This randomized controlled trial aims to examine the effects of foot massage combined with cold application on postoperative pain, patient satisfaction, and analgesic consumption in individuals undergoing Total Knee Arthroplasty (TKA). The study will be conducted in the Orthopedics and Traumatology Department of Çukurova University Balcalı Hospital, which includes an 18-bed orthopedic unit. Eligible patients will be randomly assigned to either the intervention group or the control group. * Intervention group: Patients will receive both cold application and foot massage. Cold therapy will be administered for 20 minutes every 2 hours for the first 48 hours postoperatively. Foot massage will be performed twice daily (morning and evening) for two days following drain removal, using standardized massage techniques. * Control group: Patients will receive only cold application following the same schedule and procedure as the intervention group. Data will be collected using the Patient Information Form, the Short Form of the Brief Pain Inventory, the Numeric Rating Scale, and the Newcastle Satisfaction with Nursing Care Scale. Statistical analyses will be conducted using SPSS, and findings will be interpreted at a 95% confidence level (p \< 0.05). Ethical approval has been granted by the Çukurova University Non-Interventional Clinical Research Ethics Committee. Institutional permission will be obtained prior to data collection. Participation will be voluntary, and all data will be treated confidentially.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
60
The patient will receive both cold application and foot massage after total knee arthroplasty.
After total knee arthroplasty, the patient will receive routine cold application.
Çukurova Üniversitesi
Adana, University, Turkey (Türkiye)
RECRUITINGNumeric Rating Scale,
The patient is asked to choose the number that best reflects the pain intensity, 0=no pain, 10= equal to the worst (unbearable) pain.
Time frame: One minute
Brief Pain
The inhibition of individuals' daily living activities due to pain experienced in the last 24 hours is similarly assessed using a numerical scale (0 = not affected at all, 10 = completely affected).
Time frame: Five minutes
Newcastle Nursing Satisfaction Scale
The evaluation of all the items marked on the scale is converted to 100 after the pu moments are collected and made over 0-100 points. The fact that the total score is 100 indicates that all dimensions of nursing care are satisfied.
Time frame: Ten minutes
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