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Background <p>Postoperative education is crucial for improving physical function, daily activity participation, and quality of life after total hip arthroplasty (THA). The aim of our study was to examine the effects of patient education on function, quality of life, and activities of daily living after THA.</p> Methods <p>Patients who underwent primary THA were randomized into three groups: online education, brochure, and control. Pain (Visual Analog Scale-VAS), function (The Western Ontario and McMaster Universities Arthritis Index-WOMAC), quality of life (World Health Organization Quality of Life Scale-Short Form-WHOQOL-BREF), and activities of daily living (The Lawton–Brody Instrumental Activities of Daily Living-IADL) were evaluated online before education and 4 weeks after discharge. Changes and between-group differences were analyzed (<i>p</i> &lt; 0.05).</p> Results <p>Thirty-nine participants (25 female, 14 male; mean age 61.23 ± 12.57&#xa0;years) were included. All groups showed significant within-group improvements in pain and WOMAC scores (<i>p</i> &lt; 0.05). Significant improvements were observed in the WHOQOL-BREF physical health domain in the training and control groups, and in general and physical health in the brochure group (<i>p</i> &lt; 0.05). Between-group comparisons showed greater reductions in pain during sleep and rest in the control group than in the brochure group (<i>p</i> &lt; 0.01). The control and education group had better improvements in WOMAC pain, stiffness, function, and total scores than the brochure group. For physical and environmental health, the education group showed better improvement than the brochure group (<i>p</i> &lt; 0.05).</p> Conclusion <p>Online patient education after THA was more effective than an information brochure alone in managing pain and improving functional outcomes. However, the small sample size and the baseline gender imbalance between the groups represent key limitations of the study and should be carefully considered when interpreting the findings.</p>

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The Effect of Patient Education on Function, Quality of Life, and Activities of Daily Living After Total Hip Arthroplasty: A Pilot Study

  • 期刊论文

  • 发表日期：

    2026年4月10日

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  • Sinem Yenil Kocabay,
  • Nevriye Ünal Süzer,
  • Muhammet Emin Can,
  • Nihal Büker,
  • Akın Süzer

摘要

Background

Postoperative education is crucial for improving physical function, daily activity participation, and quality of life after total hip arthroplasty (THA). The aim of our study was to examine the effects of patient education on function, quality of life, and activities of daily living after THA.

Methods

Patients who underwent primary THA were randomized into three groups: online education, brochure, and control. Pain (Visual Analog Scale-VAS), function (The Western Ontario and McMaster Universities Arthritis Index-WOMAC), quality of life (World Health Organization Quality of Life Scale-Short Form-WHOQOL-BREF), and activities of daily living (The Lawton–Brody Instrumental Activities of Daily Living-IADL) were evaluated online before education and 4 weeks after discharge. Changes and between-group differences were analyzed (p < 0.05).

Results

Thirty-nine participants (25 female, 14 male; mean age 61.23 ± 12.57 years) were included. All groups showed significant within-group improvements in pain and WOMAC scores (p < 0.05). Significant improvements were observed in the WHOQOL-BREF physical health domain in the training and control groups, and in general and physical health in the brochure group (p < 0.05). Between-group comparisons showed greater reductions in pain during sleep and rest in the control group than in the brochure group (p < 0.01). The control and education group had better improvements in WOMAC pain, stiffness, function, and total scores than the brochure group. For physical and environmental health, the education group showed better improvement than the brochure group (p < 0.05).

Conclusion

Online patient education after THA was more effective than an information brochure alone in managing pain and improving functional outcomes. However, the small sample size and the baseline gender imbalance between the groups represent key limitations of the study and should be carefully considered when interpreting the findings.