摘要
目的 探讨反馈式健康教育结合积极心理暗示对人工全膝关节置换术患者康复效果的影响.方法 于2020年8月-2021年7月,采用便利抽样法选取126例河南省人民医院骨科收治的行人工全膝关节置换术患者,采取随机数字表法以1:1比例分为对照组和观察组,对照组给予常规健康教育结合积极心理暗示,观察组给予反馈式健康教育结合积极心理暗示干预.比较两组患者知信行水平、焦虑自评量表(SAS)得分、抑郁自评量表(SDS)得分、疼痛视觉模拟评分(VAS)、美国膝关节协会评分(AKS)、膝关节肿胀率和护理满意度.结果 两组出院时的知信行评分均高于入院时(P<0.05),且出院时观察组知信行评分均高于对照组(P<0.05).术前与术后第3天观察组的SAS、SDS评分均低于对照组(P<0.05);观察组术后第1天、术后2周的VAS均低于对照组(P<0.05),AKS均高于对照组(P<0.05).观察组术后1周、术后3个月的术后肿胀率均低于对照组(P<0.05).观察组在健康教育、服务态度、科室环境、心理干预及护理结果方面的护理满意度评分均高于对照组(P<0.05).结论 反馈式健康教育结合积极心理暗示可以提高人工全膝关节置换术患者的知信行水平,减少焦虑、抑郁情绪,提升康复效果与护理满意度.
Objective To explore the effect of feedback health education combined with positive psychological suggestion on the rehabilitation of patients undergoing artificial total knee arthroplasty.Methods From August 2020 to July 2021,the convenient sampling method was used to select 126 patients with artificial total knee arthroplasty admitted to the Orthopedic Department of Henan Provincial People's Hospital.They were randomly divided into the control group and the observation group in a 1∶1 ratio using a random number table method.The control group received routine health education combined with positive psychological suggestion,while the observation group received feedback based health education combined with positive psychological suggestion intervention.The level of knowledge,attitude and practice,scores on the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Visual Analogue Scale(VAS),American Knee Society(AKS)score,knee swelling rate and nursing satisfaction were compared between two groups of patients.Results The knowledge,attitude and practice scores of the two groups at discharge were higher than those at admission(P<0.05),and the knowledge,attitude and practice scores of the observation group were higher than those of the control group at discharge(P<0.05).The SAS and SDS scores of the observation group were lower than those of the control group before and on the third day after surgery(P<0.05).The VAS of the observation group on the first day and 2 weeks after surgery were lower than those of the control group(P<0.05),while AKS was higher than that of the control group(P<0.05).The postoperative swelling rates in the observation group were lower than those in the control group at 1 week and 3 months after surgery(P<0.05).The nursing satisfaction scores of the observation group in terms of health education,service attitude,department environment,psychological intervention,and nursing outcomes were higher than those of the control group(P<0.05).Conclusions Feedback health education combined wi
作者
马耀玲
潘卫宇
张俊娟
李佳佳
侯毅
郑丹
王向
Ma Yaoling;Pan Weiyu;Zhang Junjuan;Li Jiajia;Hou Yi;Zheng Dan;Wang Xiang(Department of Orthopedics,Henan Provincial People's Hospital,Key Laboratory of Nursing and Medicine of Henan Province,Zhengzhou University People's Hospital,Henan University People's Hospital,Zhengzhou 450003,China)
出处
《中华现代护理杂志》
2023年第19期2581-2586,共6页
Chinese Journal of Modern Nursing
关键词
关节成形术
置换
膝
反馈式健康教育
积极心理暗示
知信行
术后康复
Arthroplasty,replacement,knee
Feedback health education
Positive psychological suggestion
Knowledge,attitude and practice
Postoperative rehabilitation
