Effectiveness of the transitional care model in total knee arthroplasty patients: A randomized controlled trial

Author:

Güllü Ayla12ORCID,Tosun Betul3ORCID

Affiliation:

1. Faculty of Health Sciences, School of Nursing Hasan Kalyoncu University Gaziantep Turkey

2. Faculty of Health Sciences, School of Nursing Hatay Mustafa Kemal University Antakya Turkey

3. Faculty of Nursing Hacettepe University Ankara Turkey

Abstract

AbstractAimThis study has aimed to assess the effectiveness of the transitional care model (TCM) on functional status, perceived self‐efficacy and healthcare utilization in patients undergoing total knee arthroplasty (TKA).MethodThis randomized controlled study was conducted between February and November 2021 in a public hospital. The study randomly assigned patients to either a 6‐week ‘TCM’ program or usual care. The sample size was n = 70, with each group comprising 35 individuals. Patient outcomes, including self‐efficacy, functional status and healthcare service readmission rates, were monitored for TKA patients.ResultsNursing care based on the ‘TCM’ was found to enhance functional status and increase the level of self‐efficacy among TKA patients, leading to a decrease in healthcare service readmissions.ConclusionsThe study recommends preparing patients and their families for the preoperative and postoperative processes. It emphasizes the importance of providing necessary training and consultancy services under the leadership of orthopaedic nurses responsible for TKA patient care, guided by the principles of TCM.

Publisher

Wiley

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