Osteoarthritis
Conditions
Keywords
total knee arthroplasty, telephone follow-up, physical function, health related quality of life, self-efficacy
Brief summary
The aim of this study is to determine the effect of nurse led follow-up following total knee arthroplasty in regard to physical function, health related quality of life and self-efficacy.
Detailed description
Due to shorter hospitalization the patients early have to be responsible for their own rehabilitation. However, the patients experience a variety of health related problems in the rehabilitations period following total knee arthroplasty and they have difficulties transferring health related information to their home settings. Nurse led follow-up in the early rehabilitation period might improve the health status of the patients by improving their knowledge and skills to handle health related problems. No studies found has investigated the effect of nurse led follow-up in form of telephone call following total knee arthroplasty.
Interventions
BEHAVIORALTelephone follow-up
The consultation is structured by predefined themes relevant for identifying health related problems in regard to illness to give adequate education and counseling. The form of each consultation will vary according to the individual needs of the patients.
Sponsors
University Hospital, Gentofte, Copenhagen
University of Southern Denmark
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* primary first-time total knee arthroplasty due to osteoarthrosis * followed conventional admission course and discharged ≤ 4 days after surgery * understand and talk Danish * signed informed consent
Exclusion criteria
* in terminal phase of another serious illness such as i.e. cancer with expected lifetime less than 6 months * previous total hip replacement
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in physical function assessed by ≥ 12 points in physical function score in the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index | 3 days, 1, 3, 6 and 12 months post-surgery | The WOMAC Index is disease specific measuring health status om three subscales: pain, stiffness and physical function |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in the pain and stiffness score in WOMAC Index | 3 days, 1, 3, 6 and 12 months post-surgery | — |
| Changes in all scores in the subscales in Medical Outcomes Study Short Form (SF-36) | 3 days, 1, 3, 6 and 12 months post-surgery | A generic measure of health related quality of life |
| Change in the score in the General Self-Efficacy Scale | 3 days, 1, 3 and 6 months post-surgery | An unidimensional measure of general self-efficacy. |
| Number of acute visits to the orthopedic outpatient clinic | 3 days, 1, 3, 6 anf 12 months post-surgery | — |
Countries
Denmark
Outcome results
None listed