康复护理在膝关节骨关节炎行全膝关节置换术患者中的应用效果OA
Application Effect of Rehabilitation Nursing in Patients Undergoing Total Knee Arthroplasty for Knee Osteoarthritis
目的:探究康复护理在膝关节骨关节炎(KOA)行全膝关节置换术(TKA)患者中的应用效果.方法:选取2023年 3月—2024年 3月中国人民解放军陆军第八十集团军医院收治的150例KOA行TKA手术患者为研究对象,采用随机摸球法将其分为对照组及观察组,每组 75例.对照组采用常规护理,观察组在对照组基础上采用康复护理.对比术后两组的膝关节功能、术后恢复情况、疼痛程度、并发症发生情况及负性情绪.结果:术后 3个月,观察组的美国特种外科医院膝关节评分中活动度、功能及总分均高于对照组,差异均有统计学意义(P<0.05).观察组的术后首次进食时间、术后首次排便时间、术后首次下床活动时间及住院时间均短于对照组,差异均有统计学意义(P<0.05).术后 1、3、7 d,观察组的疼痛视觉模拟评分法评分均低于对照组,差异均有统计学意义(P<0.05).观察组的并发症发生率为 6.67%,低于对照组的18.67%,差异有统计学意义(P<0.05).术后 2周,观察组的焦虑自评量表、抑郁自评量表评分均低于对照组,差异均有统计学意义(P<0.05).结论:将康复护理用于KOA行TKA患者中,可促进其关节功能恢复,加快术后康复速度,减轻疼痛,并减少并发症,缓解负性情绪.
Objective:To investigate the effect of rehabilitation nursing in patients undergoing total knee arthroplasty(TKA)for knee osteoarthritis(KOA).Methods:A total of 150 patients with KOA undergoing TKA surgery admitted to the 80th Group Military Hospital of the Chinese People's Liberation Army from March 2023 to March 2024 were selected as the study objects,and were randomly divided into a control group and an observation group,with 75 cases in each group.The control group received routine nursing,and the observation group received rehabilitation nursing on the basis of the control group.The knee function,postoperative recovery,pain degree,the occurrence of complications and negative emotion were compared between the two groups.Results:Three months after surgery,the motion,function scores and total score of the Hospital for Special Surgery knee joint score in the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The first feeding time,frist postoperative defecation time,first postoperative getting out of bed time and hospitalization time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).One,three and seven days after surgery,the Pain Visual Analogue Scale scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 6.67%,which was lower than 18.67%in the control group,the difference was statistically significant(P<0.05).Two weeks after surgery,the scores of Self-Rating Anxiety Scale and Self-Rating Depression Scale in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of rehabilitation nursing in TKA patients with KOA can promote the recovery of joint function,speed up postoperative rehabilitation,reduce pain,reduce complications and relieve negative emotions.
李秀娟;孙英洁
中国人民解放军陆军第八十集团军医院骨科关节二组,山东 潍坊 261000中国人民解放军陆军第八十集团军医院骨科关节二组,山东 潍坊 261000
医药卫生
膝关节骨关节炎全膝关节置换术康复护理术后并发症
Knee osteoarthritisTotal knee arthroplastyRehabilitation nursingPostoperative complication
《中国伤残医学》 2025 (1)
106-109,119,5
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