Influence of the concept of fast track surgery on the physiological and psychological rehabilitation of patients undergoing total knee arthroplasty

doi:10.3969/j.issn.2095-4344.1991

Abstract

Abstract:

BACKGROUND: Studies have shown that fast track surgery has a positive effect on the treatment of patients, but at present, there are few studies on the effect of the concept of fast track surgery on the physiological and psychological rehabilitation of total knee arthroplasty patients.

OBJECTIVE: To explore the effect of fast track surgery on physical and psychological rehabilitation of patients undergoing total knee arthroplasty.

METHODS: Sixty patients with severe knee arthritis undergoing total knee arthroplasty in the Renmin Hospital, Wuhan University from May 2017 to January 2019 were retrospectively analyzed. According to the surgery methods and ideas adopted before and after operation, patients were grouped. Patients who received fast track surgery according to the fast track ideas were involved in the fast track surgery group, including preoperative education, intraoperative fluid management and postoperative functional exercise. Patients with the same operation but conventional rehabilitation were divided into the conventional rehabilitation group. Hospitalization time, hospitalization cost, postoperative complications, nursing satisfaction during hospitalization, Zung anxiety self-rating scale, Zung depression and visual analogue score were compared between the two groups.

RESULTS AND CONCLUSION: (1) Compared with the conventional rehabilitation group, the length of stay was decreased, and the nursing satisfaction during the hospitalization was increased in the fast track surgery group (P < 0.05). (2) In terms of complications within 1 month after surgery, the incidence of urinary tract infection and lower extremity venous thrombosis was lower in the fast track surgery group than that in the conventional rehabilitation group (P < 0.05). (3) Compared with the conventional rehabilitation group, Zung anxiety, Zung depression and visual analogue score were decreased in the fast track surgery group (P < 0.05). (4) The results confirmed that the application of fast track surgery in total knee arthroplasty can accelerate the recovery of patients, improve patients’ satisfaction with treatment, and relieve anxiety and depression.

Key words: fast track surgery, total knee arthroplasty, psychology, physiology, Zung score, visual analogue score, postoperative complications, knee arthritis, urinary tract infection, venous thrombosis of lower limbs

CLC Number:

R459.9|R493|R684

Han Guangtao, Li Haohuan. Influence of the concept of fast track surgery on the physiological and psychological rehabilitation of patients undergoing total knee arthroplasty[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(36): 5760-5765.

Figures/Tables 4

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