在膝关节整形术后使用门诊康复访问的专家共识:德尔菲研究
Jeremy Graber1,2, Laura Churchill2, Tamara Struessel2
1VA Eastern Colorado Geriatric Research, Education, and Clinical Center (GRECC), VA Eastern Colorado Health Care System, Aurora, CO.
专家共识建议在全膝关节整形术 (TKA) 后一周内开始门诊康复. 康复频率因第一个月后的康复状况而异,大部分患者适合电话康复.
科学领域:
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
- 康复医学 康复医学 康复医学
背景情况:
- 关于在全膝关节整形术 (TKA) 后对门诊康复访问的最佳使用,缺乏共识.
- 建立清晰的康复访问频率和时间的指导方针对于有效的患者康复至关重要.
研究的目的:
- 制定专家共识建议,用于全膝关节整形术 (TKA) 后门诊康复访问的使用.
- 为临床医生和患者提供基于证据的指导,以优化TKA后康复计划.
主要方法:
- 采用了德尔菲研究方法,涉及TKA专家,就初步建议达成共识.
- 建议是根据患者的康复状态 (缓慢,典型,快速) 和手术后的时间量身定制的.
- 在多个Delphi轮使用RAND/UCLA方法来定义共识.
主要成果:
- 在关于访问频率,时间和使用远程康复的建议上达成共识.
- 门诊康复应在手术后一周内开始,在最初一个月内每周两次,无论康复状态如何.
- 在术后的2-3个月,根据个体的康复轨迹,患者的访问频率有所不同,大部分患者 (不包括缓慢康复的患者) 认为远程康复是合适的.
结论:
- 德尔菲过程成功地产生了专家建议,用于TKA后的门诊康复访问.
- 这些指导方针旨在帮助患者根据个人偏好和康复进展,就其康复过程做出明智的决定.
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