Application of Rapid Rehabilitation Nursing in Perioperative Rehabilitation of Knee Arthroscopy
- Conditions
- Knee Arthroscopy
- Interventions
- Other: ERASOther: 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
- Arthroscopic anterior cruciate ligament reconstruction was performed under epidural anesthesia
- The patients consented and volunteered to participate in this study
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description The experimental group ERAS ERAS intervention group The experimental group Perioperative routine rehabilitation nursing ERAS intervention group The control group Perioperative routine rehabilitation nursing Sports medicine rehabilitation nursing group
- Primary Outcome Measures
Name Time Method Comfort level Postoperative 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 score Postoperative 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 pain Postoperative 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 Completion 12 weeks after discharged Range of motion(ROM):Use a square to measure the Angle of motion
- Secondary Outcome Measures
Name Time Method adverse reaction postoperative 1 day Postoperative nausea, vomiting, dizziness, headache, urinary retention and other non-reaction occurred
Trial Locations
- Locations (1)
Peking Universitu 3rd Hospital
🇨🇳Beijing, China