Clinical trial NCT04467359: Application of Rapid Rehabilitation Nursing in Perioperative Rehabilitation of Knee Arthroscopy
Official title: Application of Rapid Rehabilitation Nursing in Perioperative Rehabilitation of Knee Arthroscopy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Knee Arthroscopy
Keywords: Nursing
Enhanced Recovery After Surgery（ERAS）
Lead sponsor: Peking University Third Hospital
Sponsor class: OTHER
First posted: 2020-07-13
Enrollment: 172
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
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)
Primary purpose: OTHER

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

Eligibility criteria: Inclusion Criteria:

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

Exclusion Criteria:

* 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

Primary outcomes:
measure: Self-care ability score
timeFrame: 1 day before operation
measure: Self-care ability score
timeFrame: Postoperative 1 day
measure: Degree of postoperative pain
timeFrame: Postoperative 1 day
measure: Comfort level
timeFrame: Postoperative 1 day
measure: Rehabilitation Completion
timeFrame: 2 weeks after discharged
measure: Rehabilitation Completion
timeFrame: 4 weeks after discharged
measure: Rehabilitation Completion
timeFrame: 8 weeks after discharged
measure: Rehabilitation Completion
timeFrame: 12 weeks after discharged
Secondary outcomes:
measure: adverse reaction
timeFrame: postoperative 1 day
Other outcomes:
Locations:
city: Beijing
country: China
facility: Peking Universitu 3rd Hospital
Study officials:
affiliation: Peking University Third Hospital
name: Xin Wang
role: PRINCIPAL_INVESTIGATOR
References: