The Effects of Self-regulation Promoting Program on Anxiety, Practices, and Knee Range of Motion among Patients with Total Knee Arthroplasty

  • Kittisak Kumpeera คณะพยาบาลศาสตร์ มหาวิทยาลัยนเรศวร
  • Wongduan Suwannakeeree
  • Rungnapa Chairat
  • Artit Laoruengthana
Keywords: Self-regulation, Anxiety, Practice, Knee Range of Motion, Total Knee Arthroplasty

Abstract

   The purposes of  this quasi-experimental research were to study the effects of Self-regulation Promoting Program on anxiety, practices, and  knee range of motion among patients with total knee arthroplasty. The sample was patients who were going to total knee arthroplasty in Naresuan University Hospital, Phitsanulok, Thailand. Thirty patients were recruited to each the experimental and control groups. The control group received routine nursing care and the experimental group received the Self-regulation Promoting Program based on the Self-regulation Theory of Leventhal and Johnson (1983). The research instruments included anxiety and postoperative practice assessment form and goniometer. The content validity index (CVI) of the instruments were .99 and .89, respectively. Cronbach’ Alpha Coefficient of reliability were .92 and .88, respectively and interrater reliability of goniometer measurement was 1. Data were analyzed using descriptive statistics, paired
t-test, and independent t-test. The results revealed that:

1. The anxiety before surgery of the patients in the experimental group after received Self-regulation promoting program were significantly less than those in the control group after received routine nursing care (p<.001).             

2. The anxiety before surgery of the patients in the experimental group after received Self-regulation promoting program were significantly less than before received the program (p<.001).             

3. The practice after surgery 48 hours of the patients in the experimental group were significantly higher than those in the control group (p<.001).             

4. The knee range of motion after surgery 48 hours of the patients in the experimental group were significantly higher than those in the control group (p<.001).

Downloads

Download data is not yet available.

References

Anganan, N. (2004). The effect of preadmission teaching program on postoperative recovery, knowledge and

Satisfaction in total knee arthroplasty patients. Master Thesis (Nursing), Mahidol University, Bangkok. [In Thai].

Buranapiyawong, L. (2001). Effect of preparation information on anxiety, knowledge ans self – peactice in

patients undergoing hip replacement surgery. Master Thesis (Nursing), Khonkaen University, Khonkaen. [In Thai].

Caumo, W., Schmidt, A.P., Schneider, C.N., Bergmann, J., Iwamoto, C.W., Adamatti, L.C., … Ferreira, M.B.

(2001). Risk factors for postoperative anxiety in adults. Association anaesthesia, 56(8), 720 – 728.

Charoenchonvanich, K. (2016). Osteoarthritis of the knee. In K. Charoenchonvanich, (Ed.), Reconstructive

surgery of the osteoarthritic knee (pp. 3 - 9). Bangkok: Siriraj Books. [In Thai].

Choojaturo, S. (2009). The effect of guided imagery on postoperative pain and state anxiety in total knee

arthroplasty patient. Master Thesis (Nursing), Mahidol University, Bangkok. [In Thai].

Damar, H.T., Bilik, O., Karayurt, O., & Ursavas, F.E. (2018). Factors related to older patients’ fear of falling

during the First mobilization after total knee replacement and total hip replacement. Geriatric Nursing,

(4), 382 – 387.

Duivenvoorden, T., Vissers, M.M., Verhaar, J.A.N., Busschbach, J.J.V., Gosens, T., Bloem, R.M., … Reijman, M. (2013). Anxiety and depressive symptoms before and after total hip and knee arthroplasty: a prospective multicentre study. Osteoartritis and cartilage, 21(12), 1834 – 1840.

Edwards, P. K., Mears, S. C., & Lowry Barnes, C. (2017). Preoperative education for hip and knee replacement: Never stop learning. Current Reviews in Musculoskeletal Medicine, 10(3), 356 – 364.

Ethgen, O., Bruyere, O., Richy, F., Dardennes, C., & Reginster, J.Y. (2004). Health – related quality of life in total hip and total knee arthroplasty. A qualitative and systemic review of the literature. Journal of Bone and Joint Surgery. American Volume, 86(5), 963 – 974.

Gerawarapong, C. (2011). Adherence to inpatient rehabilitation clinical practice guideline for patient with

knee osteoarthritis after total knee replacement. Journal of Thai Rehabilitation Medicine, 21(3), 99 – 102. [In Thai].

Hanusch, B.C., O’Connor, D.B., Ions, P., Scott, A., & Gregg, P.J. (2014). Effects of psychological distress and

perceptions of illness on recovery from total knee replacement. Bone & Joint Journal, 96B(2), 210 – 216.

Iemphong, L. (2010). The effects of empowerment program on postoperative recovery and knowledge of

minimally invasive total knee arthroplasty surgery. Master Thesis (Nursing), Christian University,

Bangkok. [In Thai].

Iemphong, L., & Chaiyakit, P. (2018). The effects of preoperative program on anxiety and postoperative

recovery of total knee arthroplasty patients. Vajira Nursing Journal, 20(2), 33 – 41. [In Thai].

Jiracheewee, P. (2008). Effects of education supportive nursing system on preoperative anxiety and

intraoperative cooperation of the elderly undergone cataract surgery, outpatient cases. Master Thesis

(Nursing), Chulalongkorn University, Bangkok. [In Thai].

Kasteren, Y., Freyne, J., & Hussain, M. S. (2018). Total knee replacement and the effect of technology on cocreation for improved outcomes and delivery: Qualitative multi-stakeholder study. Journal of medical Internet research, 20(3), e95.

Kuptniratsaikul, V. (2016). Rehabilitation of patients after knee replacement surgery. In K. Charoenchonvanich, (Ed.), Reconstructive surgery of the osteoarthritic knee (pp. 321 – 333). Bangkok: Siriraj Books. [In Thai].

Kurtz, S., Ong, K., Lau, E., Mowat, F., & Halpern, M. (2007). Projections of primary and revision hip and knee

arthroplasty in the United States from 2005 to 2030. Journal of Bone and Joint Surgery. American Volume, 89(4), 780 – 785.

Krittayapoositpot, N., & Jitpanya, Ch. (2007). Effects of giving pre-operative information and music listening on

anxiety and postoperative pain in patients with lower limb fractures during spinal anesthesia. Master

Thesis (Nursing), Chulalongkorn University, Bangkok. [In Thai].

Leventhal, H., & Johnson, J.E. (1983). Laboratory and field experimentation: Development of a theory of

self-regulation. In P.J. Wooldridge, M. H.Schmitt, J. K. Skipper, & R. C. Leonard, (Eds.), Behavioral

science and nursing theory (pp.189 – 262). St. Louis, MO: Mosby.Orthopedics nursing unit. (2016). The quality indicator of orthopedics nursing unit. Phitsanulok: Naresuan University Hospital.

Polkaew, P., & Rodpal, J. (2017). A result of preparation program of knee replacement surgery to an anxiety

of the elderly patients with knee osteoarthritis. Journal of Preventive Medicine Association of Thailand,

(3), 251 – 261. [In Thai].

Yodrach, M., & Choowattanapakorn, T. (2013). The effects of a preparation program combined with a rubber

chain exercise program on the functional capacity of elderly post total knee arthroplasty. Nursing

Journal of the Ministry of Public Health, 13(15), 63 – 75. [In Thai].

Yodkaew, M., Kongsuwan, V., & Vanaleesin, S. (2010). Nursing practical guideline for reducing anxiety during

operation with spinal block: A review of the literature. Princess of Naradhiwas University Journal, 2(2),

– 70. [In Thai].

Published
2020-07-16
How to Cite
Kumpeera, K., Suwannakeeree, W., Chairat, R., & Laoruengthana, A. (2020). The Effects of Self-regulation Promoting Program on Anxiety, Practices, and Knee Range of Motion among Patients with Total Knee Arthroplasty. Journal of Nursing and Health Sciences, 14(2), 14-27. Retrieved from https://he01.tci-thaijo.org/index.php/NurseNu/article/view/243248