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北京市东城区第一人民医院 外科, 北京, 100010
Received:11 June 2026,
Revised:2026-07-26,
Accepted:27 July 2026,
Online First:14 October 2026,
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LIU Yuqing, JIA Yuye. Multidisciplinary Collaborative Nursing Round Report for One Patient with Chronic Refractory Constipation After Right Knee Arthroplasty[DB/OL].Clinical Archives of Integrative Medicine, 2026.
LIU Yuqing, JIA Yuye. Multidisciplinary Collaborative Nursing Round Report for One Patient with Chronic Refractory Constipation After Right Knee Arthroplasty[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202606110001.
本文总结1例右膝关节置换术后合并慢性顽固性便秘患者的多学科协同护理查房案例。基于患者临床资料,责任护士进行病例汇报,主管医师分析病情及诊疗方案,多学科护理团队针对患者核心护理问题提出专业干预建议。通过实施中西医结合护理措施,重点强化中医特色外治干预,有效改善患者排便形态,缓解腹胀不适,同时促进右膝关节功能康复,缩短住院病程。该临床案例表明,以护士为核心的医护协同与多学科联合查房模式,在此类术后合并慢性便秘患者的护理工作中具备较高临床应用价值。
This paper summarizes a case of multidisciplinary collaborative nursing rounds for a patient with chronic refractory constipation after right knee arthroplasty. Based on the patient's clinical data, the primary nurse presented the case, the attending physician analyzed the patient's condition and treatment plan, and the multidisciplinary nursing team proposed professional intervention recommendations targeting the core nursing issues. Through the implementation of integrated Traditional Chinese and Western medicine nursing measures, with emphasis on characteristic external TCM interventions, the patient's defecation pattern was effectively improved, abdominal distension and discomfort were alleviated, and right knee joint functional rehabilitation was promoted, thereby shortening the hospital stay. This clinical case demonstrates that the nurse-centered physician-nurse collaboration combined with multidisciplinary joint ward-round model has high clinical application value in the nursing care of postoperative patients complicated with chronic constipation.
庞海统 . 老年骨性关节炎患者全膝关节置换术后并发膝前痛的影响因素 [J]. 河南医学研究 , 2026 , 35 ( 9 ): 1637 - 1641 .
Pang H T . Influencing factors of anterior knee pain after total knee arthroplasty in elderly patients with osteoarthritis [J]. Henan Med Res , 2026 , 35 ( 9 ): 1637 - 1641 . (in Chinese)
马漫 , 支慧 , 尚坤 . 多学科协同护理联合结构化护理在人工膝关节表面置换术患者中的应用效果 [J]. 医学临床研究 , 2025 , 42 ( 5 ): 872 - 875 .
Ma M , Zhi H , Shang K . Application effect of multidisciplinary collaborative nursing combined with structured nursing in patients undergoing artificial knee arthroplasty [J]. J Clin Res , 2025 , 42 ( 5 ): 872 - 875 . (in Chinese)
郎旭剑 , 谭淏文 , 丁涛 , 等 . 早期功能锻炼对全膝关节置换术后患者关节功能恢复的影响 [J]. 医学研究与教育 , 2026 , 43 ( 2 ): 12 - 19 .
Lang X J , Tan H W , Ding T , et al . Effects of early functional exercise on joint function recovery in patients after knee arthroplasty [J]. Med Res Educ , 2026 , 43 ( 2 ): 12 - 19 . (in Chinese)
龙瑕 . 老年综合评估对骨科大手术术后并发症、住院时长的预测价值 [D]. 贵阳 : 贵州医科大学 , 2023 .
谢锦伟 , 杨静 , 黄强 , 等 . 骨科、麻醉科加速康复围手术期疼痛、睡眠和焦虑障碍管理专家共识 [J]. 中华骨与关节外科杂志 , 2025 , 18 ( 3 ): 212 - 221 .
Xie J W , Yang J , Huang Q , et al . Expert consensus on the management of perioperative pain, sleep, and anxiety disorders in orthopaedics and anesthesiology for enhanced recovery after surgery [J]. Chin J Bone Jt Surg , 2025 , 18 ( 3 ): 212 - 221 . (in Chinese)
张丽菊 . 基于Zung自评量表研究功能性便秘与焦虑抑郁的相关性 [D]. 北京 : 北京中医药大学 , 2022 .
中国医师协会肛肠医师分会 . 慢性便秘检查与评估中国专家共识(2024版) [J]. 中华胃肠外科杂志 , 2024 , 27 ( 12 ): 1191 - 1201 .
Chinese Medical Doctor Association, Colorectal Surgery Branch . Chinese Expert Consensus on Examination and Evaluation of Chronic Constipation (2024 Edition) [J]. Chinese Journal of Gastrointestinal Surgery , 2024 , 27 ( 12 ): 1191 - 1201 . (in Chinese)
李灵灵 . 基于多学科协作模式下加速康复外科护理老年全膝关节置换术患者的价值研究 [J]. 山西医药杂志 , 2026 , 55 ( 7 ): 541 - 545 .
Li L L . A Study on the Value of Enhanced Recovery After Surgery Nursing for Elderly Patients Undergoing Total Knee Arthroplasty Based on a Multidisciplinary Collaborative Model [J]. Shanxi Med J , 2026 , 55 ( 7 ): 541 - 545 . (in Chinese)
初昀杭 , 冷炎 , 杨明 , 等 . 老年功能性便秘中医治疗研究进展 [J]. 中国中医基础医学杂志 , 2026 , 32 ( 2 ): 456 - 461 .
Chu Y H , Leng Y , Yang M , et al . Research progress in traditional Chinese medicine treatment of functional constipation in the elderly [J]. J Basic Chin Med , 2026 , 32 ( 2 ): 456 - 461 . (in Chinese)
戴薇 . 协同护理干预在老年全膝关节置换术后恐动症患者中的应用 [J]. 上海护理 , 2022 , 22 ( 12 ): 13 - 18 .
Dai W . Application of collaborative nursing intervention in elderly patients with kinesiophobia after total knee arthroplasty [J]. Shanghai Nurs , 2022 , 22 ( 12 ): 13 - 18 . (in Chinese)
马漫 , 支慧 , 尚坤 . 多学科协同护理联合结构化护理在人工膝关节表面置换术患者中的应用效果 [J]. 医学临床研究 , 2025 , 42 ( 5 ): 872 - 875 .
Ma M , Zhi H , Shang K . Application effect of multidisciplinary collaborative nursing combined with structured nursing in patients undergoing artificial knee arthroplasty [J]. J Clin Res , 2025 , 42 ( 5 ): 872 - 875 . (in Chinese)
杨仁帆 , 周涛 , 徐立军 . 从“虚气留滞”探讨老年功能性便秘的病机及治疗 [J]. 四川中医 , 2025 , 43 ( 5 ): 61 - 65 .
Yang R F , Zhou T , Xu L J . Exploring the pathogenesis and treatment of senile functional constipation from the theory of “stagnation of deficiency-qi ”[J]. J Sichuan Tradit Chin Med , 2025 , 43 ( 5 ): 61 - 65 . (in Chinese)
罗红 , 康书芹 , 刘蝶 , 等 . 中医药治疗老年气虚为主功能性便秘的临床进展 [J]. 老年医学与保健 , 2025 , 31 ( 2 ): 612 - 615 .
Luo H , Kang S Q , Liu D , et al . Clinical progress of traditional Chinese medicine in treatment of elderly patients with functional constipation mainly due to Qi deficiency [J]. Geriatr Heal Care , 2025 , 31 ( 2 ): 612 - 615 . (in Chinese)
林燕华 . 多学科合作协同护理模式在脊髓损伤神经源性直肠便秘中的应用效果 [J]. 中国当代医药 , 2021 , 28 ( 27 ): 261 - 263, 268 .
Lin Y H . Application effect of multidisciplinary cooperative nursing model in neu-rogenic rectal constipation after spinal cord injury [J]. China Mod Med , 2021 , 28 ( 27 ): 261 - 263, 268 . (in Chinese)
孟月婷 , 袁冬 , 尹夏 , 等 . 基于行为转变理论的延续性康复干预对膝关节骨性关节炎患者自我管理行为及康复积极性的影响 [J]. 贵州医药 , 2025 , 49 ( 4 ): 655 - 657 .
Meng Y T , Yuan D , Yin X , et al . The Impact of Continuity Rehabilitation Intervention Based on Behavior Change Theory on Self-Management Behaviors and Rehabilitation Engagement in Patients with Knee Osteoarthritis [J]. Guizhou Med J , 2025 , 49 ( 4 ): 655 - 657 . (in Chinese)
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