Effect of ERAS management mode on postoperative functional exercise compliance and functional recovery in male anterior cruciate ligament injury

Pub Date : 2023-01-01 DOI:10.22514/jomh.2023.103
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Abstract

The study aims to investigate the effect of ERAS (Enhanced Recovery After Surgery) management mode on functional exercise compliance and functional recovery after ACL (anterior cruciate ligament) reconstruction in males. Patients were admitted between June 2021 and December 2021 as the control group, and patients were admitted between January 2022 and June 2022 as the observation group. Routine nursing was adopted in the control group, while ERAS management mode was applied in the observation group for nursing. The clinical nursing efficacy, knee joint function (Lysholm score) and VAS (Visual analogue scale) score, patients’ functional training compliance and complications were compared. After intervention, the swelling disappearance time, pain disappearance time, hospital stay and other indicators of clinical nursing effect in the observation group were better (p < 0.05); the preoperative Lysholm score and VAS score showed no statistical significance (p > 0.05). The Lysholm score and VAS score at each time point after operation were markedly higher, and repeated measures analysis of variance manifested that the Lysholm score, VAS score, intergroup effect, time effect and interaction effect in both groups had statistical significance (p < 0.05). The total compliance rate of functional training in the observation group was conspicuously higher (p < 0.05); the overall incidence of complications in the observation group (13.3%) was evidently lower (28.7%) (p < 0.05). ERAS management mode can improve the functional training compliance, accelerate the recovery of joint function, reduce the incidence of complications and promote the quality of life of patients with ACL injury.
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ERAS管理模式对男性前交叉韧带损伤术后功能运动依从性及功能恢复的影响
本研究旨在探讨ERAS (Enhanced Recovery After Surgery)管理模式对男性前交叉韧带(ACL)重建术后功能运动依从性和功能恢复的影响。患者于2021年6月至2021年12月入院作为对照组,患者于2022年1月至2022年6月入院作为观察组。对照组采用常规护理,观察组采用ERAS管理模式进行护理。比较两组患者的临床护理效果、膝关节功能(Lysholm评分)和视觉模拟评分(VAS)、功能训练依从性及并发症发生情况。干预后,观察组患者在肿胀消失时间、疼痛消失时间、住院时间等临床护理效果指标均优于对照组(p <术前Lysholm评分和VAS评分差异均无统计学意义(p >0.05)。术后各时间点Lysholm评分和VAS评分均显著升高,重复测量方差分析显示,两组患者Lysholm评分、VAS评分、组间效应、时间效应、交互效应均有统计学意义(p <0.05)。观察组功能训练总依从率显著高于对照组(p <观察组总并发症发生率(13.3%)明显低于对照组(28.7%)(p <0.05)。ERAS管理模式可以提高ACL损伤患者的功能训练依从性,加速关节功能恢复,减少并发症的发生,提高患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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