Fear of movement and other associated factors in older patients with total knee arthroplasty

Bakırhan, Serkan; Ünver, Bayram; Elibol, Nuray; Karatosun, Vasfi

doi:10.1007/s11845-022-03214-4

Cited by 5 publications

(3 citation statements)

References 31 publications

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“…5,6 Patients' pain-related fear of movement, psychological distress, and lack of effective guidance negatively affect early TKR outcomes. 7 Most of these outcomes are preventable and can be reduced. Research has shown that education prior to TKR surgery may offer positive outcomes, 8,9 such as pain control, 10 reduced anxiety, 11 and reduced length of stay.…”

Section: Introductionmentioning

confidence: 99%

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Implementing evidence-based pre-operative education in hospitalized patients undergoing total knee replacement: a best practice implementation project

Yang,

Wang,

et al. 2024

JBI Evidence Implementation

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Introduction: Pre-operative education is a key factor influencing post-operative recovery, patient expectations of surgery, and patient satisfaction. Although there are guidelines for the pre-operative education of patients undergoing knee replacement, pre-operative education of patients remains suboptimal. Objectives: This study aimed to improve the knowledge and skills of health care providers and patients undergoing elective knee replacement. The project used pre-operative education to increase compliance with best practices. Methods: This project was conducted from January to October 2022 in the orthopedic department of a tertiary hospital in China. The project was conceptually guided by the JBI Model of Evidence-Based Healthcare, while the JBI Evidence Implementation Framework was used to guide the implementation. Two audit criteria were developed for the baseline and follow-up audits, which assessed 20 patients undergoing elective knee replacement. Results: A comparison of the audit outcomes revealed that for Criterion 1, the percentage of patients receiving pre-operative education in both audits was 100%. For Criterion 2, the compliance rate increased significantly from 0% in the baseline to 90% in the follow-up audit. Conclusions: A clinical audit is an effective approach to improving compliance with recommended best practices. Leadership, team resource management, education, and monitoring were helpful for staff in implementing the best practices. Further audits will need to be conducted to maintain practice changes and ensure that the project is sustainable.

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Section: Introductionmentioning

confidence: 99%

“…Patients’ pain-related fear of movement, psychological distress, and lack of effective guidance negatively affect early TKR outcomes 7 . Most of these outcomes are preventable and can be reduced.…”

Section: Introductionmentioning

confidence: 99%

Implementing evidence-based pre-operative education in hospitalized patients undergoing total knee replacement: a best practice implementation project

Yang,

Wang,

et al. 2024

JBI Evidence Implementation

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“…However, moderate or severe pain is observed in 50%-70% of patients following TKA surgery due to arthrofibrosis, avascular necrosis, infection, nerve damage, and patellar complications (Gasbjerg et al, 2022;Li et al, 2020). On the other hand, it has been stated that 60% of the pain seen in patients is associated with kinesiophobia, which is defined as the fear of movement (Bakırhan et al, 2023;De Vroey et al, 2020;Najafi et al, 2022). A systematic review of studies conducted on patients undergoing TKA showed that kinesiophobia was associated with pain and reduced self-care ability and functionality in patients, thereby negatively affecting recovery, prolonging the length of hospital stay, and negatively affecting the success of the operation (Brown et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Foot Reflexology on Pain and Kinesiophobia in Patients Following Total Knee Arthroplasty

Özbaş,

Şahan,

Aydın

2024

Orthopaedic Nursing

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Nonpharmacological methods are used in the management of pain and kinesiophobia following total knee arthroplasty. The aim of this double-blind randomized controlled trial was to examine the effect of foot reflexology on pain and kinesiophobia in patients following total knee arthroplasty. A total of 40 patients (20 in the control group and 20 in the intervention group) were randomly assigned to either of two groups for the study. The intervention group was exposed to foot reflexology. Postoperative Visual Analog Scale scores decreased faster in the intervention group compared to the control group (F = 80.417; p < .001; η2 = 0.685). The Western Ontario and McMaster Universities Osteoarthritis Index scores decreased in the intervention group over time, while they increased in the control group (p < .05). While a gradual increase was observed in the Tampa Scale for Kinesiophobia scores in the control group, there was a decrease in the intervention group (F = 84.860; p < .001; η2 = 0.696). The amount of analgesics used was lower in the intervention group (p < .05). Foot reflexology can be applied as an effective and safe method to manage pain and kinesiophobia in total knee arthroplasty patients.

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Effects of amino acid supplementation on muscle mass, muscle performance and functional capacity in subjects undergoing total knee arthroplasty: a systematic review of randomized clinical trials

de Souza Borges,

Junior,

de Brito

et al. 2024

Eur J Orthop Surg Traumatol

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Fear of movement and other associated factors in older patients with total knee arthroplasty

Cited by 5 publications

References 31 publications

Implementing evidence-based pre-operative education in hospitalized patients undergoing total knee replacement: a best practice implementation project

Implementing evidence-based pre-operative education in hospitalized patients undergoing total knee replacement: a best practice implementation project

The Effect of Foot Reflexology on Pain and Kinesiophobia in Patients Following Total Knee Arthroplasty

Effects of amino acid supplementation on muscle mass, muscle performance and functional capacity in subjects undergoing total knee arthroplasty: a systematic review of randomized clinical trials

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