Sheng Qing, Wang Guangling, Wang Pengfei
Jiangsu Province Hospital, The Third Ward of the Department of Orthopedics, Nanjing, China.
Huai'an Economic and Technological Development Zone Hospital, Department of Orthopedics, Huai'an, Jiangsu, China.
Rev Esc Enferm USP. 2025 Sep 15;59:e20250184. doi: 10.1590/1980-220X-REEUSP-2025-0184en. eCollection 2025.
This systematic review and meta-analysis aimed to assess the effect of nursing interventions, considering their importance in the rehabilitation of patients undergoing knee and hip replacement.
Three databases were systematically searched. Two researchers carefully reviewed the full texts of the selected studies and extracted the required data. Further, a meta-analysis was conducted.
Of the 19 studies reviewed, 17 revealed that nursing interventions can improve the rehabilitation of patients after knee and hip replacement operations. Among patients with hip replacements, the results indicated that nursing interventions can significantly increase the Harris hip score and activities of daily living compared with usual care. Among patients with knee replacements, the results revealed that nursing interventions can significantly improve range of motion and knee function and reduce knee pain compared with usual care.
Evidence reveals that individualized care and evidence-based strategies combined with various exercises and training provided by a multidisciplinary team significantly influence the physical rehabilitation among patients undergoing knee and hip replacement.
本系统评价和荟萃分析旨在评估护理干预措施的效果，鉴于其在膝关节和髋关节置换患者康复中的重要性。
系统检索了三个数据库。两名研究人员仔细审查了所选研究的全文并提取了所需数据。此外，还进行了荟萃分析。
在审查的19项研究中，17项表明护理干预措施可改善膝关节和髋关节置换术后患者的康复情况。在髋关节置换患者中，结果表明与常规护理相比，护理干预措施可显著提高Harris髋关节评分和日常生活活动能力。在膝关节置换患者中，结果显示与常规护理相比，护理干预措施可显著改善关节活动范围和膝关节功能，并减轻膝关节疼痛。
有证据表明，个性化护理和循证策略与多学科团队提供的各种锻炼和训练相结合，对膝关节和髋关节置换患者的身体康复有显著影响。
