Chen Mochuan, Li Pihong, Lin Feiou
Department of Orthopaedics, The Second Affiliated Hospital & Yuying Children's Hospital, People's Republic of China.
Department of General Surgery, The Second Affiliated Hospital & Yuying Children's Hospital, People's Republic of China.
Patient Prefer Adherence. 2016 Mar 3;10:257-64. doi: 10.2147/PPA.S102156. eCollection 2016.
To assess the effects of structured telephone follow-up on patient's home-exercise compliance after total knee arthroplasty (TKA).
A total of 202 elderly patients who received a unilateral TKA were enrolled in this study. The participants were randomized into two groups: the intervention group that received structured telephone follow-up after discharge and the control group that received routine health care. Pain, functional ability, quality of life, and depression survey scores were measured before and after TKA. The intergroup and intragroup differences were analyzed during the 12 months following discharge.
There were no significant differences in the sociodemographic characteristics of both groups. The mean home-exercise time and total days in the intervention group were significantly higher than those in the control group. Variable scores differed significantly between groups. Pain, functional ability, quality of life, and depression improved significantly after TKA in both groups, and the intervention group had greater improvement in mental health and active range of motion.
Undergoing a TKA can significantly reduce the patient's pain from osteoarthritis while improving the overall physical function and quality of life. Furthermore, a structured telephone follow-up can improve patient adherence to home exercise after TKA.
评估结构化电话随访对全膝关节置换术（TKA）后患者家庭锻炼依从性的影响。
本研究共纳入202例接受单侧TKA的老年患者。参与者被随机分为两组：出院后接受结构化电话随访的干预组和接受常规医疗保健的对照组。在TKA前后测量疼痛、功能能力、生活质量和抑郁调查评分。在出院后的12个月内分析组间和组内差异。
两组的社会人口学特征无显著差异。干预组的平均家庭锻炼时间和总天数显著高于对照组。两组间变量评分差异显著。两组TKA后疼痛、功能能力、生活质量和抑郁均有显著改善，且干预组在心理健康和主动活动范围方面改善更大。
进行TKA可显著减轻患者骨关节炎疼痛，同时改善整体身体功能和生活质量。此外，结构化电话随访可提高TKA后患者对家庭锻炼的依从性。
