摘要
目的:分析全膝关节置换术患者术后实施三阶段康复锻炼联合健康宣教对患者康复效果的影响。方法:选择2019年9月—2021年9月中国人民解放军联勤保障部队第九〇四医院骨科收治的100例全膝关节置换术患者作为研究对象。采用双色球法分为对照组及观察组,各50例。在两组均给予健康宣教的基础上,对照组实施常规护理,观察组实施三阶段康复锻炼。应用Lysholm膝关节评分量表、MAS平衡功能评测量表对比两组干预前后膝关节功能恢复情况,对比两组干预前后对膝关节康复相关知识的掌握度及并发症发生情况。结果:干预前,两组膝关节功能、平衡能力评分比较,差异无统计学意义(P>0.05);干预后,观察组膝关节功能各项评分均高于对照组,差异有统计学意义(P<0.05);干预后,观察组坐位平衡、坐位到站立位评分高于对照组,差异有统计学意义(P<0.05)。观察组康复知识、药物知识、日常护理知识、并发症相关知识评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生情况低于对照组,差异有统计学意义(P<0.05)。结论:膝关节置换术术后患者实施三阶段康复锻炼联合健康宣教,通过对患者术后临床机体功能的评估,制定不同阶段的康复锻炼内容,增加术后膝关节康复效果,改善膝关节运动功能,联合健康宣教提升患者术后对疾病康复相关知识的了解度,提升手术效果。
Objective: To analyze the effect of three-stage rehabilitation exercise and combined health education for total knee arthroplasty patients. Method: A total of 100 patients with total knee arthroplasty admitted to the Department of Orthopedics of the 904th Hospital of the Joint Support Force of the Chinese People’s Liberation Army from September 2019 to September 2021 were selected as the study subjects. The patients were divided into the control group and the observation group according to the double colors ball method,50 cases in each group. On the basis of health education in both groups, the control group received routine nursing, and the observation group received three-stage rehabilitation exercise. The Lysholm knee joint scoring scale and MAS balance function evaluation scale were used to compare the recovery of knee joint function before and after the intervention. The mastery of knee joint rehabilitation related knowledge and complications between the two groups before and after the intervention were compared. Result: Before intervention, there were no significant differences in knee joint function and balance ability between the two groups(P>0.05). After intervention, the scores of knee joint function in the observation group were higher than those in the control group, the differences were statistically significant(P<0.05). After intervention, the scores of sitting balance and sitting to standing in the observation group were higher than those in the control group, the differences were statistically significant(P<0.05). The scores of rehabilitation knowledge, drug knowledge, daily nursing knowledge and complication knowledge in the observation group were significantly higher than those in the control group, the differences were statistically significant(P<0.05). The incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant(P<0.05). Conclusion: Three-stage rehabilitation exercise and health education are implemented after
作者
张乐韵
徐娟
ZHANG Leyun;XU Juan(The 904th Hospital of the Joint Support Force of the Chinese People's Liberation Army,Wuxi 214000,China;不详)
出处
《中外医学研究》
2023年第3期89-93,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
三阶段康复锻炼
健康宣教
全膝关节置换术术后
Three-stage rehabilitation exercise
Health education
After total knee replacement
