以深静脉血栓评估为基准的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
Effect analysis of rehabilitation nursing based on evaluation of deep vein thrombosis in patients undergoing total knee arthroplasty for knee osteoarthritis
华婷 1俞蒙倩1
作者信息
- 1. 无锡市第二人民医院骨科,无锡 214000
- 折叠
摘要
目的 探讨深静脉血栓评估为基准的康复护理在膝关节骨关节炎采取全膝关节置换手术治疗患者中的临床应用效果.方法 选取无锡市第二人民医院2021 年10 月至2022 年10 月收治的膝关节骨关节炎单侧全膝关节置换术患者118 例,随机分为对照组和干预组,每组59 例.对照组实施常规康复护理措施,干预组实施以深静脉血栓评估为基准的康复护理措施,对比入院1 d、干预4 w后两组静脉血栓疾病认知度、美国特种外科医院膝关节评分(HSS)及并发症发生等情况.结果 入院 1 d,两组血栓疾病相关认知水平、HSS等差异无统计学意义;干预4 w后,与对照组比较干预组在疾病各相关知识得分提升明显,差异有统计学意义(P<0.05);干预组HSS各项指标得分与对照组相比较明显提高,差异有统计学意义(P<0.05);干预组静脉血栓、压力性皮肤损伤、水肿、创口感染等术后并发症发生率下降显著,差异有统计学意义(P<0.05).结论 对膝关节骨关节炎单侧全膝关节置换术治疗患者实施以深静脉血栓评估为基准的康复护理干预,能够增强患者静脉血栓相关知识掌握程度,改善膝关节功能水平,降低术后并发症发生率.
Abstract
Objective To explore the clinical effect of rehabilitation nursing based on evaluation of deep vein thrombosis in patients undergoing total knee replacement surgery for osteoarthritis of the knee.Methods A total of 118 patients with unilateral total knee arthroplasty for osteoarthritis of the knee received by this hospital from October 2021 to October 2022 were selected as research objects,they were randomly divided into control group and intervention group according to 1 ∶ 1 ratio,the control group of 59 patients received routine rehabilitation nursing measures,59 patients in the intervention group received rehabilitation nursing measures based on evaluation of deep vein thrombosis,one day after admission and four weeks after the intervention,awareness of venous thrombosis disease,American Hospital for Special Surgery knee score(HSS)and complications of the two groups were compared and analyzed.Results 1 day after admission,there was no statistical significance in the cognitive level and HSS of thrombotic diseases between the two groups(P>0.05).Four weeks after the intervention,compared with control group,in the intervention group,knowledge scores of various diseases improved significantly(P<0.05).Compared with the control group,the HSS scores of the intervention group were significantly improved(P<0.05).In the intervention group,the incidence of postoperative complications such as venous thrombosis,pressure skin injury,edema and wound infection decreased sig-nificantly(P<0.05).Conclusions Patients with knee osteoarthritis received unilateral total knee arthroplasty,and rehabilitation nursing intervention based on evaluation of deep vein thrombosis was implemented to enhance the knowl-edge of venous thrombosis,improve the functional level of knee joint,and reduce the incidence of postoperative compli-cations.
关键词
膝关节骨关节炎/单侧全膝关节置换术/深静脉血栓评估/疾病认知/HSS/并发症Key words
Knee osteoarthritis/Unilateral total knee replacement/Evaluation of deep vein thrombosis/Dis-ease cognition/HSS/Complications引用本文复制引用
基金项目
江苏省卫生健康委医学科研项目(2019)(H2019045)
出版年
2024
NETL
NSTL
维普
万方数据