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症状管理策略在全膝关节置换术患者中的应用效果研究

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目的 探讨症状管理策略在全膝关节置换术患者中的应用效果。方法 选取初次行单侧全膝关节置换术的 92 例膝骨关节炎患者为研究对象,分为对照组和干预组。对照组实施常规护理,干预组实施症状管理策略。比较两组患者术后不同时间点的肿痛程度、膝关节功能和术后3个月患者生活质量的差异。结果 重复测量方差分析显示,两组患者术后不同时点的肿痛程度、膝关节功能在时间、组间及交互效应上均具有统计学差异(P<0。01或P<0。05);干预组患者术后 3 个月的生活质量高于对照组(P<0。01)。结论 实施症状管理策略有助于降低全膝关节置换术患者的肿痛程度,促进膝关节功能恢复,提高生活质量,可进行推广应用。
A study of the effectiveness of symptom management strategies on patients undergoing total knee arthroplasty
Objective To explore the application effect of symptom management strategies in patients with total knee arthroplasty.Methods A total of 92 patients who underwent initial unilateral total knee arthroplasty were selected for the study and divided into control group and intervention group.The control group implemented conventional care and the intervention group implemented symptom management strategies.The differences in swelling and pain degree,knee function and quality of life 3 months after surgery were compared between the two groups at different time points after surgery.Results The Repeated-measures ANOVA showed that the degree of swelling and pain and knee function of the two groups patients at different postoperative time points were statistically different in terms of time,between-groups and inter-action effects(P<0.01 or P<0.05).And the quality of life in the intervention group was higher than that of the control group at three months postoperatively(P<0.01).Conclusion The implementation of symptom management strategies can help to reduce the degree of swelling and pain in patients with total knee arthroplasty,promote the recovery of knee function and improve the quality of life,so that it can be promoted and applied.

symptom management strategiestotal knee arthroplastynursing

李思琦、骆朝辉、金梦杰、魏铭慧、张梦珂、史凌云

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830017,乌鲁木齐市,新疆医科大学护理学院

830002,乌鲁木齐市,新疆医科大学第六附属医院党政办

830054,乌鲁木齐市,新疆医科大学第一附属医院护理部

症状管理策略 全膝关节置换术 护理

新疆维吾尔自治区自然科学基金

2023D01C159

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(1)
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