{"title":"[混合健康教育方案对老年全膝关节置换术后疼痛和膝关节角度的影响]。","authors":"Hsueh-Ling Chang, Hsiao-Ling Huang, Yu-Chu Chung","doi":"10.6224/JN.202304_70(2).07","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Patients experience pain and limited knee angle after total knee replacement (TKR) surgery. The effectiveness of routine discharge health education remains limited.</p><p><strong>Purpose: </strong>This study was designed to assess the effect of hybrid health education on postoperative pain and knee angle in patients with TKR.</p><p><strong>Methods: </strong>A single blind and randomized controlled trial study was used. Fifty-two patients with TKR were randomly assigned to either the experimental group (n = 26), which received standard care with hybrid health education and performed the multimedia-guided intervention for 30 min per day for 16 weeks, or the control group (n = 26), which received routine care only. The data collection times were at pretest (preoperative) and at the 1st week, 6th week, 12th week, 16th week after surgery.</p><p><strong>Results: </strong>A total of 22 patients in the experimental group and 26 patients in the control group completed this study. After the 16-week hybrid health education intervention, the results of generalized estimating equations analysis showed that pain in the experimental and control groups differed significantly at week 12 (β = -1.43, p = .025) and week 16 (β = -1.52, p = .014); worst pain in the past week had significantly improved at week 12 (β = -1.40, p = .041) and week 16 (β = -1.55, p = .024); average pain over the past 1 week had significantly improved at week 16 (β = -1.24, p = .035); and knee extension angle had significantly improved at week 16 (β = -5.52, p = .033).</p><p><strong>Conclusions / implications for practice: </strong>The results of this study showed that elderly patients who received hybrid health education after TKR had significantly improved postoperative pain and knee angle and that degree of improvement in the experimental group was better than in the control group. It is recommended that the content and methods of hybrid health education developed in this study be incorporated into discharge interventions and that long-term outcomes be tracked for reference.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Effects of a Hybrid Health Education Program on Pain and Knee Angle in Elderly Patients After Total Knee Replacement Surgery].\",\"authors\":\"Hsueh-Ling Chang, Hsiao-Ling Huang, Yu-Chu Chung\",\"doi\":\"10.6224/JN.202304_70(2).07\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Patients experience pain and limited knee angle after total knee replacement (TKR) surgery. The effectiveness of routine discharge health education remains limited.</p><p><strong>Purpose: </strong>This study was designed to assess the effect of hybrid health education on postoperative pain and knee angle in patients with TKR.</p><p><strong>Methods: </strong>A single blind and randomized controlled trial study was used. Fifty-two patients with TKR were randomly assigned to either the experimental group (n = 26), which received standard care with hybrid health education and performed the multimedia-guided intervention for 30 min per day for 16 weeks, or the control group (n = 26), which received routine care only. The data collection times were at pretest (preoperative) and at the 1st week, 6th week, 12th week, 16th week after surgery.</p><p><strong>Results: </strong>A total of 22 patients in the experimental group and 26 patients in the control group completed this study. After the 16-week hybrid health education intervention, the results of generalized estimating equations analysis showed that pain in the experimental and control groups differed significantly at week 12 (β = -1.43, p = .025) and week 16 (β = -1.52, p = .014); worst pain in the past week had significantly improved at week 12 (β = -1.40, p = .041) and week 16 (β = -1.55, p = .024); average pain over the past 1 week had significantly improved at week 16 (β = -1.24, p = .035); and knee extension angle had significantly improved at week 16 (β = -5.52, p = .033).</p><p><strong>Conclusions / implications for practice: </strong>The results of this study showed that elderly patients who received hybrid health education after TKR had significantly improved postoperative pain and knee angle and that degree of improvement in the experimental group was better than in the control group. It is recommended that the content and methods of hybrid health education developed in this study be incorporated into discharge interventions and that long-term outcomes be tracked for reference.</p>\",\"PeriodicalId\":35672,\"journal\":{\"name\":\"Journal of Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.6224/JN.202304_70(2).07\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.6224/JN.202304_70(2).07","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0
摘要
背景:患者在全膝关节置换术(TKR)后会经历疼痛和膝关节角度受限。常规出院健康教育的效果仍然有限。目的:探讨混合健康教育对TKR患者术后疼痛和膝关节角度的影响。方法:采用单盲、随机对照研究。52例TKR患者被随机分为实验组(n = 26)和对照组(n = 26),实验组接受标准治疗,结合混合健康教育,每天进行30分钟的多媒体引导干预,持续16周。对照组(n = 26)只接受常规治疗。数据采集时间分别为术前、术后第1周、第6周、第12周、第16周。结果:实验组共22例,对照组共26例完成本研究。混合健康教育干预16周后,广义估计方程分析结果显示,实验组和对照组疼痛在第12周(β = -1.43, p = 0.025)和第16周(β = -1.52, p = 0.014)差异有统计学意义;过去一周的最严重疼痛在第12周(β = -1.40, p = 0.041)和第16周(β = -1.55, p = 0.024)显著改善;过去1周的平均疼痛在第16周显著改善(β = -1.24, p = 0.035);第16周时膝关节伸角明显改善(β = -5.52, p = 0.033)。结论/实践意义:本研究结果显示,老年TKR术后接受混合式健康教育的患者术后疼痛和膝关节角度均有明显改善,且实验组的改善程度优于对照组。建议将本研究发展的混合健康教育内容和方法纳入出院干预措施,并对长期结果进行跟踪,以供参考。
[Effects of a Hybrid Health Education Program on Pain and Knee Angle in Elderly Patients After Total Knee Replacement Surgery].
Background: Patients experience pain and limited knee angle after total knee replacement (TKR) surgery. The effectiveness of routine discharge health education remains limited.
Purpose: This study was designed to assess the effect of hybrid health education on postoperative pain and knee angle in patients with TKR.
Methods: A single blind and randomized controlled trial study was used. Fifty-two patients with TKR were randomly assigned to either the experimental group (n = 26), which received standard care with hybrid health education and performed the multimedia-guided intervention for 30 min per day for 16 weeks, or the control group (n = 26), which received routine care only. The data collection times were at pretest (preoperative) and at the 1st week, 6th week, 12th week, 16th week after surgery.
Results: A total of 22 patients in the experimental group and 26 patients in the control group completed this study. After the 16-week hybrid health education intervention, the results of generalized estimating equations analysis showed that pain in the experimental and control groups differed significantly at week 12 (β = -1.43, p = .025) and week 16 (β = -1.52, p = .014); worst pain in the past week had significantly improved at week 12 (β = -1.40, p = .041) and week 16 (β = -1.55, p = .024); average pain over the past 1 week had significantly improved at week 16 (β = -1.24, p = .035); and knee extension angle had significantly improved at week 16 (β = -5.52, p = .033).
Conclusions / implications for practice: The results of this study showed that elderly patients who received hybrid health education after TKR had significantly improved postoperative pain and knee angle and that degree of improvement in the experimental group was better than in the control group. It is recommended that the content and methods of hybrid health education developed in this study be incorporated into discharge interventions and that long-term outcomes be tracked for reference.