Thomas Timmers|Loes Janssen|Walter van der Weegen|Dirk Das|Willem J.C.M. Marijnissen|Gerjon Hannink|Babette C van der Zwaard|Adriaan Plat|Bregje J.W. Thomassen|Jesse J. Swen|Rudolf B Kool|Frederik O. Lambers Heerspink
The Effect of an App for Day-to-Day Postoperative Care Education on Patients With Total Knee Replacement: Randomized Controlled Trial
Radboud University Medical Center|Radboud University Nijmegen|Máxima Medisch Centrum|Radboud University Nijmegen|St. Anna Ziekenhuis|St. Anna Ziekenhuis|Albert Schweitzer Ziekenhuis|Radboud University Nijmegen|Radboud University Medical Center|Jeroen Bosch Ziekenhuis|Jeroen Bosch Ziekenhuis|Medisch Centrum Haaglanden|Medisch Centrum Haaglanden|Radboud University Nijmegen|Radboud University Medical Center|VieCuri Medisch Centrum
background patients undergo primary total knee replacement surgery tkr often discharged within 13 days surgery relatively short length hospital stay patients selfmanagement crucial factor optimizing outcome treatment case tkr selfmanagement primarily involves adequate pain management followed physiotherapy exercises daily selfcare activities patients educated topics hospital staff upon discharge hospital often struggle comprehend information due quantity complexity passive mode communication used convey objective study primarily aims determine whether actively educating tkr patients timely daytoday postoperative care information app could lead decrease level pain compared receive standard information recovery app addition physical functioning quality life ability perform physiotherapy exercises daily selfcare activities satisfaction information perceived involvement hospital health care consumption also assessed methods multicenter randomized controlled trial performed five dutch hospitals total 213 patients undergone elective primary unilateral tkr participated patients access app smartphone tablet guide discharge intervention group could unlock daytoday information entering personal code control group received weekly basic information primary level pain secondary outcomes physical functioning quality life ability perform physiotherapy exercises activities daily selfcare satisfaction information perceived involvement hospital health care consumption measured using selfreported online questionnaires outcomes measured weekly four weeks discharge except physical functioning quality life measured baseline four weeks discharge data analyzed using student tests chisquare tests linear mixed models repeated measures results total 114 patients enrolled intervention group ig 99 control group cg four weeks discharge patients ig performed significantly better patients cg dimensions pain pain rest mean 345 vs mean 459 p001 pain activity mean 399 vs mean 508 pamplt001 pain night mean 418 vs mean 521 p003 additionally significant differences demonstrated favor intervention group secondary outcomes conclusions four weeks following tkr active daytoday education patients via app significantly decreased level pain improved physical functioning quality life ability perform physiotherapy exercises activities daily selfcare satisfaction information perceived involvement hospital health care consumption compared standard patient education given rising number tkr patients increased emphasis selfmanagement suggest using app timely postoperative care education standard part care trial registration netherlands trial register ntr7182 httpswwwtrialregisternltrial6992