Liu L, Guan QZ, Wang LF. Rehabilitation care for pain in elderly knee replacement patients. World J Clin Cases 2024; 12(4): 721-728 [PMID: 38322695 DOI: 10.12998/wjcc.v12.i4.721]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 6, 2024; 12(4): 721-728 Published online Feb 6, 2024. doi: 10.12998/wjcc.v12.i4.721
Rehabilitation care for pain in elderly knee replacement patients
Li Liu, Qiao-Zhen Guan, Li-Fang Wang
Li Liu, Li-Fang Wang, Wuhan Fourth Hospital, Wuhan 430033, Hubei Province, China
Qiao-Zhen Guan, Department of Orthopaedics, Wuhan Third Hospital, Wuhan 430074, Hubei Province, China
Co-first authors: Li Liu and Qiao-Zhen Guan.
Author contributions: Liu L and Guan QZ contributed equally to this work as co-first authors equally to this work. Liu L and Guan QZ designed the research; Liu L, Guan QZ, and Wang LF contributed new reagents/analytic tools, and analyzed the data; Liu L and Guan QZ wrote the paper; and all authors were involved in the critical review of the results and have contributed to, read, and approved the final manuscript. Liu L and Guan QZ as co-first authors are threefold. First, Liu L and Guan QZ designed and conceptualized the study. Second, Liu L and Guan QZ participated in discussion development and provided expert guidance. Third, Liu L and Guan QZ put in the same effort throughout the study, and in summary, we believe that Guan QZ can be tagged as co-first author in our manuscript.
Institutional review board statement: This study protocol was approved by Wuhan Fourth Hospital.
Informed consent statement: All the families have voluntarily participated in the study and have signed informed consent forms.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Data generated from this investigation are available upon reasonable quest from the corresponding author.
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/
Received: October 23, 2023 Peer-review started: October 23, 2023 First decision: November 8, 2023 Revised: December 4, 2023 Accepted: January 8, 2024 Article in press: January 8, 2024 Published online: February 6, 2024 Processing time: 94 Days and 5.5 Hours
ARTICLE HIGHLIGHTS
Research background
TKA is the most effective procedure to relieve pain in knee osteoarthritis and other synovial diseases and to improve joint motion and deformity. Accelerated postoperative rehabilitation can improve the prognosis of patients, and early postoperative joint function exercise is a key factor in knee arthroplasty.
Research motivation
The collaborative care model, based on the responsibility care framework, values patient participation in home rehabilitation care and strives to promote early recovery. This model emphasizes the integration of caregivers, family members, and patients, also known as the “three-in-one” care approach.
Research objectives
The aim of this study was to investigate the effects of programmed pain care and collaborative care on elderly patients undergoing knee replacement surgery.
Research methods
Of 116 patients with total knee arthroplasty (TKA) from July 2019 to July 2021. There are two groups: Routine care group (n = 58), programmed nursing + collaborative nursing group (n = 58). Establish a pain management team composed of attending physicians, head nurses and responsible nurses. Evaluation indicators: Visual analogue scale score, activities of daily living score, and functional score.
Research results
The treatment effect of the observation group was better than that of the control group.
Research conclusions
Pain nursing with collaboration has shown positive outcomes for TKA patients receiving out-of-hospital care, including reduced pain, improved prognosis, and better quality of care.
Research perspectives
The combination of programmed pain nursing and collaborative nursing in out-of-hospital care for TKA patients can achieve good results, reduce patient pain, and improve patient prognosis and nursing quality.
