The Effect of Mobile-based Education and Exercise Program Given to Patients With Total Knee Replacement Surgery
Condition: Replacement, Knee
MeSH terms: Kinesiophobia
Study type: Interventional

Summary: 
      Total knee replacement (TDP) surgery is recognized as an effective surgical option for
      patients who develop moderate to severe osteoarthritis of the knee. Before, during and after
      TDP surgery, patients experience physical, psychological and social problems. After TDP
      surgery, patients may experience problems such as dependency and sleep problems in their
      daily living activities. Patients who have sleep problems, who cannot rest enough, become
      tired and experience anxiety as a result. It has been stated that the education given to the
      patients in the preoperative period reduces anxiety and analgesic needs and increases
      satisfaction. Progressive relaxation exercises in patients It has been shown to be effective
      in reducing symptoms such as anxiety, pain and fatigue. With the widespread use of mobile
      technologies, a rapid development is observed in mobile health applications and it is thought
      that its use in the field of health will provide great benefits to nursing services. This
      study is of the randomized controlled experimental type. During the application process, a
      mobile-based training and exercise program will be applied to the patients in the
      experimental group. As the education content, information about pre- and post-operative
      information and video-supported training content that will guide the patients with voice
      commands about the exercises that the patients will do before the surgery will be included in
      the mobile application. With the implementation of this program, continuity will be ensured
      by meeting the information needs of the patients before and after the surgery, and by
      performing progressive relaxation and knee exercises correctly and regularly. With the use of
      this mobile application, it is aimed to increase the physical functions of the patients by
      reducing the level of anxiety and fear of movement.
    


Intervention name(s): The mobile-based education and exercise program
Intervention type(s): Other
Intervention description(s): Starting from the preoperative period, mobile-based patient education, progressive relaxation exercise and knee exercise program will be applied to the patient as a whole. Mobile-based education will include pre-operative and discharge education. The patient will be given a progressive relaxation exercise with the support of the mobile application and the exercises included in the knee exercise program that should be done after the surgery will be shown. Progressive relaxation exercises will be applied twice a day in the afternoon and evening. Postoperative knee exercises will be performed 3 to 5 times a day, depending on the type of exercise. These exercises will be continued regularly for up to 4 weeks after discharge.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Supportive Care
Keywords: Mobile based application; Progressive relaxation exercise; Knee exercise; Kinesiophobia; Patient Education; Physical Function; Sleep Quality; Pain; Nursing