Objective To develop a home-based rehabilitation program for patients receiving total knee arthroplasty(TKA)and to promote home management.Methods Guided by the Knowledge-to-Action framework,the development of home-based rehabilita-tion protocol involved such steps:first step,systematic literature review and quality assessment of relevant studies on home-based rehabilitation after TKA were performed;second step,the best evidence was extracted and summarized to generate rehabilitation contents;third step,two rounds of expert consultation were conducted using the Delphi method to determine the most appropriate rehabilitation contents;fourth step,qualitative interviews with patients,practitioners,and managers,were conducted to better understand facilitators and barriers of evidence implementation;and the last step,action strategies were formulated by an expert panel.Results A total of 23 articles were included,Twenty four items of rehabilitation contents were selected for home-based reha-bilitation and a detailed protocol across postoperative weeks 2-26 was formulated.Three facilitators and four bar-riers were identi-fied.A home-based rehabilitation program and a flowchart for the assessment and implementation of the program were developed.Conclusion Following the Knowledge-to-Action framework,the home-based rehabilitation program,which incorporates the best ev-idence and considers professional judgments,patient preferences,and available resources,can offer standardized and systematic in-tervention guidelines for patients engaging in home-based rehabilitation exercises.
关键词
全膝关节置换术/居家锻炼/康复锻炼/循证护理/知识行动框架/实施科学/证据转化
Key words
total knee arthroplasty/home exercise/rehabilitation exercise/evidence-based nursing/knowledge-to-action framework/implementation science/evidence implementation
维普
万方数据