ArticleJournal of orthopaedic surgery and research2025
Effect of precision rehabilitation-oriented bundled care on functional recovery and psychological resilience after digital replantation: a non-randomized controlled trial.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis study aimed to investigate the impact of precision rehabilitation-oriented, bundled nursing interventions on postoperative functional recovery and psychological resilience in patients who had undergone digital replantation surgery.
methodThe study adopted a non-randomized controlled trial design. Between January 2021 and January 2025, 64 patients who underwent single-finger replantation were enrolled from a tertiary hospital in Zhejiang Province. Patients were grouped postoperatively based on whether bundled care was implemented.The control group (n = 32) received routine nursing care, while the intervention group (n = 32) received the bundled nursing intervention in addition to routine care. The changes in the GSES scores before and after the intervention were compared between the two groups. Additionally, functional recovery of the affected digit was assessed six months post-surgery. Quality of life was measured using the QL-Index, and patient satisfaction was evaluated using a modified 5-point Likert scale.
resultsBefore the intervention, there was no statistically significant difference in GSES scores between the two groups (P > 0.05). After the intervention, GSES scores in both groups had increased from baseline. Moreover, the post-intervention scores in the intervention group were significantly higher than those in the control group (P < 0.05). Six months after surgery, the intervention group showed higher rates of excellent or good recovery in digital motor function (84.4% vs 62.5%), along with significantly greater improvement in quality of life (84.4% vs 56.3%), and higher levels of satisfaction (90.6% vs 81.2%) compared to the control group. The differences in rank distributions between groups were statistically significant (all P < 0.05).
conclusionPrecision rehabilitation-oriented bundled nursing interventions may contribute to functional recovery and enhance psychological resistance in patients after digital replantation.
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