ความสามารถในการทำกิจกรรมและระยะการเคลื่อนที่ในการดำเนินชีวิต ของผู้สูงอายุหลังผ่าตัดเปลี่ยนข้อเข่าเทียมทั้งข้อ: การศึกษาติดตาม

Nipa Injun; Suparb  Aree-Ue; Inthira  Roopsawang

Authors

Nipa Injun Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University,
Suparb Aree-Ue Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University,
Inthira Roopsawang Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University,

Keywords:

ความสามารถในการทำกิจกรรม, ระยะการเคลื่อนที่ในการดำเนินชีวิต, ผู้สูงอายุ, การผ่าตัดเปลี่ยนข้อเข่าเทียมทั้งข้อ

Abstract

Objective: To describe and compare older adults’ physical function and life-space mobility before and at 6-month post-surgery.

Design: Prospective study

Methodology: Participants were one hundred fifty-three older adults, who underwent total knee arthroplasty at a university tertiary care hospital in Bangkok. They were recruited based on the inclusion criteria. The research instruments consisted of the Demographic and Health Information Questionnaire, Knee Injury and Osteoarthritis Outcome Score for Joint Replacement, and the Life-Space Assessment. Data were collected in the sixth month after surgery via telephone or face-to-face interviews when the patient’ follow-up visits at the orthopedic outpatient department. Data were analyzed using descriptive statistics and Wilcoxon signed-rank test. A p-value of .05 was set for a statistically significant level.

Result: The participants’ preoperative score on physical function was low, but it significantly improved in 6-month post-surgery (Z = 10.25, p <.05). Notably, the participants’ preoperative life-space mobility score was low, and was significantly decreased at 6-month post-surgery compared to that before surgery (Z = 3.98, p < .05).

Recommendations: Nurses and healthcare teams should emphasize assessment and planning to promote life-space mobility in older adults having undergone total knee replacement surgery, to enable them to maintain optimal physical ability, self-reliance, and diminish dependency during the recovery phase.

References

Institute for Population and Social Research. Thai health 2019 [Internet]. 2019 [cited 2020 June 17]. Available from: https://dol.thaihealth.or.th/Media/Index/7cb6243e-7370-e911-80e6-00155d93ef00# (in Thai)

Global Burden of Disease 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the global burden of disease study 2017. Lancet. 2018;392(10159), 1789–1858. https://doi.org/10.1016/S0140-6736(18)32279-7

Aekplakorn W, editor. The 6th Thai people’s health survey by physical examination 2019-2020 [Internet]. Bangkok: Aksorn grphic and design publishing limited partnership; 2021 [cited 2022 March 15]. Available from: https://www.hsri.or.th/media/printed-matter/detail/13443 (in Thai)

Thai Rheumatism Association. Guideline for the treatment of osteoarthritis of knee [Internet]. 2010 [cite 2019 June 19]. Available from: https://thairheumatology.org/ phoca download/ 36/Guideline_ 003.pdf (in Thai)

Newberry SJ, FitzGerald J, SooHoo NF, Booth M, Marks J, Motala A, et al. Treatment of osteoarthritis of the knee: an update review. comparative effectiveness review no. 190. Agency for Healthcare Research and Quality (US); 2017.

Apichantramethakul K, Sroisong S, Eiu-Seeyok B. Nursing for clients with knee osteoarthritis undergoing knee replacement surgery. JPNC. 2018;29(1):223-38. (in Thai)

Bade MJ, Kohrt WM, Stevens-Lapsley JE. Outcomes before and after total knee arthroplasty compared to healthy adults. J Orthop Sports Phys Ther. 2010;40(9): 559–67. doi.org/10.2519/jospt.2010.3317

Kim TK, Kwon SK, Kang YG, Chang CB, Seong SC. Functional disabilities and satisfaction after total knee arthroplasty in female Asian patients. J Arthroplasty. 2010;25(3):458–64. doi.org/10.1016/j.arth. 2009.01.018

Van Manen MD, Nace J, Mont MA. Management of primary knee osteoarthritis and indications for total knee arthroplasty for general practitioners. J Am Osteopath Assoc. 2012;112(11):709–15.

Aree-Ue S, Roopsawang I, Kawinwonggowit V. Factors predicting functional ability among older adults undergoing hip and knee arthroplasty. Pacific Rim Int J Nurs Res. 2019;23(2): 156-69.

Chawengkiattikul S, Aree-Ue S, Youngcharoen P, Kawinwonggowit V. Patients’ expectations to postoperative outcomes among older adults undergoing total knee arthroplasty and its related factors. JOPN. 2019;11(2):361-73. (in Thai)

Conner-Spady BL, Bohm E, Loucks L, Dunbar MJ, Marshall DA, Noseworthy TW. Patient expectations and satisfaction 6 and 12 months following total hip and knee replacement. Qual Life Res. 2020;29(3): 705–19. doi.org/10.1007 /s11136-019-02359-7

Gonzalez Sáenz de Tejada M, Escobar A, Herrera C, García L, Aizpuru F, Sarasqueta C. Patient expectations and health-related quality of life outcomes following total joint replacement. Value Health. 2010;13(4): 447–54. doi.org/10.1111/j.1524-4733.2009. 00685

Hiyama Y, Wada O, Nakakita S, Mizuno K. Factors affecting mobility after knee arthroplasty. J Knee Surg. 2017;30(4):304–08. doi.org/10.1055/ s-0036-1584562

Hiyama Y, Kamitani T, Mori K. Effects of an intervention to improve life-space mobility and self-efficacy in patients following total knee arthroplasty. J Knee Surg. 2019;32(10):966-71. doi. org/10.1055/s-0038-1672199

Tobinaga T, Obayashi S, Miyamoto R, Oba K, Abe N, Tsukamoto S, et al. Factors influencing life-space mobility change after total knee arthroplasty in patients with severe knee osteoarthritis. J Phys Ther Sci. 2019;31(11):889-94. doi: 10.1589/jpts.31.889

World Health Organization. International classification of functioning, disability and health (ICF) [Internet]. 2001 [cited 2020 August 10]. Available from: https://apps.who.int/iris/handle/10665/42407

Cher E, Tay KS, Zhang K, Tan SB, Howe TS, Koh J. The effect of comorbidities and age on functional outcomes after total knee arthroplasty in the octogenarian: a matched cohort study. Geriatr Orthop Surg Rehabil. 2018;9:1-7. doi.org/10.1177/215145931876 9508

Mizner RL, Petterson SC, Snyder-Mackler L. Quadriceps strength and the time course of functional recovery after total knee arthroplasty. J Orthop Sports Phys Ther. 2005;35(7): 424–36. doi.org/10.2519/ jospt.2005.35.7.424

Aree-Ue S, Youngcharoen P. The 6 item cognitive function test-thai version: psychometric property testing. Rama Nurs J. 2020;26(2):188-202. (in Thai)

Kohn MA, Senyak J. Sample Size Calculators [Internet]. 2021 [cited 2022 March 3]. Available from: https:// www.sample-size.net/

Aberson CL. Applied power analysis for the behavioral sciences. 2nd ed. New York: Taylor and Francis Group; 2019.

Brooke P, Bullock R. Validation of a 6 items cognitive impairment test with a view to primary care usage. Int J Geriatr Psychiatry. 1999;14(11):936–40.

Baker PS, Bodner EV, Allman RM. Measuring life-space mobility in community-dwelling older adults. J Am Geriatr Soc. 2003;51(11):1610–14. doi.org/10. 1046/j.1532-5415.2003. 51512.x

Aree-Ue S, Roopsawang I, Chintapanyakun T, Saraboon Y, Intharakasem S, Kawinwonggowit V. Monitoring changes in health dimensions among Thai older persons prior to covid-19 pandemic, during the pandemic, and new normal [Internet]. 2022 [cited 2022 April 18]. Available from: https://kb.hsri.or.th/dspace/bitstream/handle/11228/5488/hs2754.pdf?sequence=3&isAllowed=y(inThai)

Lyman S. Knee injury and osteoarthritis outcome score for joint replacement (KOOS, JR.) [Internet]. 2017 [cited 2020 August 25]. Available from: https://www.hss.edu/files/hss-koos-jr.pdf

Jarungvittayakon C. Knee injury and osteoarthritis outcome score for joint replacement (KOOS JR) assessment [Unpublished]. Bangkok: Surgical and Orthopedic Special Outpatient Examination Unit, Faculty of Medicine Ramathibodi Hospital; 2019. (in Thai)

Lyman S, Lee YY, Franklin PD, Li W, Cross MB, Padgett DE. Validation of the koos, jr: a short-form knee arthroplasty outcomes survey. Clin Orthop Relat Res. 2016;474(6):1461–71. doi.org/10.1007/ s11999-016-4719-1

Sroisong S, Rueankon A, Fuongtong P, Srathong P. Nursing Care for Elderly People with Knee Osteoarthritis. Reg11med. 2019;33(2):197-210. (in Thai)

Hunter DJ, Bierma-Zeinstra S. Osteoarthritis. Lancet. 2019;393(10182):1745–59. https://doi.org/10.1016/S0140-6736(19)30417-9

Ahmad MA, Ajit Singh DK, Chua WQ, ABD Rahman NNA, Fazlina@Asma MP, Muhammad Hendri EN. Knee osteoarthritis and its related issues: patients’ perspective. JSKM. 2018; 16(2):171-7. doi. org./10.17576/JSKM-2018-23

Alkan BM, Fidan F, Tosun A, Ardıçoğlu O. Quality of life and self-reported disability in patients with knee osteoarthritis. Mod Rheumatol. 2014;24(1):166-71. doi.org/10.3109/ 14397595. 2013.854046

Lee DK, Kim HJ, Cho IY, Lee DH. Infection and revision rates following primary total knee arthroplasty in patients with rheumatoid arthritis versus osteoarthritis: a meta-analysis knee surgery. Knee Surg Sports Traumatol Arthrosc. 2017;25(12):3800–07. doi.org/10. 1007/ s00167-016-4306-8

Leichtenberg CS, Vliet Vlieland T, Kroon HM, Dekker J, Marijnissen WJ, Damen PJ, et al. Self-reported knee instability associated with pain, activity limitations, and poorer quality of life before and 1 year after total knee arthroplasty in patients with knee osteoarthritis. J Orthop Res. 2018;36(10):2671–78. doi.org/ 10.1002/jor.24023

Sayah SM, Karunaratne S, Beckenkamp PR, Horsley M, Hancock MJ, Hunter DJ, et al. Clinical course of pain and function following total knee arthroplasty: a systematic review and meta-regression. J Arthroplasty. 2021;36(12):3993–4002. doi.org/10. 1016/j.arth. 2021.06.019

Papakostidou I, Dailiana ZH, Papapolychroniou T, Liaropoulos L, Zintzaras E, Karachalios TS, et al. Factors affecting the quality of life after total knee arthroplasties: a prospective study. BMC Musculoskelet Disord. 2012;13(1):1-9. doi.org/10.1186/ 1471-2474-13-116

Boonprakob T, Sasat S. Selected factors related to postoperative recovery in older person with total knee arthroplasty. RTNNMDjournal. 2019;46(2):355-68. (in Thai)

Chen Y, Klein SL, Garibaldi BT, Li H, Wu C, Osevala NM, et al. Aging in covid-19: vulnerability, immunity and intervention. Ageing Res Rev. 2021;65:1-11. doi.org/10.1016/ j.arr.2020.101205

Garibaldi BT, Fiksel J, Muschelli J, Robinson ML, Rouhizadeh M, Perin J, Schumock G, et al. Patient trajectories among persons hospitalized for covid-19: a cohort study. Ann Intern Med. 2021;174(1):33–41. doi.org/10.7326/M20-3905

Wu C, Chen X, Cai Y, Xia J, Zhou X, Xu S, Huang H, et al. Risk factors associated with acute respiratory distress syndrome and death in patient with coronavirus disease 2019 pneumonia in Wuhan, China. JAMA Intern Med. 2020;180(7):934–943. doi.org/ 10.1001/ jamainternmed.2020.0994

Perracini MR, de Amorim J, Lima CA, da Silva A, Trombini-Souza F, Pereira DS, et al. Impact of covid-19 pandemic on life-space mobility of older adults living in Brazil: REMOBILIZE study. Front Public Health. 2021;9:1-11. doi.org/10.3389/fpubh. 2021.64360

Saraiva MD, Apolinario D, Avelino-Silva TJ, de Assis Moura Tavares C, Gattás-Vernaglia IF, Marques Fernandes C, et al. The impact of frailty on the relationship between life-space mobility and quality of life in older adults during the covid-19pandemic. J Nutr Health Aging. 2021;25(4):440–447. doi. org/10.1007/s12603-020-1532-z