International Journal of Nursing Research

Total Knee Arthroplasty (TKA) is a common surgical procedure used to treat serious knee diseases. Although TKA can significantly improve patients quality of life, postoperative complications, especially Deep Vein Thrombosis (DVT), remain an important clinical problem. The occurrence of DVT not only delays the recovery process, but may also lead to life-threatening complications such as pulmonary embolism. The purpose of this study was to investigate the synergistic effect of Enhanced Recovery After Surgery (ERAS) combined with personalized exercise prescription of Kang Youan exercise training system in the prevention of DVT after TKA. A retrospective analysis was used to study 80 patients who received TKA at the First Affiliated Hospital of Kunming Medical University between June 2023 and April 2024. These patients were divided into intervention and control groups based on whether they received ERAS and personalized exercise prescription interventions. The results showed that the incidence of DVT in the intervention group was significantly lower than that in the control group, 10% and 30%, respectively, and the difference was statistically significant (p < 0.05). In addition, Logistic regression analysis showed that personalized exercise prescription intervention was an independent protective factor for the development of DVT (OR = 0.25, 95% CI = 0.08-0.78, p = 0.02). These results suggest that the combination of ERAS and personalized exercise prescription has a significant effect in preventing DVT after TKA, effectively reducing postoperative complications and promoting early recovery of patients.

Rapid rehabilitation nursing; Personalized exercise prescription; Kang Youan sports training system; Knee replacement; Deep vein thrombosis; Postoperative rehabilitation