Application of Rapid Rehabilitation Nursing in Perioperative Rehabilitation of Knee Arthroscopy
Keywords
Abstract
Description
This study aims to apply rapid rehabilitation nursing concept to the arthroscopic perioperative nursing, used to make up for the blank in this field, provides the reference for the overwhelming majority of peer, prompt the arthroscopic perioperative rehabilitation nursing development, accelerate the patient rehabilitation in January 2020 - December 2020 in Beijing a third rate sports medicine hospital be in hospital, to line the arthroscopic surgery patients as the research object, adopt the method of prospective, randomized, controlled in 220 patients. Inclusion criteria: < 60 age 18 years old, patients with informed consent and voluntary participation in arthroscopic anterior cruciate ligament reconstruction under external anesthesia were excluded from this study: patients with mental system diseases or communication disorders; Patients with metabolic diseases such as diabetes; Patients who could not quit smoking and drinking alcohol before surgery as required; Patients with gastrointestinal tract disease research object were randomly divided into experimental group and control group, control group given conventional perioperative nursing, the experimental group to implement rapid rehabilitation program, the specific implementation process, see table 1 and table 2, compare two groups of preoperative postoperative self-care ability score (Barthel index) 、 the degree of postoperative pain numerical rating scale (NRS 0-10 score) 、the degree of comfort (Likert 1-5 rating score) and rehabilitation completion -Range of motion(ROM) score difference; The safety index was the occurrence of postoperative complications such as nausea, vomiting, dizziness, headache and urinary retention, and the occurrence of postoperative complications such as hypothermia after lower extremity deep venous thrombosis (preoperative and postoperative comparison of erythrocyte sedimentation rate(ESR)、C-reactive protein（CRP） and procalcitonin indexes in blood routine
Dates
| Last Verified: | 05/31/2020 |
| First Submitted: | 06/27/2020 |
| Estimated Enrollment Submitted: | 07/08/2020 |
| First Posted: | 07/12/2020 |
| Last Update Submitted: | 07/08/2020 |
| Last Update Posted: | 07/12/2020 |
| Actual Study Start Date: | 08/31/2020 |
| Estimated Primary Completion Date: | 08/30/2021 |
| Estimated Study Completion Date: | 12/30/2021 |
Condition or disease
Intervention/treatment
Other: The experimental group
Other: Perioperative routine rehabilitation nursing
Phase
Arm Groups
| Arm | Intervention/treatment |
|---|---|
| Experimental: The experimental group ERAS intervention group | Other: The experimental group Optimize physical conditions; Fasting solid diet 6h before surgery, fasting clear fluid 2 h before surgery; If there is no chief complaint of dizziness, nausea or other discomfort after the operation, warm water (no more than 100ml) can be immediately drunk. Pain management; Encourage patients to engage in early activities under the premise of effective pain control; If no dural puncture and other complications occur, the patient has no chief complaints of headache, dizziness, nausea and other discomfort, and there is no need to lie supine, the comfortable position such as semi-supine lateral supine position can be taken immediately (avoid 90-degree upright position for patients with hip joint); Prevention of thrombosis; Prevention and treatment of nausea and vomiting; Follow-up was conducted at 4 weeks, 8 weeks and 12 weeks after the operation. |
| Placebo Comparator: The control group Sports medicine rehabilitation nursing group |
Eligibility Criteria
| Ages Eligible for Study | 18 Years To 18 Years |
| Sexes Eligible for Study | All |
| Accepts Healthy Volunteers | Yes |
| Criteria | Inclusion Criteria: - Arthroscopic anterior cruciate ligament reconstruction was performed under epidural anesthesia - The patients consented and volunteered to participate in this study Exclusion Criteria: - Patients with mental disorders or communication disorders - Patients with metabolic diseases such as diabetes - Patients who could not quit smoking and drinking alcohol before surgery as required - Patients with gastrointestinal disorders - Patients who are not under epidural anesthesia |
Outcome
Primary Outcome Measures
1. Self-care ability score [1 day before operation]
2. Self-care ability score [Postoperative 1 day]
3. Degree of postoperative pain [Postoperative 1 day]
4. Comfort level [Postoperative 1 day]
5. Rehabilitation Completion [2 weeks after discharged]
6. Rehabilitation Completion [4 weeks after discharged]
7. Rehabilitation Completion [8 weeks after discharged]
8. Rehabilitation Completion [12 weeks after discharged]
Secondary Outcome Measures
1. adverse reaction [postoperative 1 day]
