摘要
目的探讨基于混合电子平台与碎片化时间的延续性护理在前交叉韧带重建术患者院外康复中的应用效果。方法本研究为随机对照试验。采用便利抽样法,选取2020年4月至2021年10月在潍坊市人民医院就诊并行前交叉韧带重建的90例患者为研究对象,2020年4—12月就诊的45例患者为对照组,2021年1—10月就诊的45例患者为干预组。对照组实施常规的出院指导和随访,干预组采用混合电子平台与碎片化时间理念的延续性护理方案,在术前及术后1、3、6个月,分析2组患者的膝关节活动度、Lysholm评分,术后1、3、6个月,分析2组患者康复锻炼依从性评分、自我效能得分及膝关节稳定性检查的情况。结果每组各有41例最终完成本研究。术后1个月干预组的膝关节活动度、Lysholm评分、康复功能锻炼依从性评分、自我效能得分分别为(96.46±3.58)°和(53.54±6.57)、(69.17±6.27)、(4.01±0.38)分,对照组分别为(89.02±4.22)°和(45.02±7.61)、(56.78±8.45)、(3.61±0.42)分;干预组术后3个月分别为(136.83±4.30)°和(72.76±4.96)、(60.71±5.87)、(4.97±0.32)分,对照组分别为(133.54±3.58)°和(69.83±6.65)、(56.73±8.57)、(4.83±0.45)分;干预组术后6个月分别为(139.39±1.99)°和(85.61±6.11)、(57.71±7.41)、(6.58±0.96)分,对照组分别为(138.29±2.65)°和(81.80±6.38)、(47.90±6.02)、(6.35±1.23)分。干预组术后1、3、6个月的膝关节活动度、Lysholm评分、康复功能锻炼依从性得分均优于对照组,差异均有统计学意义(t值为2.12~8.61,均P<0.05)。干预组自我效能得分在术后1个月高于对照组,差异有统计学意义(t=4.57,P<0.05)。结论基于混合电子平台与碎片化时间的延续性护理方案能改善前交叉韧带重建患者术后早期的膝关节功能,提高康复锻炼的依从性及早期自我效能水平。
Objective To explore the application effect of continuous nursing based on hybrid electronic platform and fragmentation time in the out-of-hospital rehabilitation of patients with anterior cruciate ligament reconstruction.Methods This was a randomized controlled study.From April 2020 to October 2021,a total of 90 patients undergoing anterior cruciate ligament reconstruction in Weifang People′s Hospital were selected as the research objects by convenience sampling.Forty patients from April to December 2020 were selected as control group,and 45 patients from January to October 2021 were selected as intervention group.The control group implemented routine discharge guidance and follow-up,while the intervention group was given continuous nursing plan based on the concept of hybrid electronic platform and fragmented time.Before operation and 1,3 and 6 months after operation,the knee range of motion and Lysholm score of patients in the two groups were analyzed.At 1,3 and 6 months after operation,the rehabilitation exercise compliance score,self-efficacy score and knee stability examination of the two groups were analyzed.Results A total of 41 patients in each group completed the study.At 1 month after operation,the knee range of motion,Lysholm score,rehabilitation exercise compliance score and self-efficacy score of intervention group were(96.46±3.58)°and(53.54±6.57),(69.17±6.27),(4.01±0.38)points,respectively.In the control group,they were(89.02±4.22)°and(45.02±7.61),(56.78±8.45),(3.61±0.42)points.At 3 months after operation,they were(136.83±4.30)°and(72.76±4.96),(60.71±5.87),(4.97±0.32)points in the intervention group,(133.54±3.58)°and(69.83±6.65),(56.73±8.57),(4.83±0.45)points in the control group,respectively.At 6 months after operation,they were(139.39±1.99)°and(85.61±6.11),(57.71±7.41),(6.58±0.96)points in the intervention group,(138.29±2.65)°and(81.80±6.38),(47.90±6.02),(6.35±1.23)points in the control group,respectively.The knee range of motion,Lysholm score and rehabilitation ex
作者
温雅婷
王晓萍
刘俊
刘庆君
孙国堃
徐云
Wen Yating;Wang Xiaoping;Liu Jun;Liu Qingjun;Sun Guokun;Xu Yun(School of Nursing,Weifang Medical College,Weifang 261053,China;Department of Joint Surgery,Weifang People′s Hospital,Weifang 261041,China;Department of Critical Care Medicine,Weifang People′s Hospital,Weifang 261041,China)
出处
《中国实用护理杂志》
2023年第10期729-736,共8页
Chinese Journal of Practical Nursing
基金
潍坊市卫生健康委员会科研项目(WFWSJK-2020-034)。
关键词
前交叉韧带重建
混合电子平台
碎片化时间
家庭康复
自我效能
Anterior cruciate ligament reconstruction
Hybrid electronic platform
Fragmentation time
Family rehabilitation
Self-efficacy
