Physical Function and Life-Space Mobility in Older Adults after Total Knee Arthroplasty: A Follow-Up Study
Keywords:
ความสามารถในการทำกิจกรรม, ระยะการเคลื่อนที่ในการดำเนินชีวิต, ผู้สูงอายุ, การผ่าตัดเปลี่ยนข้อเข่าเทียมทั้งข้อAbstract
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.
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