A home visit program versus a non-home visit program in total knee replacement patients: a randomized controlled trial

Autor: Bura Sindhupakorn, Piya-on Numpaisal, Suwittaya Thienpratharn, Darawan Jomkoh
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Orthopaedic Surgery and Research, Vol 14, Iss 1, Pp 1-7 (2019)
Druh dokumentu: article
ISSN: 1749-799X
DOI: 10.1186/s13018-019-1412-6
Popis: Abstract Background The goals in total knee replacement (TKR) are pain relief, restore functions, and improve quality of life. Surgical outcomes were not related to patients’ satisfaction. Low 1-year WOMAC especially in the first 6 weeks and painful TKR related to patient dissatisfied. To improve satisfaction, we created the home visit program (TKR-H) after hospital discharge. INHOMESSS was the rationale for home visit activities. Methods We recruited 52 TKRs. Four TKRs were excluded. We used simple randomization for 24 patients as a home visit (TKR-H) and 24 patients as a non-home visit (TKR). Patients were evaluated by general demographics, pain intensity scores (VAS), range of motion (ROM), WOMAC, knee scores, and functional scores as a primary objective. A duration for gait aid independent and patient’s satisfaction score as secondary objective. The study was 6 weeks after surgery. Results TKR-H and TKR had significant differences in the mean of WOMAC score (88.29 ± 10.66 vs. 68.00 ± 12.47, respectively, P
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