Longitudinal observational study on health literacy and clinical outcomes in older adults with total knee arthroplasty in the context of inpatient and outpatient rehabilitation

IF 0.4 Q4 ORTHOPEDICS

Journal of Orthopaedics Trauma and Rehabilitation Pub Date : 2022-04-11 DOI:10.1177/22104917221092161

Matthias Rohringer, C. Fink, J. Kellerer, E. Schulc

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Abstract

Purpose To assess health literacy (HL) of patients with total knee arthroplasty (TKA) and evaluate its impact on patient reported outcome measures (PROMs) as well as investigating outcome differences in inpatient and outpatient rehabilitation. Methods In this study, HL and PROMs of older patients were assessed preoperatively (T0) and after 3 (T1), 6 (T2), and 12 (T3) months. HL was assessed with the short form of the European HL Questionnaire; pain scores, functional restrictions, and activity levels with standardized PROMs. Results Limited HL was observed in 70.6% of patients at T0. HL improved from baseline to follow-ups (p < 0.001). There was no impact of HL on PROMs. Pain scores were higher in patients undergoing outpatient rehabilitation (p = 0.022). No differences were found between the rehabilitation settings for the other outcomes. Conclusion The study shows that limited HL is prevalent in patients with scheduled TKA. Rehabilitation seems to have a positive effect on increasing HL.

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在住院和门诊康复的背景下，老年全膝关节置换术患者健康素养和临床结果的纵向观察研究

目的评估全膝关节置换术(TKA)患者的健康素养(HL)，评估其对患者报告的结果测量(PROMs)的影响，并调查住院和门诊康复的结果差异。方法对老年患者术前(T0)、术后3 (T1)、6 (T2)、12 (T3)个月的HL和PROMs进行评估。采用欧洲HL问卷的简略形式对HL进行评估;疼痛评分、功能限制和标准化PROMs的活动水平。结果在T0时，70.6%的患者出现有限HL。从基线到随访，HL有所改善(p < 0.001)。HL对PROMs无影响。门诊康复患者疼痛评分较高(p = 0.022)。在其他结果的康复设置之间没有发现差异。结论:局限性HL在计划TKA患者中普遍存在。康复似乎对HL的增加有积极作用。

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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