Ignite Creation Date:
2024-05-06 @ 8:15 PM
Last Modification Date:
2024-10-26 @ 3:23 PM
Study NCT ID:
NCT06306027
Status:
RECRUITING
Last Update Posted:
2024-03-12
First Post:
2024-02-02
Brief Title:
The Impact of Web-Based Education on Self-Care Power Self-Efficacy and Quality of Life in Knee Arthroplasty Patients
Sponsor:
KTO Karatay University
Organization:
KTO Karatay University
Study Overview
Official Title:
The Effect of Web-Based Education Program Applied to The Patients Undergoing Knee Arthroplasty on Self-Care Power Self-Efficacy and Quality of Life
Status:
RECRUITING
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief 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 patients 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 patients 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 individuals 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 literatureEnsuring 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 educatoradvisor 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
Detailed Description:
The knee joint actively used every day is the largest joint in our body supporting the bodys 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 nurses role as an educatoradvisor 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 materialsAs 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
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None