Application of multi-disciplinary team nursing model enhances recovery after surgery for total hip arthroplasty and total knee arthroplasty.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI:10.62347/BHGS1734

Xiudan Zhou, Tianfei Wei

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引用次数: 0

Abstract

Aim: To explore the effect of a multidisciplinary team (MDT) nursing model based on enhanced recovery after surgery (ERAS) in total hip arthroplasty (THA)/total knee arthroplasty (TKA) and evaluate its application in the perioperative period of patients.

Methods: A retrospective analysis was conducted on 100 patients with THA/TKA treated at Shaoxing Second Hospital Medical Community General Hospital from January 2021 to December 2023. The patients were divided into an observation group (n = 50) and a control group (n = 50) based on the nursing method employed. The control group received traditional perioperative nursing, while the observation group received an MDT nursing model intervention based on the ERAS concept. Visual analogue scale (VAS) scores were recorded at 6, 24, and 72 hours post-surgery. Additionally, postoperative activities, hospitalization duration, and postoperative complications were documented. Differences in knee joint range of motion (ROM), hip Harris score, psychological stress response score, and quality of life score between the two groups before and one month after surgery were analyzed.

Results: At 6, 24, and 72 hours post-surgery, patients in the observation group had significantly lower VAS scores compared to those in the control group (all P < 0.05). The observation group had an earlier first-time mobilization (P < 0.05). The length of hospitalization and hospitalization cost were significantly lower in the observation group than in the control group (both P < 0.05). The incidence rates of postoperative adverse reactions were 22.00% in the control group and 6.00% in the observation group (P < 0.05). One month post-surgery, the observation group showed significantly greater ROM, lower psychological stress and reaction scores, and higher Harris score and quality of life score compared to the control group (all P < 0.05).

Conclusion: The MDT nursing model based on ERAS concept for THA/TKA perioperative patients effectively alleviates postoperative pain, promotes early activity, shortens hospital stay, reduces hospital cost, decreases the incidence of complications, restores joint function, enhances quality of life, and reduces psychological stress.

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多学科团队护理模式的应用促进了全髋关节置换术和全膝关节置换术术后的恢复。

目的：探讨基于增强术后恢复（ERAS）的多学科团队（MDT）护理模式在全髋关节置换术（THA）/全膝关节置换术（TKA）中的应用效果，并评估其在患者围手术期的应用情况：方法：对2021年1月至2023年12月在绍兴市第二医院医共体综合医院接受治疗的100例THA/TKA患者进行回顾性分析。根据采用的护理方法将患者分为观察组（n = 50）和对照组（n = 50）。对照组接受传统的围手术期护理，而观察组则接受基于ERAS理念的MDT护理模式干预。记录术后 6、24 和 72 小时的视觉模拟量表（VAS）评分。此外，还记录了术后活动、住院时间和术后并发症。分析了两组患者术前和术后一个月的膝关节活动范围（ROM）、髋关节哈里斯评分、心理应激反应评分和生活质量评分的差异：术后6、24和72小时，观察组患者的VAS评分明显低于对照组（P均<0.05）。观察组首次活动时间更早（P < 0.05）。观察组的住院时间和住院费用明显低于对照组（均P < 0.05）。对照组术后不良反应发生率为22.00%，观察组为6.00%（P < 0.05）。术后一个月，观察组与对照组相比，ROM明显增加，心理压力和反应评分降低，Harris评分和生活质量评分提高（均P < 0.05）：基于ERAS理念的MDT护理模式对THA/TKA围手术期患者能有效缓解术后疼痛，促进早期活动，缩短住院时间，降低住院费用，减少并发症的发生率，恢复关节功能，提高生活质量，减轻心理压力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.