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