Formulation and initial validation of a daily goal-management-based exercise intervention for total knee arthroplasty patients
10.3969/j.issn.1006-9771.2026.08.009
- VernacularTitle:基于每日目标管理路径的全膝关节置换术患者运动干预方案的构建及初步验证
- Author:
Jingxiao TIAN
1
;
Jiaming AI
1
;
Hongwei MIN
2
;
Kecong ZHAO
2
;
Baocui ZHANG
2
;
Hong JIANG
2
;
Wei YANG
2
;
Jun'e LIU
1
Author Information
1. Capital Medical University School of Nursing, Beijing 100069, China
2. Department of Orthopedic and Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
- Publication Type:Journal Article
- Keywords:
total knee arthroplasty;
training;
rehabilitation;
daily goal management pathway;
nursing
- From:
Chinese Journal of Rehabilitation Theory and Practice
2026;32(8):959-967
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo develop an exercise intervention program for patients undergoing total knee arthroplasty based on the daily goal management pathway, and preliminarily verify its clinical feasibility and effectiveness. MethodsThe intervention program was formulated based on the daily goal management pathway and hope theory, combined with literature analysis, qualitative interviews and expert consultation. Feasibility evaluation was conducted among orthopedic nurses and patients in Beijing Bo'ai Hospital from September to November, 2025. A controlled pilot study was performed with 15 patients in each group: the control group received routine rehabilitation care, while the experimental group received the developed intervention program. The Hospital for Special Surgery Knee Score (HSS), range of motion (ROM) of knee, functional exercise compliance score, Visual Analogue Scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were compared between two groups. ResultsThe program covered three themes from admission to three weeks postoperatively, including seven training methods and 32 specific recommendations. Feasibility results showed 100% patient recruitment rate, 93.75% retention rate and 96.94% program acceptance rate. A total of 21 orthopedic nurses scored ≥ 4.5 on all four dimensions of the program. After intervention, HSS score and knee ROM significantly increased (|t| > 6.205, P < 0.001), while WOMAC and VAS score decreased (t = 9.127, Z = -3.415, P < 0.01) in the experimental group; in the control group, VAS score decreased (Z = -3.122, P = 0.002), and knee ROM reduced (t = -2.622, P = 0.015), with no significant improvement in other indicators (P > 0.05); all the indexes were better in the experimental group than in the control group (|t| > 7.949, |Z| > 2.990, P < 0.01), including the functional exercise compliance (t = -8.565, P < 0.001). ConclusionThe exercise intervention program based on the daily goal management pathway is scientific, feasible and preliminarily effective, which can provide a new structured and humanized nursing for early exercise training of patients during hospitalization for total knee arthroplasty.
