Nurse-Led Telehealth vs In-Person Follow-Up After Total Knee Replacement

Summary

Brief Summary The goal of this clinical trial is to learn if nurse-led telehealth consultations can help detect complications and support recovery after total knee replacement surgery. The study will compare telehealth nursing consultations to traditional in-person nursing visits. The main questions it aims to answer are: * Can nurse-led telehealth detect post-surgery complications as well as or better than in-person consultations? * Does telehealth nursing support better or equivalent recovery outcomes and patient satisfaction compared to in-person care? Participants will: * Be adults who had their first total knee replacement surgery. * Receive follow-up care either through telehealth consultations using the HA Go mobile app or through traditional face-to-face nurse visits in the outpatient clinic. * Attend scheduled consultations and provide information about their recovery and any complications they experience. * Complete surveys about their satisfaction with the care they receive. This study will help determine if telehealth nursing consultations can provide safe, effective, and convenient follow-up care for patients after knee replacement surgery, potentially improving access and reducing travel burdens.

Eligibility

Inclusion Criteria:

* Adults aged 18 years or older
* Undergoing their first total knee replacement surgery
* Within 4 weeks after surgery
* Medically stable for discharge and suitable for home-based follow-up care
* Have access to a smartphone and internet (for telehealth participants)
* Able to communicate effectively in Cantonese
* Provide informed consent to participate in the study

Exclusion Criteria:

* Undergoing bilateral or revision total knee replacement surgery
* Require immediate or intensive medical attention post-surgery (e.g., severe infection, hospitalization over 7 days)
* Have severe systemic disease (ASA physical status classification III or higher)
* Lack the technical ability or resources to participate in telehealth consultations
* Unable to communicate effectively in Cantonese
* Undergoing surgeries other than first-time total knee replacement

Conditions3

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