Abstract: Objective: To develop the rehabilitation strategy and improve bleeding and range of motion (ROM) in hemophilia patients with Total Knee Arthroplasty (TKA). Methods: The action research method was performed as the framework. The literature research, expert meetings were applied to collect and analyze data. Totally 132 hemophilia patients were included. The incidence of bleeding and the ROM were analyzed. Results: After the application of optimization of CPM program, the incidence of bleeding was significantly reduced and the ROM was significantly increased (P<0.05). After the application of construction of 3 phases active exercise, the ROM was significantly increased (P<0.05). Conclusion: Action research is an effective method to solve multidisciplinary cooperation and complex problems. Based on action research, rehabilitation strategy for hemophilia patients with TKA are developed. It is expected to apply the rehabilitation strategy to clinical practice to improve the quality of nursing care.

Key words: action research method; hemophilia; Total Knee Arthroplasty; bleeding; range of motion