首页|综合性干预对人工单髁膝关节置换患者术后关节功能恢复及满意度的影响

综合性干预对人工单髁膝关节置换患者术后关节功能恢复及满意度的影响

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目的 探讨综合性护理对人工单髁膝关节置换患者术后关节功能恢复和满意度的影响.方法 选取2020 年 1 月至 2022 年 12 月行人工单髁膝关节置换术的膝关节骨性关节炎患者 60 例,按照随机数字表法均分 2 组,每组 30 例.对照组予以常规护理,试验组予以综合性护理,对 2 组的护理成效进行对比分析.结果 2 组护理前的HSS评分无统计学意义(P>0.05),干预后试验组的HSS评分(92.83±3.47)分显著高于对照组的(80.93±3.28)分,2组比较差异有统计学意义(P<0.05),试验组术后在首次排气、首次排便、排便恢复至术前三方面的平均时间均短于对照组,差异有统计学意义(P<0.05),试验组和对照组的护理满意度分别为 96.67%、73.33%,试验组高于对照组,差异有统计学意义(P<0.05),干预后试验组SF-36 评分显著高于对照组(P<0.05).结论 对人工单髁膝关节置换术的患者实施综合性护理,能够明显改善患者的膝关节功能,促进胃肠道恢复,提高患者的护理满意度和生活质量,值得推荐.
Effect of the comprehensive nursing on postoperative recovery of joint function and satisfaction of patients treated with unicompartmental knee replacement
Objective To explore the effect of the comprehensive nursing on postoperative recovery of joint function and satisfaction of patients treated with unicompartmental knee replacement(UKR).Methods A total of 60 patients with knee osteoarthritis who underwent UKR from January 2020 to December 2022 were selected.According to the random number table method,they were randomly divided into the control group and experimental group,with 30 cases per group.Routine care and comprehensive care were applied to patients of control group and experimental group,respectively.Nursing effects of the two groups were analyzed and compared.Results There was no significant difference in the Harris Hip Scale(HHS)score before nursing between groups(P>0.05).The HHS score after nursing was significantly higher in the experimental group than that of the control group([92.83±3.47]points vs[80.93±3.28]points,P<0.05).The mean time of the first postoperative exhaust,first defecation and recovery of defecation to preoperative status was significantly shorter in the experimental group than that of the control group(P<0.05).The nursing satisfaction of the experimental group was significantly higher than that of the control group(96.67%vs 73.33%,P<0.05).After intervention,the 36-Item Short Form Survey(SF-36)score of the experimental group was significantly higher than that of the control group(P<0.05).Conclusion Comprehensive nursing for patients treated with UKR can significantly improve the knee function,gastrointestinal recovery,nursing satisfaction and quality of life,which is worthy of recommendation.

unicompartmental knee replacementcomprehensive nursingknee functionsatisfaction

房庆鹏、王鑫、赵云超、杨毅捷、王朋朋

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061001 河北省沧州中西医结合医院手术室

061001 河北省沧州中西医结合医院骨关节一科

061001 河北省沧州中西医结合医院护理部

人工单髁膝关节置换术 综合性护理 膝关节功能 满意度

河北省中医药局项目

2020494

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(6)
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