The application of the triple prehabilitation summarized based on the best evidence-based practice in the improvement of frailty among elderly patients with cholelithiasis

PENG Wenjuan; SHI Zeya; SHEN Xiaofen; WANG Pan

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Journal of Hunan Normal University(Medical Science) ›› 2025, Vol. 22 ›› Issue (2) : 49-53.

The application of the triple prehabilitation summarized based on the best evidence-based practice in the improvement of frailty among elderly patients with cholelithiasis

PENG Wenjuan¹, SHI Zeya^1,2, SHEN Xiaofen¹, WANG Pan¹

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Abstract

Objective To explore the application value of triple prehabilitation based on the best evidence summary in improving frailty in elderly patients with cholelithiasis. Method A total of 56 elderly patients with cholelithiasis scheduled for elective surgery in our hospital from July 2024 to October 2024 were selected and randomly divided into an experimental group and a control group, with 28 cases in each group, based on different intervention methods. The control group received conventional preoperative preparation, while the experimental group was subjected to a three-pronged prehabilitation intervention based on the summary of the best evidence-based practice. The 6-minute walk distance (6MWD), albumin (Alb), Hospital Anxiety and Depression Scale (HADS) score, FRAIL frailty scale score, time to first ambulation, hospital stay, and patient satisfaction rate were compared between the two groups before and after the intervention. Results After the intervention, the 6MWD, Alb, and HADS scores of the experimental group at 24 hours before surgery and 5 days after surgery were significantly better than those of the control group; the FRAIL frailty scale scores of the experimental group at 24 hours before surgery, 5 days after surgery, and 30 days after surgery were lower than those of the control group; the time to first ambulation and hospital stay of the experimental group were shorter than those of the control group, and the patient satisfaction rate of the experimental group was higher than that of the control group. Conclusion Preoperative implementation of a three-pronged prehabilitation based on the summary of the best evidence-based practice for elderly patients with cholelithiasis can help improve their frailty status, increase their satisfaction with hospitalization, and promote their rapid postoperative recovery.

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elderly patients / cholelithiasis / frailty / triple pre-rehabilitation / summary of evidence

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PENG Wenjuan, SHI Zeya, SHEN Xiaofen, WANG Pan. The application of the triple prehabilitation summarized based on the best evidence-based practice in the improvement of frailty among elderly patients with cholelithiasis[J]. Journal of Hunan Normal University(Medical Science). 2025, 22(2): 49-53

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