The effects of educational intervention on improving the lifestyle of osteoarthritis patients undergoing total knee arthroplasty 10.55131/jphd/2022/200302

Main Article Content

Mahshid Javadi
Fateme Mirzaee
Bahareh A hmadinejad
Hamidreza Aslani
Fatemeh Bahramian
Mohammadali Sherafati

Abstract

Lifestyle affects health and life expectations and care training programs are attempts to change patients' lifestyles. The study aims to evaluate the effects of educational intervention on the lifestyle of patients with knee osteoarthritis. In this clinical trial, 60 patients with knee osteoarthritis were studied before and after total knee arthroplasty. Before surgery, health-promoting lifestyle profile II (HPLP II) was completed for all patients. Then the patients attended educational programs about aspects of lifestyle before undergoing total knee arthroplasty (TKA). Three months after the surgery, the questionnaire was again completed for all patients. Finally, the obtained data were analyzed statistically. The mean score of the components of health responsibility (vs. ), physical activity (vs.), nutrition (vs. ), self-actualization (vs. ), interpersonal support (vs. ), and total mean of HPLP II questionnaires (vs.) significantly increased after the training (p<0.05). However, the education program did not improve the mental stress management component (vs. p=0.479). Educational intervention can improve the lifestyle of patients with knee osteoarthritis after total knee arthroplasty. These training programs are ineffective in improving stress management components and should be further investigated by future studies. The present study provided significant findings on education and improving lifestyle. The findings of this study provide a new vision for policymakers to reduce health problems by refining lifestyles.

Article Details

How to Cite
1.
Javadi M, Mirzaee F, hmadinejad BA, Aslani H, Bahramian F, Sherafati M. The effects of educational intervention on improving the lifestyle of osteoarthritis patients undergoing total knee arthroplasty: 10.55131/jphd/2022/200302. J Public Hlth Dev [Internet]. 2022 Sep. 9 [cited 2024 Oct. 7];20(3):16-25. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/258382
Section
Original Articles
Author Biographies

Mahshid Javadi, Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.

Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.

Fateme Mirzaee, Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.

Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.

Ph.D. student, School of Physical Education, Sport and Exercise Sciences, University of Otago, New Zealand.

Bahareh A hmadinejad, Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.

Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.

Health Systems Engineering Research Center, Milad hospital, Tehran, Iran.

Hamidreza Aslani, Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.

Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.

Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Fatemeh Bahramian, Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.

Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.

MSc of Orthosis & Prosthesis, university of social welfare and rehabilitation sciences, Tehran, Iran.

Mohammadali Sherafati, Department of Management and accounting Allameh Tabataba' i University, Tehran, Iran.

Department of Management and accounting Allameh Tabataba' i University, Tehran, Iran.

References

Ahmad S, Gantenbein B, Evangelopoulos DS, Schär MO, Schwienbacher S, Kohlhof H, et al. Arthroplasty-current strategies for the management of knee osteoarthritis. Swiss medical weekly. 2015;145 (w14096):w14096.

Mirzaei F, Arazpour M, Roodsari RB, Bahramizadeh M, Mardani MA. Combined effects of a valgus knee brace and lateral wedge insole on walking in patients with medial compartment knee osteoarthritis. JPO: Journal of Prosthetics and Orthotics. 2018;30(1):39-45.

Sharif B, Kopec J, Bansback N, Rahman M, Flanagan W, Wong H, et al. Projecting the direct cost burden of osteoarthritis in Canada using a microsimulation model. Osteoarthritis and Cartilage. 2015;23(10):1654-63.

Ebrahimzadeh MH, Makhmalbaf H, Birjandinejad A, Keshtan FG, Hoseini HA, Mazloumi SM. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in persian speaking patients with knee osteoarthritis. Archives of bone and joint surgery. 2014;2(1):57.

Zhang M, Wang J. Epigenetic regulation of gene expression in osteoarthritis. Genes & diseases. 2015;2(1):69-75.

Marshall DA, Vanderby S, Barnabe C, MacDonald KV, Maxwell C, Mosher D, et al. Estimating the burden of osteoarthritis to plan for the future. Arthritis care & research. 2015;67(10):1379-86.

Leão MGdS, Santoro ES, Avelino RL, Coutinho LI, Granjeiro RC, Orlando Junior N. Quality-of-life assessment among patients undergoing total knee arthroplasty in Manaus. Revista Brasileira de Ortopedia. 2014;49:194-201.

Herrero-Sánchez MD, García-Iñigo MdC, Nuño-Beato-Redondo BS, Fernández-de-Las-Peñas C, Alburquerque-Sendín F. Association between ongoing pain intensity, health-related quality of life, disability and quality of sleep in elderly people with total knee arthroplasty. Ciencia & saude coletiva. 2014;19:1881-8.

Waciakowski D, Urban K. Comparative outcomes of total knee arthroplasty on physically active and passive patients. Acta Medica. 2011;54(2):69-72.

Todd A, Akhter N, Cairns J-M, Kasim A, Walton N, Ellison A, et al. The pain divide: a cross-sectional analysis of chronic pain prevalence, pain intensity and opioid utilisation in England. BMJ open. 2018;8(7):e023391.

Loef M, Walach H. The combined effects of healthy lifestyle behaviors on all cause mortality: a systematic review and meta-analysis. Preventive medicine. 2012;55(3):163-70.

Rizzuto D, Fratiglioni L. Lifestyle factors related to mortality and survival: a mini-review. Gerontology. 2014; 60(4):327-35.

Weiderpass E. Lifestyle and cancer risk. Journal of preventive medicine and public health. 2010;43(6):459-71.

Tanaka S, Kito A, Imai E. The Association between Combined Lifestyle Factors and All-Cause and Cause-Specific Mortality in Shiga Prefecture, Japan. Nutrients. 2020; 12(9):2520.

Capodaglio EM. Physical activity, tool for the prevention and management of chronic diseases. Giornale italiano di medicina del lavoro ed ergonomia. 2018;40(2):106-19.

Er MS, Altinel EC, Altinel L, Erten RA, Eroglu M. An assessment of sleep quality in patients undergoing total knee arthroplasty before and after surgery. Acta orthopaedica et traumatologica turcica. 2014;48(1):50-4.

Krenk L, Jennum P, Kehlet H. Sleep disturbances after fast-track hip and knee arthroplasty. British journal of anaesthesia. 2012;109(5):769-75.

Badon SE, Nance N, Fogelberg R, Quesenberry C, Hedderson MM, Avalos LA. Lifestyle-related education and counseling resource utilization and cardiovascular biomarkers in midlife women with low physical activity. Preventive medicine reports. 2021; 23:101401.

Sanaeinasab H, Saffari M, Yazdanparast D, Zarchi AK, Al-Zaben F, Koenig HG, et al. Effects of a health education program to promote healthy lifestyle and glycemic control in patients with type 2 diabetes: A randomized controlled trial. Primary Care Diabetes. 2021;15(2):275-82.

Coleman S, Briffa NK, Carroll G, Inderjeeth C, Cook N, McQuade J. A randomised controlled trial of a self-management education program for osteoarthritis of the knee delivered by health care professionals. Arthritis research & therapy. 2012;14(1):1-14.

Aydin D, Klit J, Jacobsen S, Troelsen A, Husted H. No major effects of preoperative education in patients undergoing hip or knee replacement–a systematic review. Dan Med J. 2015;62(7):A5106.

Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and validity of Persian version of the health-promoting lifestyle profile. Journal of Mazandaran University of Medical Sciences. 2012;21(1):102-13.

Johansson K, Katajisto J, Salanterä S. Pre‐admission education in surgical rheumatology nursing: towards greater patient empowerment. Journal of clinical nursing. 2010;19(21‐22):2980-8.

Ghavam-Nasiri M-R, Heshmati Nabavi F, Anvari K, Habashi Zadeh A, Moradi M, Neghabi G, et al. The effect of individual and group self-care education on quality of life in patients receiving chemotherapy: A randomized clinical trial. Iranian Journal of Medical Education. 2012;11(8):874-84.

Dash SK, Palo N, Arora G, Chandel SS, Kumar M. Effects of preoperative walking ability and patient's surgical education on quality of life and functional outcomes after total knee arthroplasty☆. Revista brasileira de ortopedia. 2017;52:435-41.

Yunis K, Beydoun H, Nakad P, Khogali M, Shatila F, Tamim H. Patterns and predictors of tobacco smoking cessation: a hospital-based study of pregnant women in Lebanon. International journal of public health. 2007;52(4):223-32.

Fujita K, Kang HS, Mawatari M, Makimoto K, Lee M, Hwang J. Quality of life, effects on Asian lifestyle, and perceived satisfaction after total hip arthroplasty in Japan and Korea. International journal of orthopaedic and trauma nursing. 2018;31:20-5.

Henje Blom E, Olsson E, Serlachius E, Ericson M, Ingvar M. Heart rate variability (HRV) in adolescent females with anxiety disorders and major depressive disorder. Acta Paediatrica. 2010;99(4):604-11.

Madore C, Yin Z, Leibowitz J, Butovsky O. Microglia, lifestyle stress, and neurodegeneration. Immunity. 2020;52(2):222-40.

Urquhart DM, Soufan C, Teichtahl AJ, Wluka AE, Hanna F, Cicuttini FM. Factors that may mediate the relationship between physical activity and the risk for developing knee osteoarthritis. Arthritis research & therapy. 2008;10(1):1-10.

Edwards MH, van der Pas S, Denkinger MD, Parsons C, Jameson KA, Schaap L, et al. Relationships between physical performance and knee and hip osteoarthritis: findings from the European Project on Osteoarthritis (EPOSA). Age and ageing. 2014; 43(6):806-13.

Bennell KL, Matthews B, Greig A, Briggs A, Kelly A, Sherburn M, et al. Effects of an exercise and manual therapy program on physical impairments, function and quality-of-life in people with osteoporotic vertebral fracture: a randomised, single-blind controlled pilot trial. BMC musculoskeletal disorders. 2010;11(1): 1-11.

Cox CE. Role of physical activity for weight loss and weight maintenance. Diabetes Spectrum. 2017;30(3):157-60.

Slentz CA, Bateman LA, Willis LH, Granville EO, Piner LW, Samsa GP, et al. Effects of exercise training alone vs a combined exercise and nutritional lifestyle intervention on glucose homeostasis in prediabetic individuals: a randomised controlled trial. Diabetologia. 2016;59(10):2088-98.

Ding X, Yao J. Peer education intervention on adolescents' anxiety, depression and sleep disorder during the COVID-19 pandemic. Psychiatria Danubina. 2020;32(3-4):527-35.