Thesis Type: Postgraduate
Institution Of The Thesis: Gazi University, Bilişim Enstitüsü, HEMŞİRELİK ANABİLİM DALI, Turkey
Approval Date: 2016
Thesis Language: Turkish
Student: NİHAL YILDIZ
Supervisor: Murat Yücel
This study was conducted as a descriptive study in order to determine the levels of fear of movement, pain and independence of patients undergoing total knee replacement surgery. The research sample has included 150 patients who had undergone total knee replacement surgery for the first time in the Orthopedics and Traumatology Department of Gazi University Health Research and Practice Center between the dates of 3 October 2018 – 31 March 2019. Data were collected by using a questionnaire including socio-demographic characteristics developed by the researcher, Lysholm Knee Scoring Scale, Barthel Daily Living Activities Index, Numeric Rating Scale and Tampa Kinesiophobia Scale. The data of the study were collected by face to face interview method before surgery, first day of after surgery and third week of after discharge. Independent Sample-t test, ANOVA test, Tukey and Tamhane tests were used for the normal distribution values. It was also applied Mann-Whitney U test, Kruskal-Wallis H test and Bonferroni correction. In the study, the mean scores of TSK (Tampa Scale for Kinesiophobia) were 44.05 ± 6.24 preoperatively, 45.54 ± 7.05 on the first postoperative day and 42.79 ± 8.15 on the third postoperative week. According to the study, 89.3% of the patients with total knee replacement surgery needed help in maintaining their daily life activities, 78.7% of the patients avoided movement due to postoperative pain, the patients had high levels of fear of movement in the postoperative period and the patients with high levels of fear of movement needed help in maintaining their daily living activities before surgery and after discharge. Pain levels were higher in the patients who did not exercise in post-discharge period. It was found that the patients who exercised regularly had lower levels of fear of movement than the patients who did not (p<0,05). In line with the results of the research, it is recommended that the patients undergoing total knee replacement should be evaluated regularly for pain, independence and fears of movement levels and the factors that affect them, to be more comprehensively addressed in patient education, and to develop educational materials containing the necessary solutions to cope with movement fear and to be used in patient education.
Total Knee Replacement, Fear Of Movement, Independence Level, Pain, Kinesiophobia, Orthopedic Nursing