The Effect of Mobile-Based Training on Anxiety, Kinesiophobia, and Physical Function in Patients Undergoing Total Knee Arthroplasty
Journal of Arthroplasty, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1016/j.arth.2026.06.075
- Dergi Adı: Journal of Arthroplasty
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
- Anahtar Kelimeler: anxiety, kinesiophobia, mobile application, pain, physical function, sleep quality, total knee arthroplasty
- Atatürk Üniversitesi Adresli: Evet
Özet
Background Total knee arthroplasty (TKA) has been performed with increasing frequency worldwide, and patients often experience anxiety, pain, reduced physical function, kinesiophobia, and sleep disturbances during the perioperative period. Evidence regarding mobile health interventions that begin preoperatively and continue after discharge remains limited. This study aimed to evaluate the effects of a mobile-based education and exercise program on anxiety, pain, physical function, and sleep quality in TKA patients. Methods In this randomized controlled experimental study, 108 patients who underwent unilateral primary TKA were enrolled and assigned to the intervention group (n = 53) or the control group (n = 55). In addition to usual care, the intervention group received a mobile-based education and exercise program from the preoperative period through the fourth week after discharge. In contrast, the control group received only usual care. Outcomes were assessed using validated measures of anxiety, pain, kinesiophobia, sleep quality, and physical function at multiple perioperative time points. Results Patients in the intervention group had significantly lower state anxiety and pain levels and significantly better sleep quality than the control group on the morning of surgery, postoperative day one, the day of discharge, and at the first and fourth weeks after discharge ( P < 0.05). Kinesiophobia levels were statistically significantly lower in the intervention group from postoperative day one through week four after discharge ( P < 0.05). Physical function was statistically significantly better in the intervention group on the day of discharge and at weeks one and four after discharge ( P < 0.05). Conclusions A mobile-based education and exercise program initiated preoperatively and continued after discharge improved psychological and physical outcomes in patients undergoing TKA. Integrating such mobile-based interventions into perioperative care supports postoperative recovery.