The Effect of Continuous Care Counseling Based on the Roy Adaptation Model on Comfort and Quality of Life in Patients Undergoing Total Knee Arthroplasty

Osteoarthritis is a common joint disease that leads to problems such as pain, restricted mobility, and decreased quality of life in the knee joint, especially among elderly individuals. In advanced-stage knee osteoarthritis, total knee arthroplasty (TKA) is performed to reduce pain and loss of function. However, in the postoperative period, patients may encounter various problems such as pain, sleep disturbances, anxiety, and difficulties in daily living activities. This study investigates how continuous care counseling based on Roy's Adaptation Model affects the comfort and quality of life of patients undergoing total knee arthroplasty. Roy's Adaptation Model is a widely used approach in nursing that supports individuals in adapting to changes they experience. Counseling and education provided in line with this model aim to help patients cope with the physical and psychological problems they face before and after surgery. In the study, specially designed training and counseling services were provided to patients undergoing surgery, and the effects of these interventions on comfort and quality of life were evaluated. The study aims to contribute to the enhancement of postoperative care practices and patient-centered nursing interventions for individuals undergoing total knee arthroplasty.

Inclusion Criteria: * Provided written and verbal consent to participate in the study * Aged 18 years or older * Conscious, oriented, and cooperative * Able to speak and understand Turkish * Able to speak, hear, and see * No diagnosed psychiatric illness * No known cancer diagnosis * Undergoing elective surgery * Undergoing total knee arthroplasty (TKA) for the first time * Undergoing unilateral total knee arthroplasty (TKA) Exclusion Criteria: * Undergoing emergency surgery * Readmitted for revision surgery