Share This Article:

The Effects of Pre-Surgical Education on Patient Expectations in Total Knee Arthroplasties

Full-Text HTML XML Download Download as PDF (Size:309KB) PP. 449-455
DOI: 10.4236/ojpm.2015.512050    3,696 Downloads   3,978 Views  

ABSTRACT

As patients prepare for total-knee arthroplasty surgery, they have many expectations related to their long-term recovery and function. This research examined whether the use of a pre-surgical patient education class with an additional long-term expectation module addressing recovery during the first 12 months after surgery was more effective in modifying participant’s pre-surgical expectations than participants receiving the standard pre-surgical education class alone. Prior to the class each participant completed one disease-specific instrument, a general-health survey, and a total-knee replacement expectation survey. After the class, each participant once again completed the total-knee replacement survey. Included in the study were 42 participants who were enrolled in a pre-surgical education course that was randomized. The participants in the control group received the standard pre-surgical education addressing pre-surgical topics. The participants in the intervention group received the standard pre-surgical education plus an additional module that specifically addressed long-term recovery and function up to 12 months post surgery. The primary outcome of the data revealed that participants’ who received the standard pre-surgical education with the additional module and who had an educational level higher than highschool, had expectations that were able to be modified to coincide with the surgeons’ expectations.

Cite this paper

Furney, S. and Montez, N. (2015) The Effects of Pre-Surgical Education on Patient Expectations in Total Knee Arthroplasties. Open Journal of Preventive Medicine, 5, 449-455. doi: 10.4236/ojpm.2015.512050.

References

[1] Kurtz, M.S., Ong, K., Lau, E., Mowat, F. and Halpern, M. (2007) Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005-2030. The Journal of Bone and Joint Surgery, 89, 780-785.
http://dx.doi.org/10.2106/JBJS.F.00222
[2] Lingard, E., Sledge, C. and Learmonth, I. (2006) Patient Expectations Regarding Total Knee Arthroplasty: Differences among the United States, United Kingdom, and Australia. The Journal of Bone and Joint Surgery, 88, 1201-1207.
http://dx.doi.org/10.2106/JBJS.E.00147
[3] Jeffries, M.A., Donica, M., Baker, L.W., Stevenson, M.E., Annan, A.C. and Humphrey, M.B. (2014) Genome-Wide DNA Methylation Study Identifies Significant Changes in Osteoarthritic Cartilage. Arthritis Rheumatology, 66, 2804- 2815.
http://dx.doi.org/10.1002/art.38762
[4] Felson, D.T. (2006) Clinical Practice. Osteoarthritis of the Knee. New England Journal of Medicine, 354, 841-848.
http://dx.doi.org/10.1056/NEJMcp051726
[5] Sharma, A.R., Jagga, S., Lee, S. and Nam, J. (2013) Interplay between Cartilage and Subchondral Bone Contributing to Pathogenesis of Osteoarthritis. International Journal of Molecular Sciences, 14, 19805-19830.
http://dx.doi.org/10.3390/ijms141019805
[6] Dahlen, L., Zimmerman, L. and Barron, C. (2006) Pain Perception and Its Relationship to Functional Status Post Total Knee Arthroplasty: A Pilot Study. Orthopaedic Nursing, 25, 264-270.
http://dx.doi.org/10.1097/00006416-200607000-00009
[7] Soohoo, N., Sharifi, H., Kominski, G. and Lieberman, J. (2006) Cost Effectiveness Analysis of Unicompartmental Knee Arthroplasty as an Alternative to Total Knee Arthroplasty for Unicompartmental Osteoarthritis. The Journal of Bone and Joint Surgery, 88, 1975-1982.
http://dx.doi.org/10.2106/JBJS.E.00597
[8] Ullrich, P.F. and Vaccaro, A.R. (2002) Patient Education on the Internet: Opportunities and Pitfalls. Spine, 27, 185-188.
http://dx.doi.org/10.1097/00007632-200204010-00019
[9] Bellamy, N. (2008) Western Ontario and McMasters University Index 3.1 User’s Guide IX.
[10] McHorney, C.A., Ware, J.E. and Raczek, A.E. (1993) The MOS 36-Item Short Form Health Survey (SF-36) II Psychometric and Clinical Tests of Validity in Measuring Physical and Mental Constructs. Medical Care, 31, 247-263.
http://dx.doi.org/10.1097/00005650-199303000-00006
[11] Stansfeld, S.A., Roberts, R. and Foot, S.P. (1997) Assessing the Validity of the SF-36 General Health Survey. Quality of Life Research, 6, 217-224.
http://dx.doi.org/10.1023/A:1026406620756
[12] Tellini, A., Ciccone, V., Blonna, D., Rossi, R, Marmotti, A. and Castoldi, F. (2007) Quality of Life Evaluation in Patients Affected by Osteoarthritis Secondary to Congenital Hip Dysplasia after Total Hip Replacement. Journal of Orthpaedic Traumatology, 9, 155-158.
http://dx.doi.org/10.1007/s10195-008-0022-6
[13] Ware, J.E. and Sherbourne, C.D. (1992) The MOS 36-Item Short-Form Health Survey (SF-36). Medical Care, 30, 473-483.
http://dx.doi.org/10.1097/00005650-199206000-00002
[14] Mancuso, C.A., Sculco, T., Wickiewics, T., Jones, E., Robbins, L., Warren, R. and Williams-Russo, P. (2001) Patients’ Expectations of Knee Surgery. Journal of Bone and Joint Surgery, 83, 1005-1012.
[15] Suda, A., Seeger, J., Bitsch, R., Clarus, M. and Drueger, M. (2010) Are Patient Expectations of Hip and Knee Arthroplasties Fulfilled? Orthopedics, 33, 76-80.
http://dx.doi.org/10.3928/01477447-20100104-07
[16] Knowles, M.S., Holton, E.F. and Swanson, R.A. (2005) The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development. Elsevier, Burlington.
[17] Kolb, D.A. (1984) Experimental Learning: Experience as the Source of Learning and Development. Prentice-Hall, Englewood Cliffs.
[18] Kolb, D.A., Boyatzis, R.E. and Mainemilis, C. (2000) Experimental Learning Theory: Previous Research and New Directions. In: Sternberg, R.J. and Zhang, L.F., Eds., Perspectives on Cognitive Learning, and Thinking Styles, New Jersey.
[19] Dewey, J. (1938) Experience and Education. Kappa Delta Pi, West Lafayette.

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.