田靖晓 1艾佳茗 2闵红巍 3赵克聪 3张宝翠 3姜虹 3杨威 3刘均娥2
作者信息
- 1. 首都医科大学护理学院,北京市 100069||中国康复研究中心北京博爱医院骨科,北京市 100068
- 2. 首都医科大学护理学院,北京市 100069
- 3. 中国康复研究中心北京博爱医院骨科,北京市 100068
- 折叠
摘要
Abstract
Objective To develop an exercise intervention program for patients undergoing total knee arthroplasty based on the daily goal management pathway,and preliminarily verify its clinical feasibility and effectiveness.
Methods The intervention program was formulated based on the daily goal management pathway and hope theory,com-bined with literature analysis,qualitative interviews and expert consultation.Feasibility evaluation was conduct-ed among orthopedic nurses and patients in Beijing Bo'ai Hospital from September to November,2025.A con-trolled pilot study was performed with 15 patients in each group:the control group received routine rehabilitation care,while the experimental group received the developed intervention program.The Hospital for Special Sur-gery Knee Score(HSS),range of motion(ROM)of knee,functional exercise compliance score,Visual Analogue Scale(VAS)and Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)were compared be-tween two groups.
Results The program covered three themes from admission to three weeks postoperatively,including seven training methods and 32 specific recommendations.Feasibility results showed 100%patient recruitment rate,93.75%re-tention rate and 96.94%program acceptance rate.A total of 21 orthopedic nurses scored≥4.5 on all four dimen-sions of the program.After intervention,HSS score and knee ROM significantly increased(|t|>6.205,P<0.001),while WOMAC and VAS score decreased(t=9.127,Z=-3.415,P<0.01)in the experimental group;in the control group,VAS score decreased(Z=-3.122,P=0.002),and knee ROM reduced(t=-2.622,P=0.015),with no significant improvement in other indicators(P>0.05);all the indexes were better in the experimental group than in the control group(|t|>7.949,|Z|>2.990,P<0.01),including the functional exercise compliance(t=-8.565,P<0.001).
Conclusion The exercise intervention program based on the daily goal management pathway is scientific,feasible and preliminarily effective,which can provide a new structured and humanized nursing for early exercise training of patients during hospitalization for total knee arthroplasty.关键词
全膝关节置换/运动/康复/每日目标管理路径/护理Key words
total knee arthroplasty/training/rehabilitation/daily goal management pathway/nursing分类
医药卫生
