Effects of video teaching combined with empowerment theory on rehabilitation training in elderly patients undergoing total knee arthroplasty / 中国实用护理杂志

ABSTRACT

Objective:To investigate the effects of video teaching combined with empowerment theory on activation of rehabilitation training and prognosis in elderly patients undergoing total knee arthroplasty (TKA).Methods:A total of 174 elderly TKA patients from September 2017 to September 2018 were selected and assigned into 2 groups (87 cases each group) by random number table, the control group was given routine nursing, on the basis of the control group, the observation group was given rehabilitation training instruction based on video teaching and empowerment theory. The time of intervention was 3 months. Patient Activation Measure(PAM) was used to assess the activation of rehabilitation training of patients in the 2 groups, Hospital for Special Surgery knee Score (HSS) was used to assess the patients′ prognosis.Results:After intervention, the scores of cognitive, skill, action, belief dimensions and the total score of the observation group were (11.24±1.49), (31.94±3.59), (22.59±3.02), (16.82±2.34), (82.59±6.29) significantly higher than (9.42±1.47), (29.48±4.29), (20.24±3.31), (14.29±2.57), (73.43±5.63) of the control group, the difference was significant ( t value was 4.102-10.121, all P <0.01). After intervention, the HSS scores of the observation group was (79.24±3.78), which was significantly higher than (72.45±3.13) of the control group ( t value was 12.905, P<0.01). Conclusions:The rehabilitation training instruction based on video teaching combined with empowerment theory can improve activation of rehabilitation training and function recovery of knee joint in elderly TKA patients.