Application of enhanced recovery after surgery nursing during perioperative period of robot assisted total hip replacement

doi:10.3877/cma.j.issn.1674-134X.2024.01.019

Abstract

Abstract:

Objective

To explore the effect of enhanced recovery after surgery (ERAS) nursing pathway on perioperative nursing of domestic robot-assisted total hip arthroplasty (THA).

Methods

A total of 56 patients who underwent robot-assisted total hip arthroplasty in the Department of Bone and Joint Surgery, the Second Affiliated Hospital of Xi 'an Jiaotong University from April 2021 to September 2022 were selected.According to random number table method divided into observation group and control group, the observation group (29 cases) using rapid rehabilitation nursing mode, the control group (27 cases) by routine nursing mode.The ambulant time, length of hospital stay, pain score, Harris score and satisfaction were recorded and compared between the two groups by t test or rank sum test.

Results

The ambulant time in the observation group (1.9±0.9) d was significantly earlier than that in the control group (2.4±0.7) d (t=2.4, P<0.05). The hospitalization time of the control group was (13.0±3.9) d, which was significantly shorter than (15.1±3.9) d of the control group (t=2.04, P <0.05). The postoperative pain score of the observation group was (2.0±1.2) points, which was significantly lower than (2.7±1.5) points of the control group (t=2.09, P<0.05). The postoperative Harris score of the observation group was (67±10) points, which was significantly higher than (62±11) points of the control group (t=2.042 P<0.05).

Conclusion

Under the guidance of clinical nursing path to accelerate recovery, combining with the characteristics of the advantages of domestic robots, the optimized peri-operative nursing process of artificial hip replacement can be evaluated and operable, improve the satisfaction of patients, and promote the rehabilitation of patients, which is worthy of clinical promotion.

Key words: Enhanced recovery after surgery, Clinical pathways, Robotic surgical procedures, Arthroplasty, replacement, hip, Nursing

Hanli Pan, Jing He, Yuanyuan Chen, Mengyao Jia, Xing Zhao, Pei Yang. Application of enhanced recovery after surgery nursing during perioperative period of robot assisted total hip replacement[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(01): 142-146.

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References 12

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组别Groups	例数Case number	男[例(%)]Male	女[例(%)]Female	年龄[岁，(±s)]Age(years)	BMI[kg/m²，(±s)]
观察组Observation group	29	19(65.5)	10(34.5)	53.5±10.5	23.9±3.7
对照组Control group	27	18(66.7)	9(33.3)	54.6±11.7	24.6±2.5
统计值Statistical value		χ²＝0.008		t ＝0.709	t ＝0.722
P值		>0.05		>0.05	>0.05

组别Groups	例数Case number	男[例(%)]Male	女[例(%)]Female	年龄[岁，(±s)]Age(years)	BMI[kg/m²，(±s)]
观察组Observation group	29	19(65.5)	10(34.5)	53.5±10.5	23.9±3.7
对照组Control group	27	18(66.7)	9(33.3)	54.6±11.7	24.6±2.5
统计值Statistical value		χ²＝0.008		t ＝0.709	t ＝0.722
P值		>0.05		>0.05	>0.05

组别Groups	例数Case number	术前Harris Harris score before operation	术后Harris评分Harris score after operation
观察组Observation group	29	53±11	67±10
对照组Control group	27	49±11	62±11
t值		1.532	2.042
P值		>0.05	<0.05

组别Groups	例数Case number	术前Harris Harris score before operation	术后Harris评分Harris score after operation
观察组Observation group	29	53±11	67±10
对照组Control group	27	49±11	62±11
t值		1.532	2.042
P值		>0.05	<0.05

组别Groups	例数Case number	不满意Dis-satisfaction	一般Fair	满意Satisfaction	非常满意Great satisfaction
观察组Observation group	29	1(3.4)	4(13.8)	13(44.8)	11(37.9)
对照组Control group	27	2(7.4)	6(22.2)	10(37.0)	9(33.3)
Z值	4.407
P值	<0.001

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