Effect of Preoperative Pain Education on Anxiety, Pain, and Analgesic Use in Total Knee and Hip Replacement Patients
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Pain education.
- Who it may be relevant to
- Registry conditions: Pain Management, Arthroplasty, Knee Replacement, Hip Replacement. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Effect of Pain Education Given to Patients Before Total Knee and Hip Replacement Surgery on Anxiety, Pain and Analgesic Use: A Randomized Controlled Study
Overview
This randomized controlled trial evaluates whether a standardized preoperative pain education session delivered by a nurse reduces postoperative pain intensity and surgical anxiety among adult elective orthopedic surgery patients compared with usual care. Primary outcome is postoperative pain at 24 hours. Secondary outcomes include anxiety, analgesic consumption, patient satisfaction, and length of stay
Detailed description
Adult patients scheduled for elective orthopedic surgery will be randomized (1:1) to receive either (a) a structured 20-30-minute preoperative pain education session plus booklet and video, or (b) usual care alone. Pain intensity measured with NRS at 1, 6,12, 24, 48h postop; analgesics recorded Day 0, 1, 2; preop anxiety measured with Surgical Anxiety Scale in both groups. Intention-to-treat analysis.
Interventions
- Other Pain education
education booklet and video
Primary outcome measures
- Is there a difference in postoperative pain levels between the intervention group, which received preoperative pain education, and the control group, which did not receive preoperative pain education?" [Time frame: Pain assessment was evaluated at 1, 6, 12, 24, and 48 hours postoperatively.]
- Does preoperative pain education reduce preoperative anxiety? [Time frame: Baseline (preoperatively, before surgery) and postoperatively at 1 hour, 6 hours, 12 hours, 24 hours, and 48 hours after surgery.]
Eligibility criteria
Inclusion criteria
- Being 18 years of age or older,
- Providing voluntary informed consent to participate in the study,
- Scheduled to undergo elective knee or hip joint replacement (arthroplasty) surgery,
- Having no communication barriers,
- Having no history of alcohol or substance dependence,
- Having no concurrent diagnosis of malignant disease and not receiving cancer treatment,
- Not using opioid medications regularly in the preoperative period,
- Having an ASA score of III or below,
- Having no cognitive impairment that would affect the ability to comprehend the provided education,
- Having no diagnosed neurological or psychiatric disorder and not using medications related to such conditions.
Exclusion criteria
\- Patients who do not meet the specified inclusion criteria will not be included in the study.
Elimination criteria:
- Indication for postoperative intensive care,
- Development of major complications after surgery, such as massive bleeding or pulmonary embolism,
- Requesting to withdraw from the study at any stage,
- Use of a patient-controlled analgesia device postoperatively
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Health services research
Study locations
Turkey (Türkiye) · 1 center
- Yeditepe Üniversitesi Hastanesi — Istanbul
Identifiers
NCT: NCT07362589 · E.83321821-805.02.03-472