Clinical Trial Details
— Status: Recruiting
Administrative data
| NCT number |
NCT06306027 |
| Other study ID # |
2023/024 |
| Secondary ID |
|
| Status |
Recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
March 1, 2024 |
| Est. completion date |
December 2024 |
Study information
| Verified date |
March 2024 |
| Source |
KTO Karatay University |
| Contact |
Serap SAYAR, PhD |
| Phone |
+905059102994 |
| Email |
oranserap[@]gmail.com |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The knee joint, which we use actively every day, is the largest joint in our body that bears
the weight, allowing various movements such as walking, running, squatting, and standing. It
involves the largest load-bearing structures in the body, including bones, cartilage,
surrounding muscles, and ligaments, facilitating the mobilization of the joint. Due to
constant use, the knee joint is susceptible to injuries and wear. Total knee arthroplasty
(TKA) surgery involves replacing a degenerated joint surface, often due to conditions like
osteoarthritis or rheumatoid arthritis, with a metal or polyethylene prosthesis. TKA, a
widely used and highly successful surgical intervention in recent years, reduces pain,
enhances functional range of motion, and improves independence and quality of life. Severe
pain following TKA surgery restricts the movement of the knee joint and daily life
activities, leading to the patient's inadequacy in self-care. Patients undergoing TKA surgery
often face a lack of information after discharge. This lack of knowledge, coupled with
uncertainty about the disease, limits the patient's self-efficacy. As the self-care power
diminishes for patients struggling with daily life activities, their self-efficacy is
negatively affected. The continuity of education becomes crucial since the verbal and written
instructions given after surgery may not be sustained, causing a gradual decline in an
individual's self-efficacy. As seen in the literature, studies have shown that postoperative
pain, swelling, joint stiffness, fear, and movement limitations negatively impact the quality
of life for patients undergoing TKA. Consequently, the self-care capacity, self-efficacy
levels, and quality of life for individuals who have undergone TKA are adversely affected, as
indicated in the literature.Ensuring continuity of care at home is crucial not only during
the early postoperative period in the clinic but also after discharge. The nurse plays a
significant role as an educator/advisor after discharge. The nurse provides counseling to
patients discharged after Total Knee Arthroplasty (TKA) on pain management, disease
progression, rehabilitation process, exercises, and considerations during daily activities
(such as walking, bathing, toileting). Additionally, the nurse offers guidance on late-stage
complications that may arise at home due to surgery and situations requiring hospitalization.
While web-based educational interventions have been conducted for various patient groups, a
web-based education program specifically for TKA surgery has not been identified. Having
web-based post-TKA patient education allows continuous monitoring, assesses attendance and
effectiveness remotely, and enables individuals to convey requests and questions to
researchers through live support, ultimately enhancing the effectiveness of education. This
approach is believed to prevent complications, reduce patient care costs and readmissions,
increase patients' self-sufficiency in self-care, and consequently elevate their
self-efficacy levels and quality of life. Close monitoring of postoperative patients is
expected to improve their quality of life and self-care abilities, leading to increased
satisfaction with healthcare services.
Description:
The knee joint, actively used every day, is the largest joint in our body, supporting the
body's weight and enabling various movements such as walking, running, squatting, and
standing. It involves the most load-bearing structures: bones (distal femur, proximal tibia,
and patella), cartilage (meniscus and articular cartilage), surrounding muscles, and
ligaments (infrapatellar fat pad), facilitating joint mobilization. Due to constant use, the
knee joint is prone to injuries and wear, making it the most common site for Osteoarthritis
(OA). In the treatment of knee OA, conservative measures, medical treatments, and physical
therapy are utilized in the early stages. However, when these treatments are ineffective,
arthroplasty surgery, a commonly used surgical method, is often employed. Total Knee
Arthroplasty (TKA) involves replacing a degenerated joint surface (femoral, tibial, and
patellar joints) with a metal or polyethylene prosthesis. TKA, a widely used and highly
successful surgical intervention in recent years, reduces pain, enhances functional range of
motion, and improves independence and quality of life. Although TKA is a successful surgical
treatment method, it can also lead to postoperative complications and undesired situations in
patients. Post-TKA, patients often require support and information to regain their previous
independence, especially since severe postoperative pain restricts knee joint movement and
daily life activities, leading to insufficient self-careLiterature indicates that patients
undergoing Total Knee Arthroplasty (TKA) experience adverse effects on their self-care power,
self-efficacy levels, and quality of life. In this context, nurses, who are primarily
responsible for patient care, have significant duties. Besides early postoperative care in
the clinic, ensuring the continuity of home care after discharge is crucial. It has been
reported in the literature that the care needs of discharged patients continue at home, and
patients require high levels of education to safely continue their lives with a joint
prosthesis. After discharge, the nurse's role as an educator/advisor becomes crucial. The
nurse provides detailed counseling to patients discharged after TKA. The education provided
by nurses enables patients to adapt to living with a joint prosthesis and actively
participate in decisions related to their own care. With advancements in information
technology, patient education has transitioned to the web using devices such as phones,
tablets, and computers. Web-based education is advantageous due to constant access to
information and the provision of continuous education through written and visual materials.As
seen in the literature, web-designed educational studies have been conducted on different
patient groups, but no web-designed educational study has been found after TKA surgery.
Having a web design for post-TKA patient education will increase the effectiveness of the
training, as patients can be tracked at any time, the effectiveness of the training can be
measured remotely, whether they attend the training or not, and the researcher can send their
requests and questions via live support, thus preventing possible complications, reducing
patient care costs and re-use. It is thought that it will reduce hospitalizations, increase
the self-care power of patients by becoming self-sufficient, and therefore increase their
self-efficacy levels and quality of life. It is predicted that patients' satisfaction with
health care services will increase as their quality of life and self-care abilities will
increase when they are closely monitored one-on-one after the surgery.
