Department of Nursing, Pukyong National University, Busan, South Korea.
Rehabil Nurs. 2024;49(4):103-114. doi: 10.1097/RNJ.0000000000000465. Epub 2024 Jun 20.
Reduced activity because of pain is a major health issue associated with total knee arthroplasty. This study evaluated the effectiveness of a nurse-led app-based home exercise program for patients who underwent total knee arthroplasty.
A nonequivalent control group of pretest-posttest design was used. Data from 45 patients were collected. The control group received individualized face-to-face exercise education, whereas the experimental group received training on the use of app-based home exercise education, including exercise videos and app push notifications to encourage exercise after discharge. Pain, range of motion, exercise self-efficacy, and quality of life were measured at baseline and 3 and 12 weeks after surgery. Nursing care satisfaction was evaluated 12 weeks after surgery.
There were significant overall reductions in pain intensity ( p = .001), improvements in limited range of motion ( p < .001), and increases in exercise self-efficacy ( p = .034) and quality of life ( p = .033) in the experimental group ( n = 22) compared with those in the control group ( n = 23). Nursing care satisfaction was significantly higher in the experimental group than in the control group ( p < .001).
Rehabilitation nurses can offer app-based home exercise education with push notifications to alleviate pain, enhance range of motion, improve exercise self-efficacy, and increase nursing care satisfaction for patients who have had a knee arthroplasty.
因疼痛导致的活动减少是与全膝关节置换术相关的一个主要健康问题。本研究评估了基于护士主导的应用程序的家庭锻炼计划对接受全膝关节置换术的患者的有效性。
采用非等效对照组的前后测试设计。共收集了 45 名患者的数据。对照组接受个体化的面对面锻炼教育，而实验组则接受基于应用程序的家庭锻炼教育培训，包括锻炼视频和应用程序推送通知，以鼓励出院后的锻炼。在基线以及手术后 3 周和 12 周时测量疼痛、活动范围、锻炼自我效能感和生活质量。手术后 12 周时评估护理满意度。
与对照组（n=23）相比，实验组（n=22）的疼痛强度总体显著降低（p=0.001），活动范围受限得到改善（p<0.001），锻炼自我效能感（p=0.034）和生活质量（p=0.033）均有所提高。实验组的护理满意度明显高于对照组（p<0.001）。
康复护士可以提供基于应用程序的家庭锻炼教育和推送通知，以减轻疼痛、增强活动范围、提高锻炼自我效能感，并提高接受膝关节置换术的患者的护理满意度。
