Comparing the effectiveness of different educational programs for patients with total knee arthroplasty.
OBJECTIVE
To compare the effects of preadmission and postadmission educational programs for patients with total knee arthroplasty.


METHODS
Quasiexperimental study.


METHODS
60 total knee arthroplasty patients.


METHODS
Subjects in the experimental group received preadmission preoperative teaching with an instruction booklet during a preoperative outpatient clinic visit. Upon admission to the hospital, they were presented with an educational video tape. The control group received only postadmission preoperative teaching with the same instruction booklet and no video. PREADMISSION AND POSTADMISSION: Preoperative anxiety level, knowledge about postoperative care, exercise performance and postoperative recovery were used as outcome measures.


RESULTS
The research results found: 1. there was no significant difference between the two groups in reduction of preoperative anxiety score: 2. the experimental group had a significantly higher knowledge level than the control group; 3. the experimental group performed exercise more regularly and correctly than those in the control group; 4. the experimental group had greater flexion of the operative knee joint than the control group.


CONCLUSIONS
Preadmission teaching with a videotape program and a health manual for patients with total knee arthroplasty is recommended.


CONCLUSIONS
More indicators such as postoperative pain and patient satisfaction can be used to investigate the effectiveness of intervention. In addition, increasing the sample size is recommended for future studies.
Lin
P C
PC
Veterans General Hospital in Taipei, Taiwan.
Lin
L C
LC
Lin
J J
JJ
D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000451:nursing / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015403:Nursing Evaluation Research; D010343:Patient Admission; D010353:Patient Education as Topic / Q000458:organization & administration*; D011300:Preoperative Care; D015397:Program Evaluation