The effect of educational intervention on the pain and rehabilitation performance of patients who undergo a total knee replacement

Su-Ru Chen, Chyang Shiong Chen, Pi-Chu Lin

Research output: Contribution to journalArticlepeer-review

33 Citations (Scopus)


Aims and objectives: To determine the effects of health education on postoperative pain, the practice of rehabilitative exercises and functional recovery of total knee-replacement patients. Background: Most total knee-replacement patients experience pain and limited physical activities during recovery and rehabilitation. Many patients fail to implement an effective rehabilitation plan because of the pain and a lack of practical knowledge regarding the rehabilitation process. Design: Quasi-experimental design. Methods: We recruited 92 total knee-replacement patients for our study. The experimental group (n = 42) received a health-educational intervention. The control group (n = 50) received routine care. Results: The experimental group reported lower levels of postoperative pain than the control group. The stair-climbing ability of the experimental group was superior to that of the control group. The experimental group also had superior scores for regular straight-leg raises and muscle power of the affected leg, compared with the control group. Conclusion: The preoperative health-educational intervention reduced the level of postoperative pain experience by total knee-replacement patients, increased the regularity with which they performed rehabilitative exercises and accelerated the recovery of their physical functioning. Relevance to clinical practice: The health-educational model can be included in regular clinical management and care of total knee-replacement patients.

Original languageEnglish
Pages (from-to)279-287
Number of pages9
JournalJournal of Clinical Nursing
Issue number1-2
Publication statusPublished - Jan 2014


  • Functional recovery
  • Functional status
  • Health education
  • Knee movement
  • Muscle power
  • Pain
  • Quadriceps setting
  • Rehabilitation exercise
  • Straight-leg raises
  • Total knee replacement

ASJC Scopus subject areas

  • Nursing(all)
  • Medicine(all)


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