Effect of preoperative in-bed exercises and mobilization training on postoperative anxiety and mobilization level

Abstract

Aim: This study examines the effect of preoperative training on postoperative mobility and anxiety levels in patients undergoing total knee arthroplasty. Methods: This was a randomized controlled study. The sample of this study consisted of 60 (30 experimental group, 30 control group) total knee arthroplasty patients who were admitted to a public hospital's orthopedic department between January 2019 and May 2019. To collect data, a demographic information form, patient mobility scale, observer mobility scale, and state–trait anxiety inventory were used. The patients in the intervention group practiced bed exercise and mobilization training before total knee arthroplasty surgery. The control group had no intervention. Results: It was determined that the patient mobility scale (2.0 ± 0.83) and observer mobility scale scores (6.93 ± 1.61) of the patients in the experimental group were significantly lower than the patients in the control group (respectively: 4.16 ± 1.31, 11.0 ± 1.74; p <.05). In the postoperative period, the mean scores of the state (38.86 ± 6.11) and trait anxiety scores (38.26 ± 3.85) of the patients in the experimental group were found to be significantly lower than the patients in the control group (respectively: 59.03 ± 9.10, 43.80 ± 4.38; p <.05). Conclusion: Preoperative training reduced the postoperative anxiety and increased the level of patient mobility after total knee arthroplasty in this study.