[Videotape preparation of patients before hip replacement surgery improves mobility after three months].
Long-term follow-up investigations of the effect of psychological preparation on postoperative physical outcome measures have very rarely been done. In this study a three-month follow-up of a previous investigation of videotape preparation before hip replacement surgery is reported. 100 patients who previously participated in a randomized controlled study received physical examination and x-ray of the hip joint three months after the operation. The mobility of the replaced hip joint was recorded as well as ossifications of the joint. Prepared patients showed a significantly higher improvement of internal rotation, rotational range of motion, and abduction, compared to the controls. The effect sizes ranged between 21% and 32% and, thus, were of clinical relevance. Prepared patients showed less ossifications (15%) that controls (22%), this difference was not significant. For the first time it could be demonstrated that psychological preparation before surgery can not only improve short-term and psychosocial outcome parameters, but also long-term physical measures. The reason for this effect remains to be investigated.
Doering
S
S
Univ-Klinik für Medizinische Psychologie und Psychotherapie, Leopold-Franzens-Universität, Sonnenburgstrasse 9, A-6020 Innsbruck. Stephan.Doering@uibk.ac.at
Behensky
H
H
Rumpold
G
G
Schatz
D S
DS
Rössler
S
S
Hofstötter
B
B
Krismer
M
M
Schüssler
G
G
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000523:psychology / Q000601:surgery*; D010348:Patient Care Team; D010353:Patient Education as Topic / Q000379:methods*; D011183:Postoperative Complications / Q000523:psychology*; D011300:Preoperative Care / Q000523:psychology; D014743:Videotape Recording / Q000379:methods*