To investigate the effect of fast tract surgery (FTS) theory in the perioperative period of primary single knee arthroplasty in elderly patients.

One hundred and thirty elderly patients underwent primary single knee arthroplasty at the PLA Rocket Force Characteristic Medical Center from February to December 2019 were taken into the observation group which were assigned to receive perioperative nursing based on the FTS. Ninety-eight elderly patients underwent primary single knee arthroplasty at the PLA Rocket Force Characteristic Medical Center from August 2018 to February 2019 were taken into the control group which received routine nursing. The qualified rate of preoperative education, the incidence of intraoperative hypothermia, time of the operation, postoperative early ambulation time, hospital expenses, the length of hospital stay, the incidence of postoperative complications and satisfaction to postoperative pain in the two groups were compared. Date were processed t test and chi-square test.

The rates of qualified preoperative education were 95.38% in the FTS group and 86.73% in the control group respectively, the difference was statistically significant(χ²=25.473, P=0.019). The incidences of hypothermia were 5 cases (3.85%) in the FTS group and 12 case (12.24%) in control group respectively, the difference was statistically significant(χ²=25.712, P=0.017). The surgical time in the FTS group was (223.38±10.46) min, which was shorter than that in the control group (249.90±9.90) min, the difference was statistically significant(t=19.542, P=0.017). The time to ambulation in FTS group was (3.08 ± 1.02) h, which was shorter than that in the control group (56.74±6.89) h, the difference was statistically significant (t= 64.894, P<0.05). The hospitalization cost in the FTS group was (64 352.24±1 893.95) yuan, which was less than that in the control group [(74 010.95±2 055.61) yuan], the difference was statistically significant(t=36.323, P=0.029). The length of hospital stay in the observation group was (7.31±0.63) d, which was less than that in the control group [(13.93±0.60) d)], the difference was statistically significant (t=80.816, P=0.042). The incidence of postoperative complications in the FTS group was 3.07% (4/130), which was s lower than that in the control group [14.28% (14/98)], the difference was statistically significant(χ²=213.644, P=0.034). The satisfaction of patients in the FTS group was 126 cases (96.92%). In the control group, the satisfaction of patients was 89 cases (90.81%). The difference was statistically significant between groups (χ²=9.035, P=0.029).

Surgical nursing intervention under the concept of FTS can promote postoperative recovery, improve patients′ satisfaction with postoperative pain treatment, reduce postoperative complications and lower hospitalization cost compared with routine nursing. It is worthy of clinical promotion.