Evidence-based nursing practice for exercise rehabilitation in patients undergoing anterior cruciate ligament reconstruction
10.3760/cma.j.cn115682-20240821-04675
- VernacularTitle:前交叉韧带重建患者运动康复的循证护理实践
- Author:
Shuang WANG
1
;
Meng JIA
1
;
Senbo AN
1
;
Ping LI
1
Author Information
1. 山东第一医科大学附属省立医院骨关节科，济南 250021
- Publication Type:Journal Article
- Keywords:
Exercise;
Rehabilitation;
Anterior cruciate ligament reconstruction;
Best evidence;
Evidence transformation;
Evidence-based practice
- From:
Chinese Journal of Modern Nursing
2025;31(19):2567-2573
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve and integrate the best evidence on exercise rehabilitation for patients undergoing anterior cruciate ligament (ACL) reconstruction, to put the evidence into clinical practice, and to validate its application.Methods:The best evidence on exercise rehabilitation for ACL reconstruction patients from Chinese and English databases and professional society websites was systematically searched and the evidence was translated into clinical practice. A total of 78 patients who underwent ACL reconstruction in the Department of Bone and Joint of Shandong Provincial Hospital Affiliated to Shandong First Medical University from September 2023 to April 2024 were selected for the study using the convenience sampling method. The 39 patients from September to December 2023 were used as the pre-practice group for the status review, and the 39 patients from January to April 2024 were used as the post-practice group for the evidence-based practice. The implementation rate of review indicators before and after evidence-based practice and the Lysholm Knee Score, Tegner Motor Function Score, and Knee Self-Efficacy Scale scores of the two groups of patients preoperatively and at one and three months postoperatively were compared.Results:A total of nine papers were included, summarizing 18 pieces of best evidence and forming 10 indicators for the review. The Lysholm Knee Score, Tegner Motor Function Score, and Knee Self-Efficacy Scale scores of the patients in post-practice group were higher than those of the patients in pre-practice group at one and three months postoperatively, and the differences were all statistically significant ( P<0.05). After evidence-based practice, the implementation rate of each review indicator increased, and the overall review indicator implementation rate increased from 0-65.79% to 89.74%-100.00%, with statistically significant differences ( P<0.05) . Conclusions:A best-evidence-based exercise rehabilitation program for patients undergoing ACL reconstruction effectively improves patients' knee function and self-efficacy, and enhances nurses' implementation of review indicators.
