فهرست نشریات علمی دسترسی آزاد ایران

Background and Objectives: Total knee arthroplasty (TKA) is often utilized in clinical therapy for knee joint diseases in middle and advanced stages. Nevertheless, because patients have severe pain after surgery and are prone to multiple complications, the recovery efficacy is not ideal. We attempted to clarify perioperative application value of the concept of Enhanced Recovery After Surgery (ERAS) for TKA.    Methods: A total of 92 patients under treatment with TKA in hospital from July 2021 to June 2022 were chosen and underwent division into control or experimental group in a random manner, with 46 cases each. The control group underwent conventional rehabilitation intervention. The ERAS concept was infiltrated for experimental group. The surgical rehabilitation, postoperative complications, negative emotions, knee-joint function, as well as nursing satisfaction in both groups underwent observation and analysis.   Results: Before operation, knee-joint function scores presented no difference between both groups (P>0.05). At 2 and 4 weeks after operation, knee-joint function scores in both groups presented improvement (P<0.05), and improvement in experimental group was better than that in controls (P<0.05). The postoperative recovery in experimental group was better than that in controls. After nursing intervention (P<0.05), total complication rate in experimental group was 6.52%, presented a marked depletion relative to 32.61% in controls (P<0.05). After nursing intervention, the total nursing satisfaction rate in experimental group was 97.83%, presented a marked elevation relative to 80.43% in controls (P<0.05). After nursing, the HAMD and HAMA scores in both groups were declined, and those in experimental group presented lower than that in controls (P<0.05).    Conclusion: Scientific infiltration of ERAS concept in perioperative period of TKA can alleviate physical and mental pain of patients, facilitate their physical recovery, deplete probability of complications, and improve knee function of patients, which has good application value.