The effectiveness of a mobile application-based programme for rehabilitation after total hip or knee arthroplasty: A randomised controlled trial.
Int J Nurs Stud
; 140: 104455, 2023 Apr.
Article
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| MEDLINE
| ID: mdl-36821950
ABSTRACT
BACKGROUND:
Total hip arthroplasty and total knee arthroplasty are widely performed worldwide. Patients undergoing total hip or knee arthroplasty are often discharged after a short hospital stay. Using information and communication technologies, such as mobile applications, to provide rehabilitation services remotely may be a strategy to support patients' postoperative recovery.OBJECTIVE:
This study aimed to evaluate the effectiveness of a rehabilitation programme delivered via a mobile application among Chinese patients after total hip or knee arthroplasty.DESIGN:
Randomised controlled trial.SETTING:
A teaching hospital in Shanghai, China.PARTICIPANTS:
Eighty-six patients who received a unilateral primary total hip or knee arthroplasty.METHODS:
The participants were recruited in the hospital and randomised into either the experimental or control group. Once discharged from the hospital, the control group (nâ¯=â¯43) received usual care, and the experimental group (nâ¯=â¯43) received usual care plus a 6-week mobile rehabilitation programme. Outcomes were assessed three times the day before hospital discharge and 6 and 10â¯weeks after discharge. Primary outcomes were the changes in scores of self-efficacy and patient-reported physical function from baseline to 6â¯weeks post-discharge. Secondary outcomes included changes in scores of pain, depression, anxiety, and health-related quality of life. Data were analysed using generalised estimating equations.RESULTS:
At 6â¯weeks after hospital discharge, the experimental group showed statistically significant improvements compared to the control in scores of self-efficacy (adjusted mean differenceâ¯=â¯0.72, 95% CI 0.31 to 1.14, Pâ¯<â¯.001) and patient-reported physical function (adjusted mean differenceâ¯=â¯4.57, 95% CI 1.24 to 7.90, Pâ¯=â¯.007). The between-group difference in self-efficacy probably reached clinical significance. At week-10 follow-up, the experimental group had statistically significant improvements in scores of self-efficacy (adjusted mean differenceâ¯=â¯0.64, 95% CI 0.33 to 0.95, Pâ¯<â¯.001), health-related quality of life (adjusted mean differenceâ¯=â¯0.06, 95% CI 0.01 to 0.10, Pâ¯=â¯.018), anxiety (adjusted mean differenceâ¯=â¯-0.51, 95% CI -0.91 to -0.10, Pâ¯=â¯.015), and depression (adjusted mean differenceâ¯=â¯-0.37, 95% CI -0.66 to -0.08, Pâ¯=â¯.012). The between-group difference in self-efficacy and health-related quality of life may be clinically significant.CONCLUSION:
Mobile application-based rehabilitation demonstrated potentially positive effects on patients' self-efficacy, patient-reported physical function, health-related quality of life, and levels of anxiety and depression. TRIAL REGISTRATION Registered with the Australian New Zealand Clinical Trials Registry on 6 July 2021 (ACTRN12621000867897).Palabras clave
Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Artroplastia de Reemplazo de Cadera
/
Artroplastia de Reemplazo de Rodilla
/
Aplicaciones Móviles
Tipo de estudio:
Clinical_trials
/
Evaluation_studies
País/Región como asunto:
Asia
Idioma:
En
Revista:
Int J Nurs Stud
Año:
2023
Tipo del documento:
Article