Application of Rapid Rehabilitation Nursing in Perioperative Rehabilitation of Knee Arthroscopy
Condition: Knee Arthroscopy
Study type: Interventional

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
    

Intervention name(s): ERAS; Perioperative routine rehabilitation nursing
Intervention type(s): Other; Other
Intervention description(s): 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.; 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
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: 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)
Masking: None (Open Label)
Primary purpose: Other
Keywords: Nursing; Enhanced Recovery After Surgery（ERAS）