result of damage to body tissues" or "experiencing pain is a sign that something is wrong with the body", while the psychological beliefs scale predominantly reflects organic aspects of pain. Reflects the influence of psychological factors on pain, with items such as "worrying makes the pain worse" or "thinking about the pain makes it worse" This assessment will be applied prior to the education given in the pre-operative period. It will be reapplied on the day of discharge in the postoperative period to measure the change after education.

  five minutes

• Tampa Scale of Kinesiophoby

  It is a 17-item scale used to measure fear of movement/re-injury. The scale is used to measure injury/re-injury and fear/avoidance parameters in work-related activities. his assessment will be applied prior to the education given in the pre-operative period. It will be reapplied on the day of discharge in the postoperative period to measure the change after education.

  Five minutes

Secondary Outcomes (3)

• Hospital Anxiety and Depression Scale

  Five minutes

• Numerical Pain Rating Scale

  One minute

• Patient satisfaction

  Six minutes

Study Arms (2)

Education group

EXPERIMENTAL

Preoperative education

Other: preoperative education

control

NO INTERVENTION

Traditionally care

Interventions

preoperative education OTHER

Education about knee anatomy, patophysiology, total knee arthroplasty surgery, pain neurophysiology, management of pain, the importance of exercise

Education group

Eligibility Criteria

• Age: 40 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of noninflammatory arthritis
• Being the first to undergo Total knee arthroplasty surgery,

You may not qualify if:

• Lower extremity surgery in the last 1 year,
• Body mass index of 40 and above,
• Revision surgery
• Single compartment replacement
• Psychiatric illness

Sponsors & Collaborators

• Hacettepe University: lead
• Saglik Bilimleri Universitesi: collaborator

MeSH Terms

Conditions

Osteoarthritis, Knee; Pain, Postoperative; Kinesiophobia

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Phobic Disorders; Anxiety Disorders; Mental Disorders

Study Design

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

Study Record Dates

• First Submitted: December 1, 2021
• First Posted: January 5, 2022
• Study Start: February 1, 2022
• Primary Completion: February 1, 2023
• Study Completion: February 1, 2024
• Last Updated: January 5, 2022

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share