A Study on the Effectiveness of Structured Health Education in the Perioperative Period for Patients with Knee Meniscus Injuries

Liang Min; Ziyang Tian; Jiaqi Lai; Miaozhen Zhang; Li Peng

doi:10.54097/1dfp9229

Authors

Liang Min
Ziyang Tian
Jiaqi Lai
Miaozhen Zhang
Li Peng

DOI:

https://doi.org/10.54097/1dfp9229

Keywords:

Meniscus Injury, Structured Health Education, Perioperative Period, Tegner Score, Fear of Movement

Abstract

Objective To explore the application effectiveness of structured health education in the perioperative period for patients with knee meniscus injuries. Methods A non-prospective controlled study was conducted. Forty patients undergoing meniscus injury surgery in the Orthopedics Department of our hospital from January 2024 to September 2024 were assigned to the control group and received conventional health education. Forty patients undergoing meniscus injury surgery from November 2024 to June 2025 were assigned to the observation group and received structured health education, which included establishing a health education team, optimizing educational materials, providing mobile platform support, and daily supervision. The Tegner scores, TSK-11 fear of movement scores, and the proportion of factors influencing failure to return to sports were compared between the two groups at 3 months postoperatively. Results The Tegner score in the observation group showed a significant increase compared to pre-intervention levels, and the TSK-11 fear of movement score demonstrated marked improvement. Statistical analysis revealed that the differences in these indicators between the two groups were statistically significant (P < 0.05). Further analysis of reasons for not returning to sports revealed that the proportion of participants in the observation group who were unable to resume sports due to personal fear and lack of knowledge about knee joint rehabilitation was significantly lower than that in the control group. Conclusion Implementing structured perioperative health education for patients with meniscus injuries effectively promotes postoperative recovery of knee joint function, alleviates fear of movement, and reduces barriers to rehabilitation through systematic interventions. This approach holds significant clinical value in facilitating patients' return to physical activity.

Downloads

Download data is not yet available.

References

[1] Liu P P, Xie Z K. Research progress of meniscus injury repair [J]. Chinese Journal of Orthopaedic Surgery, 2024, 32(06):535-540.

[2] Tian Y, Zhao Z W. Efficacy analysis of staged kinetic chain training after arthroscopic surgery for chronic meniscus injury [J]. Journal of China Medical University, 2025, 54(04):364-368.

[3] Sun Y P, Zhou R, Meng L P, et al. Analysis of facilitators and barriers to clinical practice of structured education in gestational diabetes mellitus [J]. Chinese Journal of Nursing Education, 2023, 20(09):1100-1106.

[4] Xia Y T, He C Y, Wu X M, et al. Application of structured education in young and middle-aged patients with ischemic stroke [J]. Chinese Journal of Nursing Education, 2023, 20(01):82-87.

[5] Wang L Y, Huang X, Lu X H, et al. Construction and application of structured education program for patients after percutaneous coronary intervention [J]. Chinese Journal of Nursing Education, 2023, 20(04):395-403.

[6] Huang, H., Zhang, S., Wang, Y., Tegner, Y. P. emeritus, Wang, Y., Jiang, Y., & Ao, Y. (2022). Reliability and Validity of a Chinese Version of the Lysholm Score and Tegner Activity Scale for Knee Arthroplasty. Journal of Rehabilitation Medicine, 54.

[7] Briggs, K. , Kocher, M., Rodkey, W. & Steadman, J. (2006). Reliability, Validity, and Responsiveness of the Lysholm Knee Score and Tegner Activity Scale for Patients with Meniscal Injury of the Knee. The Journal of Bone & Joint Surgery, 88 (4), 698-705.

[8] BULLOCK GS, SELL TC, ZAREGA R, et al. Kinesiophobia, Knee Self Efficacy, and Fear Avoidance Beliefs in People with ACL Injury: A Systematic Review and Meta-Analysis. Sports Med. 2022;52(12): 3001-3019.

[9] Li Z W, Feng L J, Yang J, et al. A scoping review of kinesiophobia assessment tools [J]. Journal of Nursing Science, 2024, 39(20): 124-129.

[10] Jiang X J, Tao L B, Li M Z. Cost-effectiveness analysis of structured education in type 2 diabetes patients treated with non-insulin therapy [J]. Chinese Nursing Research, 2022, 36 (07): 1257-1261.

[11] Doutre L, Beaumier M, Parent AA, Talbot S, Tremblay M. Kinesiophobia among health professionals' interventions: a scoping review. PeerJ. 2024 Aug 22;12:e17935. doi: 10. 7717/peerj.17935. PMID: 39184383; PMCID: PMC 1134 4999.

[12] Hsu CJ, George SZ, Chmielewski TL. FEAR-AVOIDANCE AND SELF-EFFICACY PSYCHOSOCIAL FACTORS ARE ALTERED AFTER PARTIAL MENISCECTOMY AND ASSOCIATED WITH REHABILITATION OUTCOMES. Int J Sports Phys Ther. 2020 Aug;15(4):557-570. PMID: 33354389; PMCID: PMC 7735696.

[13] Hu HC, Luo MY, Yang HL, Zhu HQ. Effect of structured health education combined with continuous nursing on postoperative functional rehabilitation of patients with intertrochanteric fracture of femur [J]. Nursing of Integrated Traditional Chinese and Western Medicine, 2025, 11(3):109-112.

[14] Guo H, Sha LY, Pu CS, et al. Research progress of “Internet +” applied in continuous nursing for postoperative patients [J]. Chinese Nursing Management, 2019, 19(07):1045-1049.

[15] Lo HHM, Zhu M, Zou Z, Wong CL, Lo SHS, Chung VCH, Wong SYS, Sit RWS Immersive and Nonimmersive Virtual Reality–Assisted Active Training in Chronic Musculoskeletal Pain: Systematic Review and Meta-Analysis J Med Internet Res 2024;26:e48787.

[16] Shi ZL, Li YL, Yu Y, et al. Research progress on evaluation methods of return to sport after anterior cruciate ligament reconstruction [J]. Chinese Journal of Reparative and Reconstructive Surgery, 2023, 37(04):495-501.