Evidence map›Paper›PMID 41491023›Full record

ArticleScientific reports2026

Effect of the health action process approach theory in patients undergoing total knee arthroplasty.

Fangling Zhou, Yaruo Huang, Ruiqin Sha, Rui Hu, Xueyan Guan, Zexi Huang, Ying Tian, Nianqi Cui

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Fangling Zhou *School of Nursing, Kunming Medical University, Kunming, China.
Yaruo Huang *Department of Nursing, The Third Affiliated Hospital of Kunming Medical University, Kunming, China.
Ruiqin ShaDepartment of Nursing, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Rui HuDepartment of Nursing, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Xueyan GuanDepartment of Nursing, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Zexi HuangSchool of Nursing, Kunming Medical University, Kunming, China.
Ying TianDepartment of Nursing, The First Affiliated Hospital of Kunming Medical University, Kunming, China. tianyychen@163.com.
Nianqi CuiSchool of Nursing, Kunming Medical University, Kunming, China. cuinianqi@kmmu.edu.cn.

Funding

First-Class Discipline Team in Adult and Geriatric Nursing of Kunming Medical University No.2024XKTDPY15
6 · The paper itself

Abstract

Rehabilitation training after total knee arthroplasty (TKA) is crucial for restoring joint function. This quasi-experimental enrolled 82 orthopedic patients from a Grade A tertiary hospital in Yunnan Province, who were divided into a control group (41 cases) and an experimental group (41 cases). Both groups received routine nursing care, while the experimental group additionally received a 3-month rehabilitation program based on the Health Action Process Approach (HAPA) theory combined with the best evidence for TKA rehabilitation. Preoperative indicators showed no significant difference in preoperative indicators between the two groups. Postoperatively, the experimental group demonstrated higher Hospital of Special Surgery (HSS) scores and Self-Efficacy for Rehabilitation Outcome Scale (SER) scores (P-adjusted = 0.020;P-adjusted = 0.006), as well as lower Numerical Rating Scale (NRS) scores and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores (P-adjusted = 0.009, P-adjusted = 0.016). The research found that a rehabilitation program based on the HAPA theory is both scientific and effective, which can significantly relieve pain, improve joint function, and enhance patients' self-efficacy in rehabilitation.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeAgedFemaleHumansMaleMiddle AgedSelf EfficacyTreatment OutcomeArthroplasty, replacement, kneeEvidence-based nursingExercise therapyRehabilitationSelf efficacy

Identifiers

PMID41491023
PMCPMC12864869

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.