首页|全膝关节置换术后早期下床活动最佳证据总结

全膝关节置换术后早期下床活动最佳证据总结

扫码查看
目的:系统检索并汇总全膝关节置换术后早期下床活动的最佳证据,为早期下床活动的临床实施提供理论指导。方法:根据"6S"金字塔模型由上至下系统检索各指南网站、中外文数据库及髋膝关节外科等专业协会网站中关于全膝关节置换术后早期下床活动的相关文章,由2名研究者独立进行质量评价并总结相关证据。结果:共纳入13篇文献,包括3篇指南、2篇系统评价、6篇专家共识和2篇随机对照试验(RCT),从健康教育、活动前评估和指导、实施下床活动、下床活动安全保障4个方面汇总26个证据条目。结论:本研究汇总了全膝关节置换术后早期下床活动的最佳证据,临床工作人员应将符合临床情景的最佳证据与病人偏好及相应医疗条件相结合,制定针对性干预策略,以改善病人预后。
Summary of best evidence for early ambulation after total knee arthroplasty
Objective:To systematically retrieve and summarize the best evidence for early ambulation after total knee arthroplasty,so as to provide theoretical guidance for the clinical implementation of early get-out activities.Methods:According to the"6S"pyramid model,relevant articles on early get-out activities after total knee arthroplasty were systematically searched from the guide websites,Chinese and foreign databases,and the websites of professional associations such as hip and knee surgery from top to bottom.Two researchers independently conducted quality evaluation and summarized relevant evidence.Results:A total of 13 papers were included,including 3 guidelines,2 systematic reviews,6 expert consensus articles and 2 randomized controlled trials(RCTS).26 evidence items were summarized from 4 aspects:health education,pre-activity assessment and guidance,implementation of out-of-bed activities,and safety assurance of out-of-bed activities.Conclusions:This study summarized the best evidence of early ambulation after total knee arthroplasty.Clinical staff should combine the best evidence in line with clinical scenarios with patient preferences and corresponding medical conditions to develop targeted intervention strategies to improve patient prognosis.

knee arthroplastyearly ambulationevidence-based nursing

陶柔、杜棣、冯玉洁、方春瑞、叶迎奥、周施宇、江珉

展开 >

671013,大理大学护理学院

650032,中国人民解放军联勤保障部队第九二〇医院

650500,昆明医科大学

全膝关节置换术 早期下床活动 循证护理学

2025

全科护理
中华护理学会山西分会 山西医科大学护理学院

全科护理

影响因子:0.756
ISSN:1674-4748
年,卷(期):2025.23(1)