Efficiency of Printed Patient Information Leaflets Written for Total Knee and Hip Arthroplasty Patients to Reduce Their Fear of Surgery
- The study included patients who had been booked for total knee arthroplasty and total hip arthroplasty surgery, and they had to agree to review our educational material and complete questionnaires about the evaluation of the educational booklet and the SFQ questionnaire, which assesses fear of the surgical process.
- Patients who chose not to complete questionnaires.
2.1. Study Process
2.2. Patient Information Guide
- The first part described knee and hip prosthesis types, the expected lifetime of replacements, and the factors that affect their lifetime.
- The second part focused on the importance of preoperative programmes. In order to avoid pain, patients load their healthy side more, resulting in a changed posture. Patients do not use the appropriate muscles while walking, which results in a decrease in muscle strength and muscle tone on the painful side, which in turn makes postoperative rehabilitation longer and more difficult. In this part, we also informed patients that preoperative exercises under the supervision of a physiotherapist could help strengthen or, if necessary, relax the affected muscles around the joint to be replaced, which may shorten the rehabilitation period after surgery. They can also learn exercises that we deem important to start immediately after the surgery. Patients were also informed about the walking aids that they would have to use after surgery if they decided to participate in our program. The patient education material also included information on where our preoperative programme would be available for patients waiting for hip and knee arthroplasty surgeries.
- In the third part, our patients received useful advice on lifestyle, such as how to get out of bed after surgery and how to use a high bed and chair after surgery. The information also highlighted the use of a burlap or elastic bandage. The leaflet also described the near and far aids to use after surgery. It also explained how to transport patients to their homes immediately after surgery or after postoperative rehabilitation. They also described options for patients to continue regular exercise and sports activities (swimming, cycling, or driving) after the postoperative rehabilitation period.
- Intensive stretching of the hip, leaning forward (if it is necessary to bend down, slide your operated leg backwards extended, and bend your healthy leg);
- Crossing legs in any posture;
- Supination and pronation of the operated leg with straight legs;
- Twisting the torso while standing with straight legs (the leg must be moved in the direction of the rotation in sync with the body).
- The fourth part offered a general description of postoperative rehabilitation, which is further divided into two stages: early and late rehabilitation. The former begins on the day of the operation at the Department of Traumatology. Based on the recommendations of the surgeon in terms of load, a physiotherapist teaches patients how to do tailored exercises and how to use their mobility aids. In the late rehabilitation stage, when a patient has left the department where the operation was performed, rehabilitation may be continued either at the Department of Rehabilitation or at the patient’s home in the form of home patient care, based on the recommendation of the specialist who performed the surgery. The first phase of late rehabilitation can be carried out more efficiently in a hospital setting because of the availability of equipment that supports the restoration of joint functionality and facilitates a quicker recovery.
2.3. Data Collection
2.3.1. Questionnaires Used for Data Collection
Surgical Fear Questionnaire (SFQ)
Self-Designed Questionnaire to Measure the Effectiveness and Usability of the Patient Information Leaflet
2.4. Statistical Analysis
2.5. Ethical Approval
3.1. Demographic Data
3.2. Surgical Fear Questionnaire (SFQ)
3.3. Evaluation of the Patient Information Leaflet in Terms of Clarity, New Information Content, and Usefulness
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
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|Baseline||Control Group||Intervention Group|
|Surgery||Group||Median||IQR||p-value (age under 70 vs. 70 and over)||Median||IQR||p-value (age under 70 vs. 70 and over)||p-value (baseline vs. intervention group)||Median||IQR||p-value (age under 70 vs. 70 and over)||p-value (baseline vs. intervention group)|
|Total knee arthroplasty||under 70||38.00||30.00–40.00||0.835||54.00||20.00–69.00||0.097||0.379||22.50||19.00–28.00||0.298||0.058|
|70 and over||36.50||31.50–39.50||75.00||63.00–84.00||0.002||17.50||15.50–23.50||0.001|
|Total hip arthroplasty||under 70||35.00||28.00–42.00||0.992||56.00||31.00–71.00||0.008||0.016||20.00||16.00–22.00||0.719||<0.001|
|70 and over||33.50||27.50–43.00||77.00||73.00–86.00||<0.001||20.00||15.50–23.50||<0.001|
|Total Hip Arthroplasty||Total Knee Arthroplasty|
|coeff [95% CI]||p||coeff [95% CI]||p|
|Age (years)||−0.05 [−0.34–0.23]||0.711||1.23 [0.02–2.44]||0.046|
|Gender (female/male)||4.71 [−1.4–10.81]||0.128||17.34 [2.19–32.48]||0.027|
|Group (control/intervention)||55.15 [50.14–60.16]||<0.001||49.5 [34.92–64.08]||<0.001|
|Total knee arthroplasty||total||12.00||12.00–12.00||12.00||11.25–12.00||12.00||12.00–12.00|
|Total hip arthroplasty||total||12.00||11.25–12.00||11.50||10.00–12.00||12.00||11.00–12.00|
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Szilágyiné Lakatos, T.; Lukács, B.; Nagy, A.C.; Jenei, Z.; Veres-Balajti, I. Efficiency of Printed Patient Information Leaflets Written for Total Knee and Hip Arthroplasty Patients to Reduce Their Fear of Surgery. Geriatrics 2023, 8, 89. https://doi.org/10.3390/geriatrics8050089
Szilágyiné Lakatos T, Lukács B, Nagy AC, Jenei Z, Veres-Balajti I. Efficiency of Printed Patient Information Leaflets Written for Total Knee and Hip Arthroplasty Patients to Reduce Their Fear of Surgery. Geriatrics. 2023; 8(5):89. https://doi.org/10.3390/geriatrics8050089Chicago/Turabian Style
Szilágyiné Lakatos, Tünde, Balázs Lukács, Attila Csaba Nagy, Zoltán Jenei, and Ilona Veres-Balajti. 2023. "Efficiency of Printed Patient Information Leaflets Written for Total Knee and Hip Arthroplasty Patients to Reduce Their Fear of Surgery" Geriatrics 8, no. 5: 89. https://doi.org/10.3390/geriatrics8050089