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首页> 美国卫生研究院文献>other >What Augmented Physical Activity and Empowerment Can Bring to Patients Receiving Total Knee Replacement: Content Implementation and Comparative Effectiveness of a New Function-Tailored Care Pathway in a Routine Care Setting
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What Augmented Physical Activity and Empowerment Can Bring to Patients Receiving Total Knee Replacement: Content Implementation and Comparative Effectiveness of a New Function-Tailored Care Pathway in a Routine Care Setting

机译：进行全膝关节置换的患者可以增强运动量和增强能力：常规护理环境中新的功能定制护理路径的内容实施和比较效果

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Background. In the routine setting of the 20-bed orthopaedic ward of a regional hospital in Netherlands, we developed, implemented, and evaluated a new, function-tailored perioperative care pathway for patients receiving total knee replacement (TKR), aimed at faster functional recovery by reduction of inactivity and stimulation of self-efficacy of the patients. Methods. To assess effectiveness, we compared, using prospectively collected data from medical files, patient groups before (n = 127) and after (n = 108) introduction of the new care pathway with respect to time to recovery of physical functioning during hospitalisation (five milestones), length of hospital stay (LoS), referrals to an inpatient rehabilitation facility, and readmissions. Multivariable regression was used to adjust results for differences between the two groups in preoperatively assessed risk factors for delayed recovery. Results. Comparison of patient groups before (n = 127) and after (n = 108) introduction of the tailored care pathway showed that the tailored rehabilitation pathway decreased the time to recovery of physical functioning (from 4.5 to 4.1 days, P < 0.05), the mean LoS (from 5.2 days to 4.2 days, P < 0.01). Conclusion. We demonstrated that the introduction of a function-tailored care pathway shortens the hospital stay and accelerates the recovery of physical functioning.
机译：背景。在荷兰一家地区医院的20张病床的常规病房中，我们为接受全膝关节置换（TKR）的患者开发，实施和评估了一种新的，针对功能而定的围手术期护理路径，旨在通过以下方式更快地恢复功能减少运动量和刺激患者的自我效能。方法。为了评估有效性，我们使用了从医疗档案中收集的前瞻性数据，比较了在采用新护理途径之前（n = 127）和之后（n = 108）的患者组在住院期间恢复身体机能的时间（五个里程碑） ），住院时间（LoS），转诊到住院康复设施以及再次入院。使用多变量回归来调整两组在术前评估的延迟恢复风险因素中差异的结果。结果。引入量身定制的护理途径之前（n = 127）和之后（n = 108）的患者组的比较显示，量身定制的康复途径减少了恢复身体机能的时间（从4.5天降至4.1天，P <0.05），平均视距（从5.2天到4.2天，P <0.01）。结论。我们证明，引入功能定制的护理途径可缩短住院时间并加快身体机能的恢复。

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