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- Title
Effects of a Hybrid Teaching Program on Lower Limb Muscle Strength, Knee Function, and Depression in Older Adults After Total Knee Replacement: A Randomized Controlled Trial.
- Authors
Chang, Hsueh-Ling; Hsu, Min-Fang; Wong, Tze-Hong; Chung, Yu-Chu; Huang, Hsiao-Ling
- Abstract
The aim of the current study was to evaluate the effects of a nurse-led hybrid teaching program on lower limb strength, knee function, and depression in older adults after total knee replacement (TKR). This was a single-blind, randomized controlled trial. Fifty-two patients who underwent TKR were randomly assigned to either the experimental group (EG; n = 26), which received routine care plus 16 weeks of home rehabilitation through a hybrid teaching program, or the control group (CG; n = 26), which received routine care only. The intervention included pre-discharge face-to-face education, video instructions to follow at home after discharge, and four monthly telephone-based follow ups during the 16 weeks post-surgery. After the 16-week intervention, participants in the EG exhibited improved quadriceps strength, hamstring strength, and Knee Injury and Osteoarthritis Outcome Score (KOOS) compared to those in the CG. Generalized estimating equation analyses revealed a significant group-by-time interaction effect on quadriceps strength, overall KOOS score, and Geriatric Depression Scale-Short Form score. Findings suggest that a nurse-led hybrid teaching program enhances physical and psychological function after TKR when compared to routine care. This hybrid teaching program, involving exercise and postoperative education, proves to be a feasible and cost-effective intervention for improving outcomes in older adults following TKR. Health care teams should consider it as a viable home rehabilitation option for older adults who undergo TKR. [Research in Gerontological Nursing, 17(1), 31–40.]
- Subjects
TAIWAN; SKELETAL muscle physiology; PREVENTION of mental depression; KNEE physiology; STRUCTURAL equation modeling; EXERCISE tests; TOTAL knee replacement; TEACHING methods; ACADEMIC medical centers; MUSCLE contraction; HOME rehabilitation; FUNCTIONAL status; SURGERY; STRENGTH training; COGNITION; POSTOPERATIVE care; MANN Whitney U Test; LEG; RANDOMIZED controlled trials; TREATMENT effectiveness; T-test (Statistics); MUSCLE strength; NURSES; BLIND experiment; COST effectiveness; CHI-squared test; DESCRIPTIVE statistics; PATIENT education; STATISTICAL sampling; DATA analysis software; EDUCATIONAL outcomes; REHABILITATION; OLD age
- Publication
Research in Gerontological Nursing, 2024, Vol 17, Issue 1, p31
- ISSN
1940-4921
- Publication type
Article
- DOI
10.3928/19404921-20230918-01