A self-efficacy-enhancing intervention for Chinese patients after total hip arthroplasty: study protocol for a randomized controlled trial with 6-month follow-up

Abstract Background Total hip arthroplasty (THA) is a common and effective surgical method for advanced hip arthritis. Rehabilitation exercises are important to improve joint function after THA and are usually conducted in a home-based program. Poor patient adherence limits improvements in pain and function, affecting quality of life. The increasing use of THA in the aging Chinese population underscores the need to develop strategies that maximize functional outcomes. The purpose of this pilot study is to develop and assess the feasibility of a self-efficacy-enhancing intervention (SEEI) to improve exercise adherence in patients undergoing THA. Methods This single-blinded, parallel, randomized control trial will recruit 150 patients after THA and randomly assign them to an intervention or control group using computer-generated block randomization. The control group will receive usual care using evidence-based guidelines. The intervention group will receive the 6-month SEEI comprising personalized exercise guidance and self-efficacy education delivered using one face-to-face education session and four telephone consultations, supplemented by written materials. Participants are encouraged to build confidence in their own abilities, set rehabilitation goals, and self-monitor their physical exercise. Results Assessments will be conducted at baseline and 1, 3, and 6 months postsurgery. The outcome indicators are exercise adherence, physical function, anxiety and depression, self-efficacy of rehabilitation, joint function, and quality of life. Conclusions This study will test a theory-based intervention program to improve self-efficacy in rehabilitation, which may significantly impact out-of-hospital rehabilitation. The results will provide evidence to inform the postoperative recovery of patients undergoing THA or similar procedures. Trial registration Chinese Clinical Trials Registry, ChiCTR2000029422, registered on 31 January 2020

Download Full-text

A Self-Efficacy-Enhancing Intervention for Chinese Patients after Total Hip Arthroplasty: Study Protocol for A Randomized Controlled Trial with 6-Month Follow-Up

10.21203/rs.3.rs-371615/v1 ◽

2021 ◽

Author(s):

Bo Deng ◽

Yu mei Chen ◽

Mei fen Zhang ◽

Ya Meng ◽

Yi heng Zhang ◽

...

Keyword(s):

Quality Of Life ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Self Efficacy ◽

Exercise Adherence ◽

Chinese Patients ◽

Control Group ◽

Joint Function ◽

Total Hip

Abstract Background: Total hip arthroplasty (THA) is a common and effective surgical method for advanced hip arthritis. Rehabilitation exercises are important to improve joint function after THA and are usually conducted in a home-based program. Poor patient adherence limits improvements in pain and function, affecting quality of life. The increasing use of THA in the aging Chinese population underscores the need to develop strategies that maximize functional outcomes. The purpose of this pilot study is to develop and assess the feasibility of a self-efficacy-enhancing intervention (SEEI) to improve exercise adherence in patients undergoing THA. Methods: This single-blinded, parallel, randomized control trial will recruit 150 patients after THA and randomly assign them to an intervention or control group using computer-generated block randomization. The control group will receive usual care using evidence-based guidelines. The intervention group will receive the 6-month SEEI comprising personalized exercise guidance and self-efficacy education delivered using one face-to-face education session and four telephone consultations, supplemented by written materials. Participants are encouraged to build confidence in their own abilities, set rehabilitation goals, and self-monitor their physical exercise. Results: Assessments will be conducted at baseline, and 1, 3, and 6 months postsurgery. The outcome indicators are exercise adherence, physical function, anxiety and depression, self-efficacy of rehabilitation, joint function, and quality of life.Conclusions: This study will test a theory-based intervention program to improve self-efficacy in rehabilitation, which may significantly impact out-of-hospital rehabilitation. The results will provide evidence to inform the postoperative recovery of patients undergoing THA or similar procedures.Trial registration: Chinese Clinical Trials Registry (ChiCTR2000029422), registered 31 January 2020.

Download Full-text

Influence of mobile education on joint function and quality of life in patients after total hip arthroplasty

Chinese Nursing Research ◽

10.1016/j.cnre.2017.02.002 ◽

2017 ◽

Vol 4 (2) ◽

pp. 71-74

Author(s):

Wen-Xia Shen ◽

Yue-Xiang Wang ◽

Yu-Yin Ning ◽

Jin-Xiu Peng ◽

Heng-Qiu Wei ◽

...

Keyword(s):

Quality Of Life ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Joint Function ◽

Total Hip ◽

Mobile Education

Download Full-text

Influence of mobile education on joint function and quality of life in patients after total hip arthroplasty

Chinese Nursing Research ◽

10.25164/sep.2017040303 ◽

2017 ◽

Vol 4 (2) ◽

pp. 71-74

Author(s):

Wen-Xia Shen ◽

◽

Yue-Xiang Wang ◽

Yu-Yin Ning ◽

Jin-Xiu Peng ◽

...

Keyword(s):

Quality Of Life ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Joint Function ◽

Total Hip ◽

Mobile Education

Download Full-text

Excellent Functional Outcome and Quality of Life after Primary Cementless Total Hip Arthroplasty (THA) Using an Enhanced Recovery Setup

Journal of Clinical Medicine ◽

10.3390/jcm10040621 ◽

2021 ◽

Vol 10 (4) ◽

pp. 621

Author(s):

Franziska Leiss ◽

Julia Sabrina Götz ◽

Günther Maderbacher ◽

Matthias Meyer ◽

Jan Reinhard ◽

...

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Total Hip Arthroplasty ◽

Functional Outcome ◽

Hip Arthroplasty ◽

Enhanced Recovery ◽

Harris Hip Score ◽

Total Hip ◽

Cementless Total Hip Arthroplasty

Background: Total hip arthroplasty combined with the concept of enhanced recovery is of continued worldwide interest, as it is reported to improve early functional outcome and treatment quality without increasing complications. The aim of the study was to investigate functional outcome and quality of life 4 weeks and 12 months after cementless total hip arthroplasty in combination with an enhanced recovery concept. Methods: A total of 109 patients underwent primary cementless Total Hip Arthroplasty (THA) in an enhanced recovery concept and were retrospectively analyzed. After 4 weeks and 12 months, clinical examination was analyzed regarding function, pain and satisfaction; results were evaluated using Harris Hip score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EQ-5D-5L, EQ-VAS and subjective patient-related outcome measures (PROMs). Preoperatively, HADS (Hospital Anxiety and Depression Scale) was collected. A correlation analysis of age, American Society of Anesthesiologists (ASA), HADS and comorbidities (diabetes mellitus, art. hypertension, cardiovascular disease) with WOMAC, Harris Hip score (HHS) and EQ-5D was performed. Results: Patients showed a significant improvement in Harris Hip score 4 weeks and 12 months postoperatively (p < 0.001). WOMAC total score, subscale pain, subscale stiffness and subscale function improved significantly from preoperative to 12 months postoperative (p < 0.001). EQ-5D showed a significant improvement preoperative to postoperative (p < 0.001). The influence of anxiety or depression (HADS-A or HADS-D) on functional outcome could not be determined. There was a high patient satisfaction postoperatively, and almost 100% of patients would choose enhanced recovery surgery again. Conclusion: Cementless THA with the concept of enhanced recovery improves early clinical function and quality of life. PROMs showed a continuous improvement over a follow-up of 12 months after surgery. PROMs can help patients and surgeons to modify expectations and improve patient satisfaction.

Download Full-text

Total Hip Arthroplasty in Down Syndrome Patients: An Improvement in Quality of Life

The Journal of Arthroplasty ◽

10.1016/j.arth.2012.08.022 ◽

2013 ◽

Vol 28 (4) ◽

pp. 701-706 ◽

Cited By ~ 11

Author(s):

Allan E. Gross ◽

John J. Callaghan ◽

Michael G. Zywiel ◽

Justin J. Greiner ◽

Yona Kosashvili ◽

...

Keyword(s):

Quality Of Life ◽

Down Syndrome ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Total Hip

Download Full-text

Total Hip Arthroplasty

Acute Pain Medicine ◽

10.1093/med/9780190856649.003.0007 ◽

2019 ◽

pp. 83-95

Author(s):

Sydney E. Rose ◽

Julio A. Gonzalez-Sotomayor

Keyword(s):

Quality Of Life ◽

Total Hip Arthroplasty ◽

General Anesthesia ◽

Hip Joint ◽

Hip Arthroplasty ◽

Total Hip ◽

Severe Arthritis ◽

And Cartilage ◽

Anesthesia Spinal

This chapter discusses the goals, procedure, and potential outcomes of total hip arthroplasty (THA). Patients may be candidates for a THA when they have severe arthritis of their hip(s) (degeneration of cartilage covering the ends of the bones creating the hip joint). Arthritic hip pain is often progressive and gets worse as the cartilage continues to deteriorate. Typically, at the time a patient seeks hip arthroplasty, his or her quality of life has become very compromised. In a total hip arthroplasty, damaged bone and cartilage of the hip joint are removed and replaced with prosthetic components. THA can be performed under neuraxial anesthesia (spinal or epidural) or general anesthesia or a combination of both.

Download Full-text