Summary of the best evidence of cold therapy for patients after knee joint replacement
10.3760/cma.j.cn115682-20221105-05364
- VernacularTitle:膝关节置换术后患者冷疗应用的最佳证据总结
- Author:
Yanfei MA
1
;
Ning NING
;
Zongke ZHOU
;
Yeping LI
;
Jiali CHEN
;
Zhongmin FU
;
Ailin HOU
;
Chunyan WANG
;
Rong HU
Author Information
1. 电子科技大学医学院附属绵阳医院·绵阳市中心医院骨科，绵阳 621000
- Keywords:
Arthroplasty, replacement, knee;
Cryotherapy;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2023;29(24):3283-3290
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the evidence of cold therapy for patients after knee joint replacement, so as to provide theoretical support for the practical implementation of cold therapy in patients after knee joint replacement in clinical practice.Methods:The literature on cold therapy for patients after knee joint replacement was systematically searched in relevant databases and websites at home and abroad. The search period was from database establishment to September 2022. The evaluation of literature quality and evidence extraction were independently completed by two researchers.Results:A total of 17 articles were included, including two clinical practice guidelines, five systematic reviews, six randomized controlled trials, and four expert consensuses. After independent evaluation and evidence extraction by two researchers, a total of 19 pieces of evidence were collected from 5 aspects: evaluation and education, observation of cold therapy, cold therapy tools, cold therapy parameters, and cold therapy effects. Among them, 8 pieces of A-level recommended evidence and 11 pieces of B-level recommended evidence.Conclusions:Cold therapy for patients after knee joint replacement is widely accepted and applied. Medical and nursing personnel should prioritize patient safety and formulate scientific cold therapy plans based on various factors such as individual differences, patient preferences, actual clinical scenarios, differences in medical equipment, medical and nursing personnel technical level, and cost-effectiveness, in order to maximize patient benefits.
