摘要
目的探讨康复护理对膝关节置换术患者术后功能锻炼的影响。方法方便选取80例2015年6月—2017年1月该院收治的行膝关节置换术治疗的患者,随机分为观察组及对照组,每组40例;对照组行骨科常规功能锻炼及护理指导,观察组采用康复护理模式进行干预;术后2周时评估膝关节疼痛程度;术后3个月时采用HSS对患者膝关节功能恢复情况进行调查;在术前及术后1个月时使用ROM评分系统对患者膝关节功能进行评估;在术前及术后1个月时对患者膝关节屈曲度、膝关节伸直度及肿胀度进行观察。结果观察组患者术后疼痛情况明显优于对照组,且差异有统计学意义(P<0.05);观察组患者HSS评分优良率(90.00%)优于对照组(62.50%),且差异有统计学意义(χ~2=20.880,P<0.05);术后观察组患者术后ROM评分(105.32±12.31)分显著高于对照组(92.18±10.94)分差异有统计学意义(t=6.544,P<0.05);术后观察组患者膝屈曲度(148.29±1.21)、膝伸直度(4.02±0.38)及肿胀值(0.05±0.01)明显优于对照组(101.35±1.18)、(9.48±0.41)、(0.42±0.08),且差异有统计学意义(P<0.05)。结论行膝关节置换术治疗后患者行康复护理干预后可有效改善患者术后功能恢复,提高患者术后锻炼积极性,加速患者康复。
Objective This paper tries to investigate the effect of rehabilitation nursing on postoperative functional exercise in patients undergoing knee replacement. Methods 80 patients undergoing knee replacement surgery from June 2015 to January 2017 in the hospital were convenient selection and randomly divided into observation group and control group, with40 patients in each group. The control group received regular orthopedic exercise and nursing instruction. The observation group used the rehabilitation nursing model to intervene; the degree of knee pain was assessed at 2 weeks after the operation; HSS was used to investigate the recovery of knee joint function at 3 months after operation; the ROM score was used before and one month after the operation. The knee joint function was assessed systematically; knee flexion, knee extension,and swelling were observed before and one month after surgery. Results The postoperative pain in the observation group was significantly better than that in the control group, and the difference was statistically significant（P〈0.05）. The excellent rate of HSS score in the observation group（90.00%） was better than that in the control group（62.50%）, and the difference was statistically significant（χ~2=20.880, P〈0.05）;postoperative ROM scores（105.32±12.31）points were significantly higher than those of the control group（92.18±10.94）points,the difference was statistically significant（t=6.544, P〈0.05）; postoperative observation group patients knee flexion（148.29±1.21）, knee extension（4.02±0.38） and swelling value（0.05±0.01） were significantly better than the control group（101.35±1.18）,（9.48±0.41）,（0.42±0.08）, and differences were statistically significant（P〈0.05）. Conclusion After knee arthroplasty, patients undergoing rehabilitation nursing intervention can effectively improve postoperative functional recovery, increase postoperative enthusiasm, and accelerate patient recovery.
作者
徐辉
XU Hui(Orthopedics Department,Daxing People’s Hospital,Beijing,102600 China)
出处
《中外医疗》
2018年第18期145-148,168,共5页
China & Foreign Medical Treatment
关键词
康复护理
膝关节置换术
功能锻炼
Rehabilitation nursing
Knee replacement
Functional exercise
