Therapeutic Patient Education after Anterior Cruciate Ligament Reconstruction: Evaluation of the Knowledge and Certitudes with a Self-Report Questionnaire

被引:5
作者
Fouasson-Chailloux, Alban [1 ,2 ,3 ,4 ]
Crenn, Vincent [5 ]
Louguet, Bastien [2 ,4 ]
Grondin, Jerome [1 ,2 ]
Menu, Pierre [1 ,2 ,3 ,4 ]
Dauty, Marc [1 ,2 ,3 ,4 ]
机构
[1] Nantes Univ, Univ Hosp Nantes, Serv Med Phys & Readaptat Locomotrice, Hop St Jacques, 85 Rue St Jacques, F-44093 Nantes, France
[2] Nantes Univ, Univ Hosp Nantes, Serv Med Sport, Hop St Jacques, 85 Rue St Jacques, F-44093 Nantes, France
[3] Nantes Univ, Regenerat Med & Skeleton, RMeS, INSERM UMR 1229, F-44000 Nantes, France
[4] Hop St Jacques, IRMS, Inst Reg Med Sport, 85 Rue St Jacques, F-44093 Nantes, France
[5] Nantes Univ, Hotel Dieu, Clin Chirurg Orthoped & Traumatol, F-44000 Nantes, France
关键词
knee; ACL injury; sport; hamstring; strength; laxity; RETURN; SPORT; REHABILITATION; SURGERY; INJURY; VALIDATION; REVISION; TENDON; GRAFT;
D O I
10.3390/healthcare10050934
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Therapeutic education aims to help patients acquire skills and knowledge, and to improve psychosocial aspects to manage chronic disease. After anterior cruciate ligament reconstruction (ACLR), only 35 to 60% of the patients are able to go back to their previous sport. Return to sport depends on the motivation of the patient. No therapeutic education has already been proposed. We aimed to evaluate the effect of therapeutic education sessions on knowledge improvement during inpatient rehabilitation after ACLR, compared to patients operated with the same surgical technic, but who had no therapeutic education because of outpatient rehabilitation. Sessions were performed by a multidisciplinary team. The evaluation of the knowledge was performed with a true or false 12-items self-report questionnaire. Fifty-four patients were studied and compared to 54 patients with no therapeutic education. The educated and the non-educated groups were comparable. The number of correct answers increased from 73% before therapeutic education to 95% at the end of the hospitalization (p < 0.001). This improvement persisted over time with 91.5% of correct answers at four months (p = 0.94). The non-educated group had 70% of correct answers. This was significantly lower than the results obtained from the educated group at four months (p < 0.001). It was comparable to the result obtained before therapeutic education (p = 0.91). Therapeutic patient education performed during hospitalization for rehabilitation enables patients to have a better knowledge of the stages from rehabilitation to return to sport and the risks of complication after ACLR.
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页数:11
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