knee osteoarthritis
Conditions
Interventions
Trial group:An optimized intraoperative nursing pathway for elderly patients undergoing total knee arthroplasty, combining routine operating-room care with the Nine-Box Thinking Model.
Control group:Conventional operating-room nursing
Sponsors
Shandong Provincial Third Hospital
Eligibility
Sex/Gender
All
Age
72 Years to 78 Years
Inclusion criteria
Inclusion criteria: 1. Surgical indications for primary total knee arthroplasty; 2. Age 60–80 years; 3. First-time, unilateral knee replacement; 4. Body mass index < 35 kg/m^2; 5. Varus or valgus deformity < 10°;
Exclusion criteria
Exclusion criteria: 1. History of prior knee arthroplasty or tibial/femoral osteotomy; 2. Knee flexion range of motion 10°; 4. Concurrent lower-limb disorders; 5. Psychiatric or emotional disorders; 6. Severe underlying cardiocerebrovascular or other systemic diseases precluding test completion;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Surgical efficiency metrics: - Surgical preparation time - Surgical operative time - Turnover time between consecutive surgeries; | — |
Secondary
| Measure | Time frame |
|---|---|
| Nursing Quality: Surgical Assistance, Aseptic Technique, Documentation, Emergency Management, Psychological Care, Specialized Knowledge, Health Education, etc.;Nursing Satisfaction: Patient satisfaction with nursing care in the operating room, including psychological support, preoperative education, nursing proficiency, positioning interventions, and service attitude.;Surgeon Satisfaction: Surgeons' satisfaction with operating room nursing services, including preparation of surgical instruments and supplies, surgical assistance, emergency response capability, storage and use of special instruments, intraoperative instrument transfer, nursing attitude, sense of responsibility, and proficiency in operating equipment.; | — |
Countries
China
Contacts
Public ContactTian Yuquan
Shandong Provincial Third Hospital
Outcome results
None listed