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Application of Rapid Rehabilitation Nursing in Perioperative Rehabilitation of Knee Arthroscopy

Not Applicable
Completed
Conditions
Knee Arthroscopy
Interventions
Other: ERAS
Other: Perioperative routine rehabilitation nursing
Registration Number
NCT04467359
Lead Sponsor
Peking University Third Hospital
Brief Summary

The purpose of this study is to apply the concept of rapid rehabilitation nursing in the perioperative period of knee arthroscopy, to make up for the gap in this field, to provide reference basis for the general colleagues, promote the development of perioperative rapid rehabilitation nursing of knee arthroscopy, accelerate the rehabilitation of patients.

Detailed 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

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
172
Inclusion Criteria
  • Arthroscopic anterior cruciate ligament reconstruction was performed under epidural anesthesia
  • The patients consented and volunteered to participate in this study
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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
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
The experimental groupERASERAS intervention group
The experimental groupPerioperative routine rehabilitation nursingERAS intervention group
The control groupPerioperative routine rehabilitation nursingSports medicine rehabilitation nursing group
Primary Outcome Measures
NameTimeMethod
Comfort levelPostoperative 1 day

Likert 1-5 score:0 means very uncomfortable, 10 means very comfortable, and the higher the score, the higher the comfort

Self-care ability scorePostoperative 1 day

Barthel Index:Barthel index is scored from 0 to 100. A score of 100 indicates that the patient has a good function in basic daily activities. He/she does not need help from others. He/she is able to control urine and urine, eat, dress, transfer to bed and chair, bathe, walk for at least one block, and can go up and down stairs. A score of 0 indicates poor functioning, lack of independence, and need help with all aspects of daily life. According to the score of Barthel index, the ability of daily activities was divided into three levels: good, medium and poor \>. 60 was classified as good. 60 to 41 is medium. Have moderate dysfunction and need great help to complete daily activities; ≤40 is classified as poor, with severe dysfunction, most daily activities cannot be completed or need to be attended to by others.

Degree of postoperative painPostoperative 1 day

Numerical Rating Scale(NRS )score:0 means no pain, 10 means the most severe pain imaginable, and the higher the score, the more severe the pain

Rehabilitation Completion12 weeks after discharged

Range of motion(ROM):Use a square to measure the Angle of motion

Secondary Outcome Measures
NameTimeMethod
adverse reactionpostoperative 1 day

Postoperative nausea, vomiting, dizziness, headache, urinary retention and other non-reaction occurred

Trial Locations

Locations (1)

Peking Universitu 3rd Hospital

🇨🇳

Beijing, China

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