Retrospective Cohort Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 16, 2023; 11(32): 7745-7752
Published online Nov 16, 2023. doi: 10.12998/wjcc.v11.i32.7745
Effect of enhanced recovery after surgery with multidisciplinary collaboration on nursing outcomes after total knee arthroplasty
Jing Liu, Qian-Qian Zheng, Yang-Tao Wu
Jing Liu, Qian-Qian Zheng, Yang-Tao Wu, Operating Room, Shangrao People's Hospital, Shangrao 334000, Jiangxi Province, China
Author contributions: Liu J proposed the concept of this study; Zheng QQ has made contributions to data collection; Wu YT contributes to formal analysis; Liu J, Zheng QQ, Wu YT participated in the research; Wu YT has contributed to these methods; Liu J guided the research; Wu YT validated the effectiveness of this study; Zheng QQ and Wu YT contributed to the visualization of this study; Liu J drafted the first draft; Liu J, Zheng QQ, and Wu YT jointly reviewed and edited the manuscript.
Institutional review board statement: This study has passed the ethical review and approval of Shangrao People's Hospital.
Informed consent statement: The patient's informed consent form is not suitable for this study.
Conflict-of-interest statement: All authors declare that there are no conflicts of interest disclosed.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing Liu, MS, Nurse, Operating Room, Shangrao People's Hospital, No. 87 Shuyuan Road, Shangrao 334000, Jiangxi Province, China. lang588553588894@126.com
Received: September 27, 2023
Peer-review started: September 27, 2023
First decision: October 24, 2023
Revised: October 25, 2023
Accepted: October 30, 2023
Article in press: October 30, 2023
Published online: November 16, 2023
Processing time: 49 Days and 15.3 Hours
ARTICLE HIGHLIGHTS
Research background

Total knee arthroplasty (TKA) is a common surgical procedure for patients with knee joint degeneration. However, there is a lack of research investigating the effects of enhanced recovery after surgery (ERAS) with multidisciplinary collaboration on nursing outcomes in TKA patients. Understanding the background and present status of this research gap is crucial.

Research motivation

The motivation behind this study arises from the lack of research investigating the effects of ERAS with multidisciplinary collaboration on nursing outcomes in patients undergoing TKA. This research gap highlights the need to explore the potential benefits and effectiveness of ERAS in improving the nursing outcomes of TKA patients.

Research objectives

The main objectives of this study were to explore the effects of ERAS with multidisciplinary collaboration on nursing outcomes in patients undergoing TKA. The specific objectives included assessing the impact of ERAS on length of hospital stay, hospitalization cost, intraoperative blood loss, postoperative hemoglobin levels, pain management, knee joint ROM, Hospital for Special Surgery (HSS) knee score, and postoperative complications.

Research methods

This study utilized a retrospective analysis of clinical data to explore the impact of ERAS with multidisciplinary collaboration on nursing outcomes in TKA patients. By comparing the ERAS group to the conventional group, significant improvements were observed in various indicators such as hospital stay, blood loss, pain scores, and knee function. These findings highlight the importance of implementing ERAS protocols and multidisciplinary collaboration in TKA care.

Research results

The study found that implementing ERAS with multidisciplinary collaboration in TKA patients led to significant improvements in nursing outcomes, including shorter hospital stays, reduced blood loss, improved knee function, and lower pain scores. However, no significant difference was observed in postoperative complications. These findings contribute to the understanding of ERAS benefits, but further research is needed to explore its impact on complication rates and long-term effects of TKA nursing care protocols.

Research conclusions

The study concludes that multidisciplinary collaboration with ERAS can significantly improve nursing outcomes in patients undergoing TKA. Compared to routine nursing care, implementing ERAS protocols resulted in a shorter length of hospital stay, reduced hospitalization costs, decreased intraoperative blood loss, higher postoperative hemoglobin levels, lower pain scores, improved knee joint ROM, and higher HSS knee scores. These findings highlight the effectiveness of ERAS strategies in reducing blood loss, enhancing postoperative recovery, and improving knee function in TKA patients.

Research perspectives

Future research in the field of ERAS and multidisciplinary collaboration in TKA nursing care should focus on investigating long-term outcomes, conducting cost-effectiveness analyses, optimizing multidisciplinary collaboration, and performing comparative studies. These areas can lead to advancements in optimizing ERAS implementation, improving nursing outcomes, and enhancing overall care quality for TKA patients.