摘要
目的 研究膝关节置换术后患者早期护理干预对膝关节活动度(ROM)的影响。方法 选取2019年6月至2022年6月于医院接受全膝关节置换术(TKA)治疗的83例患者展开研究。根据就诊顺序的差异分成早期组(41例)以及常规组(42例)。常规组开展基础护理,早期组则开展早期护理。分析两组膝关节功能、自我效能、并发症发生情况等方面的差异。结果 干预后,早期组及常规组的ROM、纽约特种外科医院膝关节评分量表(HSS)评分均有所升高,早期组升高程度优于常规组(P<0.05)。干预后,两组康复锻炼、应对以及自我效能总分相较于干预前均显著提升,且早期组升高幅度优于常规组(P<0.05)。早期组并发症发生率低于常规组(P<0.05)。结论 早期护理干预可有效提高TKA患者的ROM,有助于膝关节功能及自我效能的改善。
Objective To study the effect of early nursing intervention on the range of motion(ROM)of knee joint after knee replacement.Methods A total of 83 patients who underwent total knee arthroplasty(TKA)in the hospital from June 2019 to June 2022 were selected for this study.The patients were divided into the early group(n=41)and the conventional group(n=42)according to the order of treatment.The routine group carried out basic nursing,and the early group carried out early nursing.The differences of knee function,self-efficacy and complications between the two groups were analyzed.Results After intervention,ROM and New York Hospital for Special Surgery Knee Scale(HSS)scores were increased in the early group and the conventional group,and the degree of increase in the early group was better than that in the conventional group(P<0.05).After intervention,the total scores of rehabilitation exercise,coping and self-efficacy in the two groups were significantly improved compared with those before intervention,and the degree of increase in the early group was changed from that in the conventional group(P<0.05).The incidence of complications in the early group was lower than that in the conventional group(P<0.05).Conclusions Early nursing intervention can effectively improve the ROM of TKA patients,and contribute to the improvement of knee function and self-efficacy.
作者
吴美治
陈端
WU Meizhi;CHEN Duan(Siming Branch of the First Affiliated Hospital of Xiamen University,Xiamen 361003,China)
出处
《中国医药指南》
2023年第28期167-169,共3页
Guide of China Medicine
关键词
膝关节置换术
早期护理
膝关节活动度
并发症
自我效能
Knee arthroplasty
Early care
Range of motion of knee joint
Complications
Self-efficacy
