The Efficacy of Collaborative Patient Education on Total Knee Arthroplasty

Kaohsiung Medical University

Status: Completed

Conditions: Knee Arthritis

Treatments: Procedure: integrated rehabilitation (the collaborative patient education)

Study type: Interventional

Funder types: Other

Identifiers

NCT05346822

KMUHIRB-E(I)-20190255

Details and patient eligibility

About

This project is about the integrated rehabilitation program for the patients receiving total knee arthroplasty. The investigators are monitoring the WOMAC(Western Ontario and Mcmaster University Arthritis Index)/ Pain scores/Anxiety scores/Knee society scores in the treatment course between the intervention group and the control group.

Full description

This is a quasi-experimental design study. The participants received total knee arthroplasty by one single surgeon in two facilities within the same medical system (Kaohsiung Medical University affiliated hospitals). The intervention groups received integrated rehabilitation program including verbal one-on-one education, personalized post-operation rehabilitation during admission and scheduled post-operation follow up by a nurse case manager. The control group received the same surgery with traditional clinical pathway by the single surgeon in another affiliated hospital.

We recorded the pain scores, state-trait anxiety inventory scores, WOMAC(Western Ontario and Mcmaster Universities Arthritis Index) scores, American Knee society scores for these participants.

Enrollment: 70 patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• Patients over 65 years of age
• Patients scheduled to receive unilateral total knee arthroplasty due to advanced osteoarthritis
• Patients are able to understand the study and express opinions clearly
• Patients are willing to participate in this study and provide informed consents

Exclusion Criteria

• Patients with inflammatory joint disease
• Patients with neurosensory system disease (such as stroke or parkinsonism)
• Patients have intellectual impairment, or dementia.

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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70 participants in 2 patient groups

integrated rehabilitation program for total knee arthroplasty

Experimental group

Description:

the intervention was performed in one KMUH affiliated facility

Treatment:

Procedure: integrated rehabilitation (the collaborative patient education)

normal total knee arthroplasty clinical pathway

No Intervention group

Description:

no integrated rehabilitatoin program for total knee arthroplasty patients with our conventional clinical pathway