Knee Osteoarthritis
Conditions
Keywords
Cold Therapy, Total Knee Arthroplasty, Postoperative Pain, Foot Massage, Analgesic Consumption
Brief summary
This randomized controlled trial aims to examine the effects of foot massage combined with cold application on postoperative pain, patient satisfaction, and analgesic consumption in individuals undergoing Total Knee Arthroplasty (TKA). The study will be conducted in the Orthopedics and Traumatology Department of Çukurova University Balcalı Hospital, which includes an 18-bed orthopedic unit. Eligible patients will be randomly assigned to either the intervention group or the control group. * Intervention group: Patients will receive both cold application and foot massage. Cold therapy will be administered for 20 minutes every 2 hours for the first 48 hours postoperatively. Foot massage will be performed twice daily (morning and evening) for two days following drain removal, using standardized massage techniques. * Control group: Patients will receive only cold application following the same schedule and procedure as the intervention group. Data will be collected using the Patient Information Form, the Short Form of the Brief Pain Inventory, the Numeric Rating Scale, and the Newcastle Satisfaction with Nursing Care Scale. Statistical analyses will be conducted using SPSS, and findings will be interpreted at a 95% confidence level (p \< 0.05). Ethical approval has been granted by the Çukurova University Non-Interventional Clinical Research Ethics Committee. Institutional permission will be obtained prior to data collection. Participation will be voluntary, and all data will be treated confidentially.
Interventions
OTHERFoot Massage and Cold Application
The patient will receive both cold application and foot massage after total knee arthroplasty.
OTHERCold Application
After total knee arthroplasty, the patient will receive routine cold application.
Sponsors
Alev Keskin
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Being 18 years or older * Ability to speak Turkish * No visual or hearing impairment * No cognitive disability * Undergoing unilateral knee replacement surgery * Volunteering to participate in the study * Being performed by the same doctor * Patients who received regional anesthesia (spinal or epidural) during surgery
Exclusion criteria
* Presence of any intellectual disability or psychiatric disorder * History of diabetes * Presence of neurological or cerebrovascular disease * Diagnosis of deep vein thrombosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Rating Scale, | One minute | The patient is asked to choose the number that best reflects the pain intensity, 0=no pain, 10= equal to the worst (unbearable) pain. |
| Brief Pain | Five minutes | The inhibition of individuals' daily living activities due to pain experienced in the last 24 hours is similarly assessed using a numerical scale (0 = not affected at all, 10 = completely affected). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Newcastle Nursing Satisfaction Scale | Ten minutes | The evaluation of all the items marked on the scale is converted to 100 after the pu moments are collected and made over 0-100 points. The fact that the total score is 100 indicates that all dimensions of nursing care are satisfied. |
Countries
Turkey (Türkiye)
Outcome results
None listed