ABSTRACT
Objective:
To search, evaluate and summarize the best evidence summary of perioperative accelerated
rehabilitation nursing for
patients undergoing
hip and
knee arthroplasty, so as to provide reference for clinical
perioperative nursing.
Methods:
Evidence-based nursing methods were used to search for relevant databases such as BMJ
Best Practice, UpToDate,
PubMed, CINAHL, and CNKI, etc.. The search period was from December 2010 to December 2022. Four
researchers independently evaluated the quality of the guidelines, and two
researchers independently evaluated the quality of expert
consensus and system evaluation. Finally, the included
literature was summarized.
Results:
A total of 12 pieces of
literature, 3 guidelines, 5 expert
consensus and 4 systematic reviews were included. From 13 aspects of preoperative
education, preoperative
optimization,
anesthesia management, perioperative
blood management, perioperative
pain management, perioperative fluid management, perioperative
temperature protection,
infection prevention,
thrombus prevention,
postoperative nausea and vomiting, postoperative
drainage, functional
exercise, and perioperative
rehabilitation promotion, 35 pieces of the best evidence for
hip and
knee replacement
patients to accelerate
rehabilitation nursing in the
perioperative period was summarized.
Conclusions:
This study summarizes the best evidence of accelerated
rehabilitation nursing in the
perioperative period of
hip and
knee arthroplasty, aiming to build and standardize the accelerated
rehabilitation nursing scheme in the
perioperative period of
hip and
knee arthroplasty, so as to provide reference for clinical
perioperative nursing.
