Kyungpook National University Hospital, Daegu, South Korea.
College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu, South Korea.
J Clin Nurs. 2023 Jun;32(11-12):2383-2398. doi: 10.1111/jocn.16324. Epub 2022 Apr 15.
This study was designed to examine the contents and methods of patient educational interventions about total knee arthroplasty (TKA) and their effectiveness in reducing postoperative pain and enhancing range of motion (ROM) in the literature.
Patient education has been provided to facilitate recovery after TKA; however, little is known about the contents and methods of the interventions and their effectiveness in reducing postoperative pain and enhancing ROM.
This is a systematic review and meta-analysis of randomised controlled trials (RCTs).
Published studies from June 1998-June 2021 were identified from electronic databases. Two independent investigators assessed the quality of the studies by using the revised Cochrane risk-of-bias tool. Meta-analyses with random-effects models were conducted to assess the effectiveness of the interventions using the Comprehensive Meta-Analysis Software. The study was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline.
Among 12 articles that met the inclusion criteria, three interventions provided education on pain management and mobility/exercises. The most common educational methods were the combinations of oral explanation, written materials, and audiovisual materials, group discussion, while four studies used information technology (IT) devices. The meta-analysis demonstrated that the educational interventions using IT devices were effective in improving pain and ROM, but not the interventions that did not use IT devices.
Structured education for pain management, communication and/or exercise support programs utilising diverse methods have been provided to patients undergoing TKA. Using IT devices could successfully enhance the effectiveness of educational interventions for patients undergoing TKA.
Integration of postoperative pain management and mobility/exercises with the use of IT devices should be actively considered in providing patient education in clinical nursing practice.
本研究旨在探讨关于全膝关节置换术（TKA）的患者教育干预措施的内容和方法，以及它们在减轻术后疼痛和提高关节活动度（ROM）方面的有效性。
已经提供了患者教育以促进 TKA 后的恢复；然而，对于干预措施的内容和方法及其在减轻术后疼痛和提高 ROM 方面的有效性知之甚少。
这是一项对随机对照试验（RCT）的系统评价和荟萃分析。
从电子数据库中检索了 1998 年 6 月至 2021 年 6 月发表的研究。两名独立的研究者使用修订后的 Cochrane 偏倚风险工具评估了研究的质量。使用 Comprehensive Meta-Analysis Software 进行荟萃分析，采用随机效应模型评估干预措施的有效性。研究遵循了系统评价和荟萃分析的 Preferred Reporting Items 指南。
在符合纳入标准的 12 篇文章中，有 3 篇干预措施提供了疼痛管理和活动/运动方面的教育。最常见的教育方法是口头解释、书面材料和视听材料的组合、小组讨论，而有 4 项研究使用了信息技术（IT）设备。荟萃分析表明，使用 IT 设备的教育干预措施在改善疼痛和 ROM 方面是有效的，但不使用 IT 设备的干预措施则不然。
对接受 TKA 的患者提供了针对疼痛管理、沟通和/或运动支持计划的结构化教育，使用了多种方法。使用 IT 设备可以成功提高 TKA 患者教育干预措施的有效性。
在临床护理实践中，应积极考虑将术后疼痛管理和活动/运动与 IT 设备的使用相结合，为患者提供教育。
