The Impact of a Phone Assistance Nursing Program on Adherence to Home Exercises and Final Outcomes in Patients Who Underwent Shoulder Instability Surgery

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Title: The Impact of a Phone Assistance Nursing Program on Adherence to Home Exercises and Final Outcomes in Patients Who Underwent Shoulder Instability Surgery
Authors: Martinez-Rico, Sandra | Lizaur-Utrilla, Alejandro | Sebastia-Forcada, Emilio | Vizcaya-Moreno, Maria Flores | Juan Herrero, Joaquín de
Research Group/s: Enfermería Clínica (EC) | Biotecnología
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería | Universidad de Alicante. Departamento de Biotecnología
Keywords: Phone assistance nursing program | Adherence | Home exercise program | Functional outcomes | Shoulder instability surgery
Knowledge Area: Enfermería | Biología Celular
Issue Date: 2018
Publisher: Wolters Kluwer
Citation: Orthopaedic Nursing. 2018, 37(6): 372-378. doi:10.1097/NOR.0000000000000501
Abstract: PURPOSE: The purpose of this study was to assess the impact of a phone assistance nursing program as an adjunct to conventional physiotherapy to increase adherence to a home exercise program on functional outcomes of patients who underwent shoulder instability surgery. METHODS: A randomized controlled study of 70 patients allocated to a phone assistance program (study group, n = 36 patients) or conventional postoperative management (control group, n = 34 patients) was conducted. All patients in both groups received conventional rehabilitation at the outpatient clinic after surgery. In addition, patients in the study group received phone calls from a nurse (who had access to a physiotherapist) 3 days per week. During the calls these patients received a coaching session about self-care and support with the home exercise program. Evaluations were performed during a follow-up of 12 months for range of motion (ROM), pain (visual analog scale [VAS] score), Disability of the Arm, Shoulder, and Hand (DASH) score, Oxford Shoulder Instability Score (OSIS), and Rowe score. RESULTS: All scores significantly improved from preoperative to the final follow-up in both groups (p = .001). At the final follow-up, there were no significant differences between groups in VAS, DASH, or Rowe scores. However, those in the study group had significantly better OSIS (p = .013) and ROM (p = .001), particularly for anterior forward motion (p = .001). Likewise, the study group achieved full motion and function significantly faster than the control group (p = .002). The amount of rehabilitation sessions at the outpatient clinic was 1.7 times higher in the control group (p = .004) than in the study group. CONCLUSION: The phone assistance nursing program was an effective procedure to significantly improve the outcomes of conventional physiotherapy in patients who have undergone an operation for shoulder instability.
ISSN: 0744-6020 (Print) | 1542-538X (Online)
DOI: 10.1097/NOR.0000000000000501
Language: eng
Type: info:eu-repo/semantics/article
Rights: © 2018 National Association of Orthopaedic Nurses
Peer Review: si
Publisher version:
Appears in Collections:INV - Enfermería Clínica - Artículos de Revistas
INV - GIDBT - Artículos de Revistas

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