Application of Rapid Rehabilitation Nursing in Perioperative Rehabilitation of Knee Arthroscopy

NCT04467359 | Completed

• 1 other identifier: 2018180520
• Study Type: interventional
• Target: 172
• Locations: 1 country
• Sites: 1

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.

Conditions

Knee Arthroscopy

Keywords

Nursing; Enhanced Recovery After Surgery（ERAS）

Outcome Measures

Primary Outcomes (8)

• Self-care ability score

  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.

  1 day before operation

• Self-care ability score

  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.

  Postoperative 1 day

• Degree of postoperative pain

  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

  Postoperative 1 day

• Comfort level

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

  Postoperative 1 day

• Rehabilitation Completion

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

  2 weeks after discharged

• Rehabilitation Completion

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

  4 weeks after discharged

• Rehabilitation Completion

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

  8 weeks after discharged

• Rehabilitation Completion

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

  12 weeks after discharged

Secondary Outcomes (1)

• adverse reaction

  postoperative 1 day

Study Arms (2)

The experimental group

EXPERIMENTAL

ERAS intervention group

Other: ERAS; Other: Perioperative routine rehabilitation nursing

The control group

PLACEBO COMPARATOR

Sports medicine rehabilitation nursing group

Other: Perioperative routine rehabilitation nursing

Interventions

ERAS OTHER

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.

The experimental group

Perioperative routine rehabilitation nursing OTHER

Fasting and water deprivation at 12 o 'clock on the first day before surgery; Fasting water 6-8 hours after surgery; Lie flat on your pillow for 6 hours; Get out of bed activity 1 day after operation

The control group; The experimental group

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Arthroscopic anterior cruciate ligament reconstruction was performed under epidural anesthesia
• The patients consented and volunteered to participate in this study

You may not qualify if:

• 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

Sponsors & Collaborators

• Peking University Third Hospital: lead

Study Sites (1)

Peking Universitu 3rd Hospital

Beijing, China

Location

Study Officials

• Xin Wang

  Peking University Third Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The subjects were randomly divided into the experimental group and the control group. The control group received conventional rehabilitation nursing during the perioperative period, while the experimental group received ERAS intervention. The differences between the two groups in postoperative pain degree (NRS0-10) comfort level (Likert 1-5) and rehabilitation completion Range of motion(ROM) score were compared. 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 ESR CRP and procalcitonin indexes in blood routine)

Study Record Dates

• First Submitted: June 28, 2020
• First Posted: July 13, 2020
• Study Start: September 1, 2020
• Primary Completion: December 31, 2021
• Study Completion: March 31, 2022
• Last Updated: October 12, 2022

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)