Patient Education After Total Hip Arthoplasty

Pamukkale University39 enrolled

Overview

Postoperative education is crucial for improving physical function, daily activity participation, and quality of life after total hip arthroplasty (THA). The aim of our study was to examine the effects of patient education on function, quality of life, and activities of daily living after THA. Patients who underwent primary THA were randomized into three groups: online education, brochure, and control. Pain (VAS), function (WOMAC), quality of life (WHOQOL-BREF), and daily living activities (IADL) were evaluated online before education and four weeks after discharge.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Total Hip Arthroplasty (THA)

Interventions

Online EducationOTHER

Online education group received an online education session prepared by the researchers, covering dislocation precautions, potential complications, and home exercise programs.

BrochureOTHER

Brochure group received an informational brochure with the same content.

Eligibility

Sex: ALLMin age: 30 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Participants aged 30 years or older * Who were undergoing primary THA surgery, * Able to understand and speak Turkish * Had access to and could use the internet and a smartphone. Exclusion Criteria: * Who were undergoing revision THA surgery * Had previous major surgery on the operated limb, * Had comorbidities such as rheumatoid arthritis or cancer, motor disorders affecting ADL performance * Diagnosed psychiatric disorder, uncorrected hearing or vision impairment * Inability to participate in the online education program

Locations (1)

Sinem Yenil Kocabay

Denizli, Turkey (Türkiye)

Outcomes

Primary Outcomes

The Turkish version of the Western Ontario McMaster University Osteoarthritis Index

The Turkish version of the Western Ontario McMaster University Osteoarthritis Index (WOMAC), was used. The index includes 24 items divided into three subscales: pain (5 items, maximum score 20), stiffness (2 items, maximum score 8), and physical function (17 items, maximum score 68). Higher scores indicate greater pain and stiffness and poorer physical function.

Time frame: postoperative first day, postoperative 4th week

World Health Organization Quality of Life-Bref

The World Health Organization Quality of Life-Bref (WHOQOL-BREF) is used for general perceived quality of life. The WHOQOL-BREF consists of 26 items assessing general perceived quality of life across physical, psychological, social, environmental, and national environment domains. Each domain is scored separately on a scale up to 20 or 100, with higher scores reflecting better quality of life.

Time frame: postoperative first day, postoperative 4th week

Perceived pain intensity

Pain intensity was assessed using the Visual Analog Scale (VAS). The VAS was used to evaluate pain at rest, during sleep/night, and while walking. The scale consists of a 10-cm horizontal line, with 0 indicating "no pain" and 10 representing "the worst pain imaginable." Participants were asked to mark point that best described their pain, and the distance from the 0 point was measured in centimeters.

Time frame: postoperative first day, postoperative 4th week

Activities of Daily Living

The Lawton-Brody Instrumental Activities of Daily Living (IADL) scale assesses individuals' ability to perform instrumental daily activities. Scores range from 0-8 (dependent), 9-16 (partially dependent), and 17-24 (independent).

Time frame: postoperative first day, postoperative 4th week

Data from ClinicalTrials.gov

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