摘要
目的探讨基于动机行为转化的主被动康复锻炼对膝关节置换术后患者功能恢复的影响。方法回顾性分析2017年1月—2019年12月安徽省皖北煤电集团总医院关节外科行膝关节置换术的80例患者的诊疗情况,根据入院时间将其分为对照组(2017年1月—2018年6月)和研究组(2018年7月—2019年12月),各40例。对照组予以常规护理,研究组在对照组的基础上予以基于动机行为转化的主被动康复锻炼。比较两组护理前、出院时膝关节评分系统(HSS)及主动关节活动度(AROM),比较两组术后不同时间点视觉模拟评分(VAS),分析两组并发症发生状况及患者对护理的满意度。结果出院时,两组HSS评分及AROM均明显提高,且研究组HSS评分及AROM均明显高于对照组(均P<0.05);两组术后不同时间点VAS评分时间、组间、交互作用比较,差异有统计学意义(P<0.05),进一步两两比较,组内比较:两组术后3、7 d时的VAS评分均明显低于术后1 d,术后7 d时VAS评分均明显低于术后3 d,差异有统计学意义(P<0.05);研究组患者术后1、3、7 d的VAS评分均明显低于对照组(P<0.05);研究组并发症总发生率明显低于对照组(P<0.05);研究组护理的满意度明显高于对照组(P<0.05)。结论膝关节置换术后应用基于动机行为转化的主被动康复锻炼可以有效促进其膝关节功能的快速恢复,有效缓解其疼痛水平,进一步提高护理的满意度。
Objective To investigate the effect of active and passive rehabilitation exercise based on motivational behavior transformation on the functional recovery of patients after knee replacement.Methods The clinical data of 80 patients who underwent knee replacement in the Department of Joint Surgery of Wanbei Coal and Power Group General Hospital in Anhui Province from January 2017 to December 2019 were retrospectively analyzed,according to the time of admission,they were divided into control group(from January 2017 to June 2018)and study group(from July 2018 to December 2019),with 40 cases in each group.Patients in the control group were given routine nursing,and patients in the study group were given active and passive rehabilitation exercises based on the transformation of motivational behavior on the basis of the control group.The hospital for special surgery(HSS)and active joint range of motion(AROM)were compared between the two groups before nursing and at discharge,visual analogue scale(VAS)was compared between the two groups at different postoperative time points,and complications and nursing satisfaction of the two groups were analyzed.Results At discharge,the HSS score and AROM of the two groups were significantly increased,and the HSS score and AROM of the study group were significantly higher than those of the control group(P<0.05).Comparison of VAS score time,intergroup and interaction at different postoperative time points between the two groups showed statistically significant differences(P<0.05).Further pairwise comparison was made between the two groups and intra-group comparison,the VAS scores of the two groups at 3 and 7 days after operation were significantly lower than those at one day after operation,the VAS score at 7 days after operation was significantly lower than that at 3 days after operation,and the differences were statistically significant(P<0.05);the VAS scores the study group were significantly lower than those in the control group(P<0.05);the total complication rate of the study grou
作者
武珊珊
WU Shanshan(Department of Joint Surgery,Anhui Wanbei Coal and Power Group General Hospital,Anhui Province,Suzhou234000,China)
出处
《中国医药导报》
CAS
2021年第13期185-188,共4页
China Medical Herald
关键词
膝关节置换术
动机行为转化
康复锻炼
功能恢复
满意度
并发症
Knee replacement
Motivational behavior transformation
Rehabilitation exercise
Functional recovery
Satisfaction
Complications
