The effect of educational intervention on the pain and rehabilitation performance of patients who undergo a total knee replacement
Article first published online: 9 DEC 2013
© 2013 John Wiley & Sons Ltd
Journal of Clinical Nursing
Volume 23, Issue 1-2, pages 279–287, January 2014
How to Cite
Chen, S.-R., Chen, C.-S. and Lin, P.-C. (2014), The effect of educational intervention on the pain and rehabilitation performance of patients who undergo a total knee replacement. Journal of Clinical Nursing, 23: 279–287. doi: 10.1111/jocn.12466
- Issue published online: 9 DEC 2013
- Article first published online: 9 DEC 2013
- Manuscript Accepted: 4 AUG 2013
- National Science Council. Grant Number: NSC 98-2314-B-038-017-MY3
- functional recovery;
- functional status;
- health education;
- knee movement;
- muscle power;
- quadriceps setting;
- rehabilitation exercise;
- straight-leg raises;
- total knee replacement
Aims and objectives
To determine the effects of health education on postoperative pain, the practice of rehabilitative exercises and functional recovery of total knee-replacement patients.
Most total knee-replacement patients experience pain and limited physical activities during recovery and rehabilitation. Many patients fail to implement an effective rehabilitation plan because of the pain and a lack of practical knowledge regarding the rehabilitation process.
We recruited 92 total knee-replacement patients for our study. The experimental group (n = 42) received a health-educational intervention. The control group (n = 50) received routine care.
The experimental group reported lower levels of postoperative pain than the control group. The stair-climbing ability of the experimental group was superior to that of the control group. The experimental group also had superior scores for regular straight-leg raises and muscle power of the affected leg, compared with the control group.
The preoperative health-educational intervention reduced the level of postoperative pain experience by total knee-replacement patients, increased the regularity with which they performed rehabilitative exercises and accelerated the recovery of their physical functioning.
Relevance to clinical practice
The health-educational model can be included in regular clinical management and care of total knee-replacement patients.