Application of Nurse-led Multidisciplinary Rehabilitation Model in the Postoperative Rehabilitation of Anterior Cruciate Ligament Reconstruction
Objective To explore the effect of nurse-led multidisciplinary rehabilitation model on postoperative function recovery and return to sports of patients after anterior cruciate ligament reconstruction(ACLR).Methods According to the order of admission,50 patients admitted to our orthopedic department from January to June 2021 were included in the control group for routine treatment,nursing care,and rehabilitation guidance after surgery;50 patients admitted from July 2021 to January 2022 were included in the observation group and underwent nurse-led multidisciplinary rehabilitation in addition to routine treatment and nursing.The static and dynamic pain scores of the Numeric Rating Scale(NRS)at 1-3 days,6 months,and 12 months after surgery,time of first postoperative ambulation,the subjective knee joint score and Lysholm knee joint score of the International Knee Documentation Committee(IKDC)at 6 and 12 months after surgery,as well as the return to movement and abnormal physical signs after surgery were observed and compared between the two groups.Results The dynamic and static NRS pain scores in the observation group 1-3 days after surgery and the dynamic NRS pain score at 6 months after surgery were significantly lower than those in the control group(P＜0.05).The time of first postoperative ambulation in the observation group was earlier than that in the control group(P＜0.05).The IKDC knee joint subjective scores and Lysholm scores at 6 months and 1 year after surgery in the observation group were significantly higher than those in the control group(P＜0.05).The incidence of joint instability in the observation group was significantly lower than that in the control group(8.51%vs.25.00%,P=0.032),and the rate of return to sports in the observation group was higher than that in the control group(25.53%vs.12.50%,P=0.105).Conclusion The nurse-led multidisciplinary rehabilitation model can reduce the pain level after ACLR,promote early ambulation,reduce the occurrence of joint instability,and improve knee joint function recovery.However,further remote support is needed to improve the rate of return to exercise.
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