摘要
目的:探讨针对膝痹病术后患者实施中医护理的效果。方法:选取2019年9月—2020年9月江西省中西医结合医院收治的78例膝痹病患者作为研究对象,按随机数表法分为对照组和观察组,每组各39例。两组患者均常规行手术进行治疗,术后对照组实施常规护理,观察组在常规护理的基础上实施中医护理,两组患者均随访3个月。比较两组患者疼痛程度[视觉模拟评分法(VAS)评分]、膝关节功能[膝关节功能评分量表(HSS)评分]、日常生活活动能力[日常生活能力指数量表(ADL)评分]、并发症发生情况、生活质量[生活质量综合评定问卷(GQOLI-74)评分]及护理满意度[纽卡斯尔护理服务满意度量表(NSNS)评分]。结果:观察组护理后VAS评分低于对照组,HSS、ADL评分高于对照组,差异有统计学意义(t=6.944、3.092、4.041,P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.522,P<0.05);观察组护理后心理、躯体、社会功能及物质生活维度评分均高于对照组,差异有统计学意义(t=6.317、6.148、4.093、4.535,P<0.05);观察组护理满意度高于对照组,差异有统计学意义(χ^(2)=4.129,P<0.05)。结论:针对膝痹病术后患者实施中医护理进行干预,能够减轻术后疼痛,降低术后并发症发生率,促进膝关节功能恢复,提升日常生活活动能力,提高生活质量,患者护理满意度较高。
Objective: To explore the application effect of traditional Chinese medicine nursing in patients with knee paralysis after surgery. Methods: A total of 78 patients with knee paralysis who were admitted to the hospital from September 2019 to September 2020 were selected as the research objects, and divided into the control group and the observation group according to the random number table method, with 39 cases in each group. The two groups of patients were treated with routine surgery, the control group received routine nursing after operation, and the observation group received traditional Chinese medicine nursing on the basis of routine nursing. Both groups were followed up for 3 months. The pain level(Visual Analogue Scale [VAS] score), knee joint function(Knee joint function scale [HSS] score), the activities of daily living [ADL], complications, quality of life [GQOLI-74]and the nursing satisfaction(Newcastle Nursing Service Satisfaction Scale [NSNS] score) were compared between the two groups.Results: After nursing, the VAS score of the observation group was lower than that of the control group, while the HSS and ADL scores of the observation group were higher than those of the control group, and the differences were statistically significant(t=6.944, 3.092, 4.041, P<0.05). The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=4.522, P<0.05). The scores of psychological, physical, social function and material life dimensions in the observation group after nursing were all higher than those in the control group, and the difference was statistically significant(t=6.317, 6.148, 4.093, 4.535, P<0.05). The nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant(χ^(2)=4.129, P<0.05). Conclusion: The implementation of traditional Chinese medicine nursing intervention for patients with knee palsy after surgery can reduce postoperative
作者
肖阳阳
XIAO Yang-yang(Orthopedics Department,Jiangxi Hospital of Integrated Traditional Chinese and Western Medicine,Nanchang,Jiangxi,330003,China)
出处
《黑龙江医学》
2022年第18期2256-2259,共4页
Heilongjiang Medical Journal
关键词
膝痹病
中医护理方案
膝关节功能康复
疼痛
膝关节功能
并发症
Knee paralysis
Traditional Chinese medicine nursing program
Knee joint function rehabilitation
Pain
Knee joint function
Complications
