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牛津关节置换早期恢复评分在接受关节置换术患者中的应用。

Application of the Oxford Arthroplasty Early Recovery Score for patients undergoing Joint arthroplasty.

作者信息

Pu Ying, Zhang Lu, Zhang Rui, Luo Sha, Hu Keqin

机构信息

School of Nursing, North Sichuan Medical College Nanchong 637000, Sichuan, China.

Department of Orthopedics, West China Fourth Hospital of Sichuan University Chengdu 610041, Sichuan, China.

出版信息

Am J Transl Res. 2025 Jan 15;17(1):338-348. doi: 10.62347/YMBI7245. eCollection 2025.

DOI:10.62347/YMBI7245
PMID:39959244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11826187/
Abstract

OBJECTIVE

To translate and adapt the Oxford Arthroplasty Early Recovery Score into Chinese, creating an assessment tool suitable for the early postoperative recovery of patients undergoing Joint arthroplasty.

METHODS

By adopting the convenience sampling method, 200 patients who had undergone hip arthroplasty at The Affiliated Hospital of North Sichuan Medical College between February 2022 and February 2023, with a two-week follow-up, were selected as the research subjects. Clinical and disease-related data were collected, and a preliminarily analysis was conducted to identify factors influencing early postoperative recovery.

RESULTS

A total of 200 questionnaires were distributed, and all were retrieved, with no invalid questionnaires excluded, resulting in an effective response rate of 100%. The total score of the early postoperative recovery quality of patients averaged (-2.49±12.32) points, the average score of pain sensation was (0.86±5.16) points, the average physical function was (-3.72±4.07) points, and the average psychosocial status was (-2.00±5.02) points. Statistical analysis showed that gender (P=0.004), age (P<0.0001), per capita monthly household income (P<0.0001), course of disease (P<0.0001), and BMI (P=0.006) had a significant effect on early postoperative recovery.

CONCLUSION

The Chinese version of the OARS scale has good reliability and validity, making it a useful tool for assessing limb function recovery and physical symptom perception in the early postoperative stage for patients undergoing joint arthroplasty.

摘要

目的

将牛津关节置换早期恢复评分翻译成中文并进行改编,创建一个适用于关节置换患者术后早期恢复的评估工具。

方法

采用便利抽样法,选取2022年2月至2023年2月在川北医学院附属医院接受髋关节置换术且进行了为期两周随访的200例患者作为研究对象。收集临床及疾病相关资料,并进行初步分析以确定影响术后早期恢复的因素。

结果

共发放问卷200份,全部回收,无无效问卷剔除,有效回收率为100%。患者术后早期恢复质量总分平均为(-2.49±12.32)分,疼痛感觉平均分为(0.86±5.16)分,身体功能平均分为(-3.72±4.07)分,心理社会状态平均分为(-2.00±5.02)分。统计分析显示,性别(P=0.004)、年龄(P<0.0001)、家庭人均月收入(P<0.0001)、病程(P<0.0001)和BMI(P=0.006)对术后早期恢复有显著影响。

结论

中文版OARS量表具有良好的信效度,是评估关节置换患者术后早期肢体功能恢复及身体症状感知的有用工具。

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本文引用的文献

1
Variation in Demographics, Hospital, and Patient-Reported Outcomes Following Total Hip Arthroplasty According to Biological Sex.根据生物学性别,全髋关节置换术后的人口统计学、医院和患者报告的结局存在差异。
J Arthroplasty. 2025 Jan;40(1):127-135.e1. doi: 10.1016/j.arth.2024.06.063. Epub 2024 Jul 4.
2
Cruciate-Retaining Total Knee Arthroplasty versus Unicompartmental Knee Arthroplasty in Medial Compartmental Osteoarthritis: A Propensity Score-Matched Analysis of Early Postoperative Recovery.内侧间室骨关节炎中保留交叉韧带全膝关节置换术与单髁膝关节置换术的比较:术后早期恢复的倾向评分匹配分析
Orthop Res Rev. 2024 Apr 10;16:103-110. doi: 10.2147/ORR.S444547. eCollection 2024.
3
Enhanced recovery after surgery in patients after hip and knee arthroplasty: a systematic review and meta-analysis.髋关节和膝关节置换术后患者的术后加速康复:一项系统评价和荟萃分析。
Postgrad Med J. 2024 Feb 15;100(1181):159-173. doi: 10.1093/postmj/qgad125.
4
Enhanced recovery after surgery combined with quantitative rehabilitation training in early rehabilitation after total knee replacement: a randomized controlled trial.术后强化康复联合全膝关节置换术后早期定量康复训练:一项随机对照试验。
Eur J Phys Rehabil Med. 2024 Feb;60(1):74-83. doi: 10.23736/S1973-9087.23.07899-1. Epub 2023 Nov 7.
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Evaluation and Treatment of Knee Pain: A Review.膝关节疼痛的评估与治疗:综述
JAMA. 2023 Oct 24;330(16):1568-1580. doi: 10.1001/jama.2023.19675.
6
Study on the Effect of Pain Programmed Care Based on the Concept of Prehabilitation on the Recovery of Joint Function and WHOQOL-BREF Score in Elderly Patients after Total Hip Arthroplasty.基于预康复概念的疼痛程序化护理对老年全髋关节置换术后关节功能恢复及 WHOQOL-BREF 评分的影响研究。
Altern Ther Health Med. 2023 Nov;29(8):618-623.
7
Narrative Nursing Intervention on the Emotional Effects of Patients after Bone and Joint Replacement.叙事护理干预对骨关节置换术后患者情绪影响的研究
Altern Ther Health Med. 2023 Nov;29(8):20-25.
8
Challenges in rehabilitation and continuum of care provision after knee replacement: a mixed-methods study from a low- and middle-income country.膝关节置换术后康复及连续护理服务面临的挑战:一项来自低收入和中等收入国家的混合方法研究。
Disabil Rehabil. 2024 Jun;46(13):2890-2900. doi: 10.1080/09638288.2023.2236012. Epub 2023 Jul 17.
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10
Study on the effect of internet plus continuous nursing on functional recovery and medication compliance of patients with knee joint replacement.互联网+延续护理对膝关节置换术后患者功能恢复及用药依从性的影响研究
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