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Influence of structured telephone follow-up on patient compliance with rehabilitation after total knee arthroplasty

机译：结构性电话随访对全膝关节置换术后患者康复依从性的影响

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Introduction: To assess the effects of structured telephone follow-up on patient’s home-exercise compliance after total knee arthroplasty (TKA). Methods: A total of 202 elderly patients who received a unilateral TKA were enrolled in this study. The participants were randomized into two groups: the intervention group that received structured telephone follow-up after discharge and the control group that received routine health care. Pain, functional ability, quality of life, and depression survey scores were measured before and after TKA. The intergroup and intragroup differences were analyzed during the 12?months following discharge. Results: There were no significant differences in the sociodemographic characteristics of both groups. The mean home-exercise time and total days in the intervention group were significantly higher than those in the control group. Variable scores differed significantly between groups. Pain, functional ability, quality of life, and depression improved significantly after TKA in both groups, and the intervention group had greater improvement in mental health and active range of motion. Conclusion: Undergoing a TKA can significantly reduce the patient’s pain from osteoarthritis while improving the overall physical function and quality of life. Furthermore, a structured telephone follow-up can improve patient adherence to home exercise after TKA.
机译：简介：评估结构性电话随访对全膝关节置换术（TKA）后患者家庭锻炼依从性的影响。方法：本研究共纳入202名接受单侧TKA的老年患者。参与者被随机分为两组：干预组在出院后接受结构化电话随访，对照组接受常规医疗服务。在TKA前后测量疼痛，功能能力，生活质量和抑郁调查得分。出院后12个月内分析组间和组内差异。结果：两组的社会人口统计学特征无显着差异。干预组的平均家庭锻炼时间和总天数明显高于对照组。两组之间的可变分数差异显着。 TKA后两组的疼痛，功能能力，生活质量和抑郁感均有显着改善，干预组的心理健康和活动范围得到了更大的改善。结论：进行TKA可以显着减轻患者因骨关节炎引起的疼痛，同时改善整体身体机能和生活质量。此外，进行有组织的电话随访可以提高患者在TKA后对家庭锻炼的依从性。

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