alexa The role of preoperative self-efficacy in predicting outcome after total knee replacement.
Orthopaedics

Orthopaedics

Journal of Osteoarthritis

Author(s): Wylde V, Dixon S, Blom AW

Abstract Share this page

Abstract OBJECTIVES: The aim of the present study was to determine if self-efficacy is a significant and independent preoperative predictor of patient-reported pain and function at one year after total knee replacement (TKR). METHODS: Patients listed for a primary TKR because of osteoarthritis were recruited from preoperative assessment clinics at one regional orthopaedic centre. Before surgery, patients completed the Western Ontario and McMasters Osteoarthritis Index (WOMAC) Pain and Function Scale, Pain Self-Efficacy Scale, the Hospital Anxiety and Depression Scale, the Self-Administered Co-morbidity Questionnaire and questions about other painful joints. Patients then completed the WOMAC Pain and Function Scales at one year postoperatively. Regression analysis was performed to determine if self-efficacy was a significant predictor of outcome after TKR. RESULTS: Overall, 251 patients were recruited into this study, and one-year questionnaire data were available for 220 patients. At one year postoperatively, 7\% of patients reported severe pain in their replaced knee and 9\% reported severe functional limitations. Self-efficacy was found to be a significant preoperative predictor of functional ability, but not pain, at one year postoperatively, after controlling for age, gender, depression, anxiety, number of medical co-morbidities, preoperative knee status and painful joints elsewhere. Significant predictors of postoperative pain were greater anxiety and higher pain severity. Other significant predictors of postoperative disability were greater anxiety, worse functional disability and a greater number of painful joints elsewhere. CONCLUSIONS: The present study demonstrated that self-efficacy is a significant preoperative predictor of patient-reported functional ability at one year after TKR. Future research is needed to assess the impact of interventions for enhancing self-efficacy on patient-reported outcomes after TKR. Copyright © 2012 John Wiley & Sons, Ltd. This article was published in Musculoskeletal Care and referenced in Journal of Osteoarthritis

Relevant Expert PPTs

Relevant Speaker PPTs

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

immun[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords