Nurse Led Follow-up After Total Knee Arthroplasty (NFTKA)
The aim of this study is to determine the effect of nurse led follow-up following total knee arthroplasty in regard to physical function, health related quality of life and self-efficacy.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Supportive Care
|Official Title:||Nurse Led Follow-up After Total Knee Arthroplasty - a Randomized Trial|
- Change in physical function assessed by ≥ 12 points in physical function score in the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index [ Time Frame: 3 days, 1, 3, 6 and 12 months post-surgery ] [ Designated as safety issue: No ]The WOMAC Index is disease specific measuring health status om three subscales: pain, stiffness and physical function
- Change in the pain and stiffness score in WOMAC Index [ Time Frame: 3 days, 1, 3, 6 and 12 months post-surgery ] [ Designated as safety issue: No ]
- Changes in all scores in the subscales in Medical Outcomes Study Short Form (SF-36) [ Time Frame: 3 days, 1, 3, 6 and 12 months post-surgery ] [ Designated as safety issue: No ]A generic measure of health related quality of life
- Change in the score in the General Self-Efficacy Scale [ Time Frame: 3 days, 1, 3 and 6 months post-surgery ] [ Designated as safety issue: No ]An unidimensional measure of general self-efficacy.
- Number of acute visits to the orthopedic outpatient clinic [ Time Frame: 3 days, 1, 3, 6 anf 12 months post-surgery ] [ Designated as safety issue: No ]
|Study Start Date:||January 2013|
|Estimated Study Completion Date:||February 2016|
|Estimated Primary Completion Date:||February 2016 (Final data collection date for primary outcome measure)|
Experimental: telephone follow-up
Nurse led follow-up in form of consultation by telephone 4 days and 2weeks after discharge, respectively as a supplement to conventional admission course.
Behavioral: Telephone follow-up
The consultation is structured by predefined themes relevant for identifying health related problems in regard to illness to give adequate education and counseling. The form of each consultation will vary according to the individual needs of the patients.
No Intervention: Usual treatment
All patients follow conventional admission course which implies preoperative seminar and a discharge planning consultation on the day of discharge. The patients are discharged to home, referred to physiotherapy in the community and a scheduled follow-up by the surgeon after 3 month in the orthopedic outpatient clinic.
Due to shorter hospitalization the patients early have to be responsible for their own rehabilitation. However, the patients experience a variety of health related problems in the rehabilitations period following total knee arthroplasty and they have difficulties transferring health related information to their home settings. Nurse led follow-up in the early rehabilitation period might improve the health status of the patients by improving their knowledge and skills to handle health related problems. No studies found has investigated the effect of nurse led follow-up in form of telephone call following total knee arthroplasty.
|University Hospital Gentofte|
|Hellerup, Gentofte, Denmark, 2900|
|Principal Investigator:||Kirsten Szöts||University Hospital Gentofte|