Dyadic Intervention: Effect on Self-Efficacy, Physical Functioning and Anxiety/Depression in Older Adults Post Joint Replacement Surgery

2.50
Hdl Handle:
http://hdl.handle.net/10755/157894
Type:
Presentation
Title:
Dyadic Intervention: Effect on Self-Efficacy, Physical Functioning and Anxiety/Depression in Older Adults Post Joint Replacement Surgery
Abstract:
Dyadic Intervention: Effect on Self-Efficacy, Physical Functioning and Anxiety/Depression in Older Adults Post Joint Replacement Surgery
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Akhavan, Jaleh, Ph.D.
P.I. Institution Name:Alpha Consulting; California Hospital Medical Center, Perioperative Services
Title:R.N., C.N.O.R.
Contact Address:1546 Banyan Dr., Fallbrook, CA, 92028, USA
Contact Telephone:760-723-0676
Background: Older adults (> 65 years) are projected to reach 70 million in 2030; about 70% of them will have osteoarthritis (OA). A major advance in the treatment of OA is total joint replacement (TJR), which accounted for half the total hip and 85% of total knee replacements in 2001. For older adults, improved functional independence and reduced anxiety/depression are desired outcomes post-TJR surgery. Dyadic intervention (DI) as an innovative and low-cost approach is in line with the Healthy People 2010, guidelines because it addresses ways that TJR patients can increase their self-efficacy (SE) in performing post surgery activities, which can ultimately boost their ability to gain a better state of physical and mental status; In other words, "helping patients help themselves". Purpose: To determine the effect of interaction between individuals undergoing TJR surgery (experimental group) and those who have had the surgery (dyadic support).Patients were compared to those facing the same surgery without dyadic support (control group). Theoretical/Conceptual Framework: Social Cognitive Theory framework emphasizes SE based on the Bandura's triadic reciprocal causation: behavior, person, and environment. Dyadic intervention utilizes the four principles of SE concept (role modeling, verbal encouragement, knowledge/experience, and feedback). Methods: Research design was interventional, prospective, randomized, pre/posttest, single-site study. Independent variable: dyadic support; dependent variables: perceived SE, physical functioning, and anxiety/depression post TJR surgery. Sample: 55 men and women, first time joint replacement surgical candidates, 65+ years old, with OA diagnosis. Inclusion criteria: free from acute disease, must have attended preoperative teaching class. Patients were recruited from preoperative teaching class one-three weeks prior to surgery. Dyads were recruited from the volunteer community members, 55+ years old, former TJR patients of at least six months ago, not to exceed five years. Both groups of research participants had to be able to read and write English. Instruments: Western Ontario McMaster Arthritis Canada (WOMAC), Hospital Anxiety/Depression Scale (HADS), and Self-Efficacy Scales (SER; SES). Results: With an alpha at 0.05 and power at 0.80, paired t-test compared the pre- and post-test results, indicating a statistically significant reduction from pre to post scores in both groups with all four outcome indicators (DV); ANOVA with repeated measure used to test the effect of interaction between time and treatment (DI). Findings indicated a non-significant difference in the reduction of all four indicators postoperatively, therefore failing to reject the null hypotheses. Implications for Nursing Practice/Future Research: Nursing plays a significant role in determining the society's approach to future care of its older populations, particularly in relation to economic constraints and resource utilization. By integrating DI into practice, patients can improve and expedite the outcome of their recovery post TJR surgery. Funding sources: Nurse's Educational Funds, Sigma Theta Tau, AORN
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDyadic Intervention: Effect on Self-Efficacy, Physical Functioning and Anxiety/Depression in Older Adults Post Joint Replacement Surgeryen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157894-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Dyadic Intervention: Effect on Self-Efficacy, Physical Functioning and Anxiety/Depression in Older Adults Post Joint Replacement Surgery</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Akhavan, Jaleh, Ph.D.</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Alpha Consulting; California Hospital Medical Center, Perioperative Services</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">R.N., C.N.O.R.</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1546 Banyan Dr., Fallbrook, CA, 92028, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">760-723-0676</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Jalehfred@sbcglobal.net</td></tr><tr><td colspan="2" class="item-abstract">Background: Older adults (&gt; 65 years) are projected to reach 70 million in 2030; about 70% of them will have osteoarthritis (OA). A major advance in the treatment of OA is total joint replacement (TJR), which accounted for half the total hip and 85% of total knee replacements in 2001. For older adults, improved functional independence and reduced anxiety/depression are desired outcomes post-TJR surgery. Dyadic intervention (DI) as an innovative and low-cost approach is in line with the Healthy People 2010, guidelines because it addresses ways that TJR patients can increase their self-efficacy (SE) in performing post surgery activities, which can ultimately boost their ability to gain a better state of physical and mental status; In other words, &quot;helping patients help themselves&quot;. Purpose: To determine the effect of interaction between individuals undergoing TJR surgery (experimental group) and those who have had the surgery (dyadic support).Patients were compared to those facing the same surgery without dyadic support (control group). Theoretical/Conceptual Framework: Social Cognitive Theory framework emphasizes SE based on the Bandura's triadic reciprocal causation: behavior, person, and environment. Dyadic intervention utilizes the four principles of SE concept (role modeling, verbal encouragement, knowledge/experience, and feedback). Methods: Research design was interventional, prospective, randomized, pre/posttest, single-site study. Independent variable: dyadic support; dependent variables: perceived SE, physical functioning, and anxiety/depression post TJR surgery. Sample: 55 men and women, first time joint replacement surgical candidates, 65+ years old, with OA diagnosis. Inclusion criteria: free from acute disease, must have attended preoperative teaching class. Patients were recruited from preoperative teaching class one-three weeks prior to surgery. Dyads were recruited from the volunteer community members, 55+ years old, former TJR patients of at least six months ago, not to exceed five years. Both groups of research participants had to be able to read and write English. Instruments: Western Ontario McMaster Arthritis Canada (WOMAC), Hospital Anxiety/Depression Scale (HADS), and Self-Efficacy Scales (SER; SES). Results: With an alpha at 0.05 and power at 0.80, paired t-test compared the pre- and post-test results, indicating a statistically significant reduction from pre to post scores in both groups with all four outcome indicators (DV); ANOVA with repeated measure used to test the effect of interaction between time and treatment (DI). Findings indicated a non-significant difference in the reduction of all four indicators postoperatively, therefore failing to reject the null hypotheses. Implications for Nursing Practice/Future Research: Nursing plays a significant role in determining the society's approach to future care of its older populations, particularly in relation to economic constraints and resource utilization. By integrating DI into practice, patients can improve and expedite the outcome of their recovery post TJR surgery. Funding sources: Nurse's Educational Funds, Sigma Theta Tau, AORN</td></tr></table>en_GB
dc.date.available2011-10-26T20:18:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:18:27Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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