Objective:To investigate the level of rehabilitation exercise adherence in patients undergoing anterior cruciate ligament (ACL) reconstruction within 6 months post-surgery, analyze its trajectory, and provide a reference for clinical nursing interventions.Methods:Using a convenience sampling method, 150 patients who underwent arthroscopic ACL reconstruction at the First Affiliated Hospital of Zhengzhou University from June 2022 to August 2023 were selected. Rehabilitation exercise adherence was assessed monthly from postoperative 1 month (M 1) to 6 months (M 6) using the Orthopedic Functional Exercise Adherence Scale. A latent class growth model was employed to analyze adherence trajectory categories, and Logistic regression was used to identify influencing factors for different adherence trajectories. Results:A total of 144 patients completed follow-up (follow-up rate was 96.00%). Exercise adherence scores gradually declined over the 6 months post-surgery, with scores of (50.30±5.39), (45.92±3.85), (39.48±5.27), (35.83±6.19), (31.85±7.59), and (29.88±7.88) from M 1 to M 6, respectively. The difference in scores across time points was statistically significant ( F=85.467, P<0.01). Three potential categories were identified through the latent class growth model: the moderate-high level rapid decline group ( n=65, 45.14%), the moderate-low level stable group ( n=32, 22.22%), and the moderate-low level slow decline group ( n=47, 32.64%). Logistic regression analysis revealed that gender and age were significant factors influencing adherence trajectory categories ( P<0.05) . Conclusions:Dynamic declines in rehabilitation exercise adherence are common among ACL reconstruction patients, with varying degrees of decline. Gender and age may influence adherence trajectories, suggesting that targeted management strategies could be implemented in clinical practice.

Objective:To explore the effect of case-based learning (CBL) combined with the Mini Quest teaching method on the critical thinking and practical ability of orthopedic nursing interns.Methods:A total of 124 nursing interns who practiced in the Department of Orthopedics of the First Affiliated Hospital of Zhengzhou University from February 2024 to February 2025 were selected by purposive sampling and randomly divided into a control group and an observation group using a drawing lot method, with 62 interns in each group. The control group received traditional orthopedic internship teaching, while the observation group received CBL combined with the Mini Quest teaching method. The duration of the internship teaching for both groups was four weeks. Critical thinking ability was assessed using the Chinese Version of the Critical Thinking Disposition Inventory (CTDI-CV) , and scores were collected at the beginning and end of the internship. Additionally, theoretical examination scores, operational skill assessment scores, and teaching satisfaction ratings were compared between the two groups.Results:After the internship, the observation group had significantly higher CTDI-CV scores across all dimensions, truth-seeking (47.80±1.59) , open-mindedness (49.12±1.38) , analytical ability (46.83±2.95) , systematicity (47.38±2.40) , self-confidence (45.13±1.62) , inquisitiveness (44.79±1.46) , and cognitive maturity (46.19±0.72) , with a total score of (327.24±26.19) , compared to the control group, all with statistically significant differences ( P<0.05) . The observation group also scored higher on theoretical exams [ (92.34±1.86) vs. (89.75±2.23) ] and practical skill assessments [ (90.28±1.42) vs. (87.56±2.35) ] compared to the control group, with statistically significant differences ( P<0.05) . The satisfaction scores of orthopedic nursing interns in the observation group were higher than those in the control group in terms of teaching model, teaching effectiveness, theoretical training, practical operation guidance, and teaching environment, and the differences were statistically significant ( P<0.05) . Conclusions:The combination of CBL and the Mini Quest teaching method can effectively enhance the critical thinking and practical ability of orthopedic nursing interns and is worth promoting in clinical teaching.

Objective:To investigate the level of rehabilitation exercise adherence in patients undergoing anterior cruciate ligament (ACL) reconstruction within 6 months post-surgery, analyze its trajectory, and provide a reference for clinical nursing interventions.Methods:Using a convenience sampling method, 150 patients who underwent arthroscopic ACL reconstruction at the First Affiliated Hospital of Zhengzhou University from June 2022 to August 2023 were selected. Rehabilitation exercise adherence was assessed monthly from postoperative 1 month (M 1) to 6 months (M 6) using the Orthopedic Functional Exercise Adherence Scale. A latent class growth model was employed to analyze adherence trajectory categories, and Logistic regression was used to identify influencing factors for different adherence trajectories. Results:A total of 144 patients completed follow-up (follow-up rate was 96.00%). Exercise adherence scores gradually declined over the 6 months post-surgery, with scores of (50.30±5.39), (45.92±3.85), (39.48±5.27), (35.83±6.19), (31.85±7.59), and (29.88±7.88) from M 1 to M 6, respectively. The difference in scores across time points was statistically significant ( F=85.467, P<0.01). Three potential categories were identified through the latent class growth model: the moderate-high level rapid decline group ( n=65, 45.14%), the moderate-low level stable group ( n=32, 22.22%), and the moderate-low level slow decline group ( n=47, 32.64%). Logistic regression analysis revealed that gender and age were significant factors influencing adherence trajectory categories ( P<0.05) . Conclusions:Dynamic declines in rehabilitation exercise adherence are common among ACL reconstruction patients, with varying degrees of decline. Gender and age may influence adherence trajectories, suggesting that targeted management strategies could be implemented in clinical practice.

Objective:To explore the effect of case-based learning (CBL) combined with the Mini Quest teaching method on the critical thinking and practical ability of orthopedic nursing interns.Methods:A total of 124 nursing interns who practiced in the Department of Orthopedics of the First Affiliated Hospital of Zhengzhou University from February 2024 to February 2025 were selected by purposive sampling and randomly divided into a control group and an observation group using a drawing lot method, with 62 interns in each group. The control group received traditional orthopedic internship teaching, while the observation group received CBL combined with the Mini Quest teaching method. The duration of the internship teaching for both groups was four weeks. Critical thinking ability was assessed using the Chinese Version of the Critical Thinking Disposition Inventory (CTDI-CV) , and scores were collected at the beginning and end of the internship. Additionally, theoretical examination scores, operational skill assessment scores, and teaching satisfaction ratings were compared between the two groups.Results:After the internship, the observation group had significantly higher CTDI-CV scores across all dimensions, truth-seeking (47.80±1.59) , open-mindedness (49.12±1.38) , analytical ability (46.83±2.95) , systematicity (47.38±2.40) , self-confidence (45.13±1.62) , inquisitiveness (44.79±1.46) , and cognitive maturity (46.19±0.72) , with a total score of (327.24±26.19) , compared to the control group, all with statistically significant differences ( P<0.05) . The observation group also scored higher on theoretical exams [ (92.34±1.86) vs. (89.75±2.23) ] and practical skill assessments [ (90.28±1.42) vs. (87.56±2.35) ] compared to the control group, with statistically significant differences ( P<0.05) . The satisfaction scores of orthopedic nursing interns in the observation group were higher than those in the control group in terms of teaching model, teaching effectiveness, theoretical training, practical operation guidance, and teaching environment, and the differences were statistically significant ( P<0.05) . Conclusions:The combination of CBL and the Mini Quest teaching method can effectively enhance the critical thinking and practical ability of orthopedic nursing interns and is worth promoting in clinical teaching.

Objective:To explore the effects of an improved perioperative diet management based on the concept of enhanced recovery after surgery (ERAS) in patients undergoing total hip arthroplasty (THA) .Methods:From May 2020 to May 2022, convenience sampling was used to select 320 patients who underwent their first unilateral THA at the First Affiliated Hospital of Zhengzhou University. According to the random number table method, patients were divided into control group ( n=160) and observation group ( n=160). The control group adopted a routine perioperative diet management, while the observation group improved the perioperative diet management based on the ERAS concept, and nurses performed preoperative fasting and postoperative diet and drinking water nursing according to the plan. We compared the preoperative hunger and thirst between two groups of patients, and recorded the gastrointestinal function such as postoperative anal exhaust and defecation time, bowel sound recovery time, postoperative nausea and vomiting degree, and post eating nausea and vomiting degree between the two groups. Results:The number of preoperative hunger and thirst patients in the observation group was less than that in the control group, and the postoperative exhaust time, defecation time, and bowel sound recovery time were shorter than those in the control group ( P<0.05). The degree of nausea and vomiting after eating after surgery was lower than that in the control group. The differences were all statistically significant ( P<0.05) . Conclusions:The improved perioperative diet management based on ERAS has good clinical effects in THA patients, reducing perioperative discomfort and promoting postoperative gastrointestinal function recovery.

Objective:To explore the effect of precision nursing based on evidence-based concept in the perioperative period of patients with total knee arthroplasty (TKA) .Methods:From January 2018 to December 2020, 200 TKA patients admitted to the First Affiliated Hospital of Zhengzhou University were selected as the study subject by convenience sampling. The patients were divided into the control group and the observation group according to simple random sampling with 100 cases in each group. The control group adopted routine nursing, while the observation group conducted precise nursing based on evidence-based concept on the basis of the control group. The incidence of postoperative complications and knee function between the two groups were compared.Results:The incidence of complications in the observation group was lower than that in the control group, with a statistically significant difference ( P<0.05) . At one, three and six months after operation, the knee function score of New York Hospital for Special Surgery (HSS) in both groups showed an upward trend. The HSS scores of the observation group at one, three, six months after operation were higher than those of the control group, and the difference was statistically significant ( P<0.01) . Conclusions:The precision nursing based on the evidence-based concept has a definite effect in the perioperative nursing of patients with TKA, which can reduce complications and improve the knee function.

Objective:To explore the effect of stabilizing muscle training on cervical function and quality of life in continuous nursing care of patients with cervical spondylosis.Methods:From June 2018 to June 2019, a total of 98 patients with cervical spondylosis in the First Affiliated Hospital of Zhengzhou University were selected by convenience sampling method, and divided into control group and observation group by random number table method. In the course of treatment and follow-up, 15 cases were lost in the two groups, and 42 cases were included in the control group and 41 in the observation group. The control group was given routine continuous nursing after discharge, and the observation group was given stabilizing muscle training on the basis of routine continuous nursing. The scores of Japanese Orthopedic Association (JOA) and Neck Disability Index were compared before intervention, 3 months after intervention and 6 months after intervention between the two groups. The scores of Short Form 36 Health Survey Questionnaire (SF-36) were compared after intervention between the two groups.Results:The results of repeated measurement ANOVA of JOA score and NDI score before intervention, 3 months and 6 months after intervention showed that there were interaction, inter group and time effects, and the differences were statistically significant ( P<0.01) . After the intervention, the scores of SF-36 in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:In the continuous nursing of patients with cervical spondylosis, the application of stabilizing muscle training is more conducive to relieve muscle tension, improve symptoms, and improve the quality of life of patients.