The Effects of Motivational Interviews About Activities of Daily Living on Physical Adjustment and Quality of Life in Elderly Total Knee Arthroplasty Patients: A Randomised-Controlled Trial.

Abstract

In old age, knee osteoarthritis is a common disease that reduces mobility. Total knee arthroplasty (TKA) is, in fact, a very important surgery to treat severe knee osteoarthritis. This study aimed to analyse the effect of motivational interviewing (MI) on physical adjustment and quality of life among old patients after TKA. Self-assessment forms were applied before and after the intervention using the functional assessment form and SF-36 Quality of Life Questionnaire in both groups: the intervention group who received MI targeted at daily living activities and the control group who received usual care within a randomised controlled trial that included 70 participants. The results we obtained showed significantly higher functional capacity scores and QOLs among those who underwent MI than those who did not have this additional support, while showing strong adjusted mean differences between two interventions that indicate this effect size difference. There was a notable increase in SF-36 scores from 51.14 to 85.77 which was much higher than the control's rise from 45.97 to 59.46. Therefore, these findings suggest that many elderly people can greatly improve their health status after TKA with MI as it offers an opportunity for effective recovery during the post-operative period, especially among older adults. Therefore, it can be used as an efficient method included in standard routines after operations so that results are improved and patients' satisfaction levels also increased simultaneously too.