Effects of a Hybrid Teaching Program on Lower Limb Muscle Strength, Knee Function, and Depression in Older Adults After Total Knee Replacement: A Randomized Controlled Trial.

IF 1.1 4区 医学 Q3 NURSING
Research in Gerontological Nursing Pub Date : 2024-01-01 Epub Date: 2023-09-25 DOI:10.3928/19404921-20230918-01
Hsueh-Ling Chang, Min-Fang Hsu, Tze-Hong Wong, Yu-Chu Chung, Hsiao-Ling Huang
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Abstract

The aim of the current study was to evaluate the effects of a nurse-led hybrid teaching program on lower limb strength, knee function, and depression in older adults after total knee replacement (TKR). This was a single-blind, randomized controlled trial. Fifty-two patients who underwent TKR were randomly assigned to either the experimental group (EG; n = 26), which received routine care plus 16 weeks of home rehabilitation through a hybrid teaching program, or the control group (CG; n = 26), which received routine care only. The intervention included pre-discharge face-to-face education, video instructions to follow at home after discharge, and four monthly telephone-based follow ups during the 16 weeks post-surgery. After the 16-week intervention, participants in the EG exhibited improved quadriceps strength, hamstring strength, and Knee Injury and Osteoarthritis Outcome Score (KOOS) compared to those in the CG. Generalized estimating equation analyses revealed a significant group-by-time interaction effect on quadriceps strength, overall KOOS score, and Geriatric Depression Scale-Short Form score. Findings suggest that a nurse-led hybrid teaching program enhances physical and psychological function after TKR when compared to routine care. This hybrid teaching program, involving exercise and postoperative education, proves to be a feasible and cost-effective intervention for improving outcomes in older adults following TKR. Health care teams should consider it as a viable home rehabilitation option for older adults who undergo TKR. [Research in Gerontological Nursing, 17(1), 31-40.].

混合教学方案对老年人全膝关节置换术后下肢肌肉力量、膝关节功能和抑郁的影响:一项随机对照试验。
本研究的目的是评估护士主导的混合教学计划对老年人全膝关节置换术(TKR)后下肢力量、膝关节功能和抑郁的影响。这是一项单盲随机对照试验。52名接受TKR的患者被随机分配到实验组(EG;n=26),通过混合教学计划接受常规护理加16周的家庭康复,或对照组(CG;n=26,仅接受常规护理)。干预措施包括出院前的面对面教育、出院后在家遵循的视频指导,以及术后16周内每月四次的电话随访。在16周的干预后,与对照组相比,EG组的参与者表现出股四头肌力量、腘绳肌力量、膝关节损伤和骨关节炎结果评分(KOOS)的改善。广义估计方程分析显示,时间交互作用对股四头肌力量、总体KOOS评分和老年抑郁量表简式评分有显著影响。研究结果表明,与常规护理相比,护士主导的混合教学计划可以增强TKR后的身体和心理功能。这种包括锻炼和术后教育的混合教学计划被证明是一种可行且具有成本效益的干预措施,可以改善老年人TKR后的疗效。医疗团队应将其视为接受TKR的老年人可行的家庭康复选择。【老年护理研究,xx(x),xx xx.】。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.30
自引率
6.20%
发文量
44
审稿时长
>12 weeks
期刊介绍: Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.
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