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The effect of a micro-visual intervention on the accelerated recovery of patients with kinesiophobia after total knee replacement during neo-coronary pneumonia.
Lu, Guanzhen; Wu, Tingting; Tan, Qin; Wu, Zhe; Shi, Lingmei; Zhong, Yan.
  • Lu G; Department of Orthopaedics, Huzhou Central Hospital, Zhejiang Province AND Central Hospital affiliated to Huzhou University.
  • Wu T; Department of Cardiology, Zhejiang Province, First Affiliated Hospital of Wenzhou Medical University.
  • Tan Q; Department of Orthopaedics, Huzhou Central Hospital, Zhejiang Province AND Central Hospital affiliated to Huzhou University.
  • Wu Z; Department of Orthopaedics, Huzhou Central Hospital, Zhejiang Province AND Central Hospital affiliated to Huzhou University.
  • Shi L; Department of Orthopaedics, Huzhou Central Hospital, Zhejiang Province AND Central Hospital affiliated to Huzhou University.
  • Zhong Y; Department of Orthopaedics, Huzhou Central Hospital, Zhejiang Province AND Central Hospital affiliated to Huzhou University.
Medicine (Baltimore) ; 100(6): e24141, 2021 Feb 12.
Article in English | MEDLINE | ID: covidwho-1101918
Semantic information from SemMedBD (by NLM)
1. Knee Replacement Arthroplasty (procedure) PRECEDES Interventional procedure
Subject
Knee Replacement Arthroplasty (procedure)
Predicate
PRECEDES
Object
Interventional procedure
2. Interventional procedure ADMINISTERED_TO Intervention Group
Subject
Interventional procedure
Predicate
ADMINISTERED_TO
Object
Intervention Group
3. Reactive Oxygen Metabolite Measurement MEASURES Neuro-Oncological Ventral Antigen
Subject
Reactive Oxygen Metabolite Measurement
Predicate
MEASURES
Object
Neuro-Oncological Ventral Antigen
4. Pain score PROCESS_OF Patients
Subject
Pain score
Predicate
PROCESS_OF
Object
Patients
5. Knee Replacement Arthroplasty (procedure) PRECEDES Interventional procedure
Subject
Knee Replacement Arthroplasty (procedure)
Predicate
PRECEDES
Object
Interventional procedure
6. Interventional procedure ADMINISTERED_TO Intervention Group
Subject
Interventional procedure
Predicate
ADMINISTERED_TO
Object
Intervention Group
7. Reactive Oxygen Metabolite Measurement MEASURES Neuro-Oncological Ventral Antigen 2, Human
Subject
Reactive Oxygen Metabolite Measurement
Predicate
MEASURES
Object
Neuro-Oncological Ventral Antigen 2, Human
8. Pain score PROCESS_OF Patients
Subject
Pain score
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

BACKGROUND:

The global neo-coronary pneumonia epidemic has increased the workload of healthcare institutions in various countries and directly affected the physical and psychological recovery of the vast majority of patients requiring hospitalization in China. We anticipate that post-total knee arthroplasty kinesiophobia may have an impact on patients' postoperative pain scores, knee function, and ability to care for themselves in daily life. The purpose of this study is to conduct a micro-video intervention via WeChat to verify the impact of this method on the rapid recovery of patients with kinesiophobia after total knee arthroplasty during neo-coronary pneumonia.

METHODS:

Using convenience sampling method, 78 patients with kinesiophobia after artificial total knee arthroplasty who met the exclusion criteria were selected and randomly grouped, with the control group receiving routine off-line instruction and the intervention group receiving micro-video intervention, and the changes in the relevant indexes of the two groups of patients at different time points on postoperative day 1, 3 and 7 were recorded and analyzed.

RESULTS:

There were no statistical differences in the scores of kinesiophobia, pain, knee flexion mobility (ROM) and ability to take care of daily life between the two groups on the first postoperative day (P > .05). On postoperative day 3 and 7, there were statistical differences in Tampa Scale for kinesiophobia, pain, activities of daily living scale score and ROM between the two groups (P < .01), and the first time of getting out of bed between the two groups (P < .05), and by repeated-measures ANOVA, there were statistically significant time points, groups and interaction effects of the outcome indicators between the 2 groups (P < .01), indicating that the intervention group reconstructed the patients' postoperative kinesiophobiaand hyperactivity. The level of pain awareness facilitates the patient's acquisition of the correct functional exercises to make them change their misbehavior.

CONCLUSIONS:

WeChat micro-video can reduce the fear of movement score and pain score in patients with kinesiophobia after unilateral total knee arthroplasty, shorten the first time out of bed, and improve their joint mobility and daily living ability. ETHICS This study has passed the ethical review of the hospital where it was conducted and has been filed, Ethics Approval Number 20181203-01.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Phobic Disorders / Pneumonia / Arthroplasty, Replacement, Knee / COVID-19 Type of study: Controlled clinical trial / Diagnostic study / Observational study / Qualitative research / Randomized controlled trials / Risk factors Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Medicine (Baltimore) Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Phobic Disorders / Pneumonia / Arthroplasty, Replacement, Knee / COVID-19 Type of study: Controlled clinical trial / Diagnostic study / Observational study / Qualitative research / Randomized controlled trials / Risk factors Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Medicine (Baltimore) Year: 2021 Document Type: Article