Total Hip Arthroplasty (THA)
Conditions
Keywords
activities of dailiy living, patient education, physical function, quality of life, total hip arthroplasty
Brief summary
Postoperative education is crucial for improving physical function, daily activity participation, and quality of life after total hip arthroplasty (THA). The aim of our study was to examine the effects of patient education on function, quality of life, and activities of daily living after THA. Patients who underwent primary THA were randomized into three groups: online education, brochure, and control. Pain (VAS), function (WOMAC), quality of life (WHOQOL-BREF), and daily living activities (IADL) were evaluated online before education and four weeks after discharge.
Interventions
OTHEROnline Education
Online education group received an online education session prepared by the researchers, covering dislocation precautions, potential complications, and home exercise programs.
OTHERBrochure
Brochure group received an informational brochure with the same content.
Sponsors
Pamukkale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
30 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Participants aged 30 years or older * Who were undergoing primary THA surgery, * Able to understand and speak Turkish * Had access to and could use the internet and a smartphone.
Exclusion criteria
* Who were undergoing revision THA surgery * Had previous major surgery on the operated limb, * Had comorbidities such as rheumatoid arthritis or cancer, motor disorders affecting ADL performance * Diagnosed psychiatric disorder, uncorrected hearing or vision impairment * Inability to participate in the online education program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Turkish version of the Western Ontario McMaster University Osteoarthritis Index | postoperative first day, postoperative 4th week | The Turkish version of the Western Ontario McMaster University Osteoarthritis Index (WOMAC), was used. The index includes 24 items divided into three subscales: pain (5 items, maximum score 20), stiffness (2 items, maximum score 8), and physical function (17 items, maximum score 68). Higher scores indicate greater pain and stiffness and poorer physical function. |
| World Health Organization Quality of Life-Bref | postoperative first day, postoperative 4th week | The World Health Organization Quality of Life-Bref (WHOQOL-BREF) is used for general perceived quality of life. The WHOQOL-BREF consists of 26 items assessing general perceived quality of life across physical, psychological, social, environmental, and national environment domains. Each domain is scored separately on a scale up to 20 or 100, with higher scores reflecting better quality of life. |
| Perceived pain intensity | postoperative first day, postoperative 4th week | Pain intensity was assessed using the Visual Analog Scale (VAS). The VAS was used to evaluate pain at rest, during sleep/night, and while walking. The scale consists of a 10-cm horizontal line, with 0 indicating "no pain" and 10 representing "the worst pain imaginable." Participants were asked to mark point that best described their pain, and the distance from the 0 point was measured in centimeters. |
| Activities of Daily Living | postoperative first day, postoperative 4th week | The Lawton-Brody Instrumental Activities of Daily Living (IADL) scale assesses individuals' ability to perform instrumental daily activities. Scores range from 0-8 (dependent), 9-16 (partially dependent), and 17-24 (independent). |
Countries
Turkey (Türkiye)
Outcome results
None listed