Zhou Yumeng, Bao Yunchun, Kan Yanan, Lv Shuaijie, Yan Kun, Hua Dongxu, Chen Quanquan
Orthopedics and Traumatology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang, China.
Medicine (Baltimore). 2025 Aug 8;104(32):e43319. doi: 10.1097/MD.0000000000043319.
Knee osteoarthritis is a common degenerative joint disease that severely affects mobility and quality of life in elderly populations. Total knee arthroplasty (TKA) is an effective treatment for advanced knee osteoarthritis, yet patients often experience suboptimal postoperative recovery. This study aimed to evaluate the effectiveness of an early rehabilitation intervention-based nursing care model in improving postoperative outcomes in patients undergoing unilateral TKA. A total of 180 patients who underwent unilateral TKA at our hospital from January 2023 to December 2024 were included in this retrospective cohort study. Patients were divided into 2 groups: the observation group (n = 98) received early rehabilitation intervention-based nursing care, while the control group (n = 82) received conventional nursing. Postoperative outcomes were assessed at 1 month using the Hospital for Special Surgery knee score, 30-second chair stand test, active range of motion, SF-36 quality of life scale, Hospital Anxiety and Depression Scale, Tampa Scale for Kinesiophobia, and incidence of adverse events. One month after surgery, the observation group showed significantly better outcomes than the control group in Hospital for Special Surgery scores, 30-second chair stand test, active range of motion, SF-36 quality of life, and Hospital Anxiety and Depression Scale and Tampa Scale for Kinesiophobia scores (all P < .05). There was no statistically significant difference in the incidence of adverse events between groups. Early rehabilitation intervention-based nursing care significantly enhances functional recovery, pain control, psychological well-being, and overall quality of life in TKA patients. These findings support its clinical value and provide a basis for optimizing perioperative nursing strategies.
膝关节骨关节炎是一种常见的退行性关节疾病，严重影响老年人群的活动能力和生活质量。全膝关节置换术（TKA）是治疗晚期膝关节骨关节炎的有效方法，但患者术后恢复往往不理想。本研究旨在评估基于早期康复干预的护理模式对单侧TKA患者术后结局的改善效果。本回顾性队列研究纳入了2023年1月至2024年12月在我院接受单侧TKA的180例患者。患者分为两组：观察组（n = 98）接受基于早期康复干预的护理，对照组（n = 82）接受常规护理。术后1个月，使用特种外科医院膝关节评分、30秒坐立试验、主动活动范围、SF-36生活质量量表、医院焦虑抑郁量表、坦帕运动恐惧量表和不良事件发生率评估术后结局。术后1个月，观察组在特种外科医院评分、30秒坐立试验、主动活动范围、SF-36生活质量、医院焦虑抑郁量表和坦帕运动恐惧量表评分方面的结局均显著优于对照组（均P < 0.05）。两组间不良事件发生率无统计学显著差异。基于早期康复干预的护理显著提高了TKA患者的功能恢复、疼痛控制、心理健康和整体生活质量。这些发现支持了其临床价值，并为优化围手术期护理策略提供了依据。
