基于跨理论模型护理干预对关节镜治疗膝骨性关节炎患者功能康复的影响
Influence of Nursing Intervention Based on Trans-theoretical Model on Functional Rehabilitation of Patients with Knee Osteoarthritis Treated by Arthroscopy
陆晨晨 1刘洁 1张紫红1
作者信息
- 1. 九江市第一人民医院,江西 九江 332000
- 折叠
摘要
目的:探讨基于跨理论模型(TTM)护理干预在关节镜治疗膝骨性关节炎(KOA)患者中的应用效果,为临床护理提供参考依据.方法:选取2019年8月—2021年8月九江市第一人民医院收治的100例KOA患者作为研究对象,采用随机数表法将其分为对照组40例和观察组60例.对照组患者采用常规护理干预,观察组患者在常规护理基础上实施基于TTM护理干预.比较两组患者疼痛程度[视觉模拟评分法(VAS)评分]、功能康复[骨关节炎指数评分量表(WOMAC)评分]、生活质量[健康调查简表(SF-36)评分]、并发症和护理满意度情况.结果:干预后,观察组患者疼痛程度明显轻于对照组,差异有统计学意义(Z=4.851,P＜0.05).干预后,观察组患者WOMAC评分低于对照组,SF-36评分高于对照组,差异有统计学意义(t=11.966、23.033,P＜0.05).观察组患者并发症发生率明显低于对照组,差异有统计学意义(χ2= 1.641,P＜0.05).观察组患者护理满意度明显高于对照组,差异有统计学意义(χ2=5.671,P＜0.05).结论:对KOA患者实施基于TTM护理干预,能够降低关节镜治疗疼痛程度,促进膝关节功能康复,提高患者生活质量和护理满意度,降低并发症发生率.
Abstract
Objective:To investigate the effectiveness of trans-theoretical modeling(TTM)-based nursing interventions in arthroscopic treatment of patients with knee osteoarthritis(KOA)and to provide a basis for clinical care.Methods:100 KOA patients admitted to the hospital from August 2019 to August 2021 were selected as the study subjects,and they were divided into 40 cases in the control group and 60 cases in the observation group with the random number table method.The control group used conventional nursing intervention,and the observation group implemented TTM-based nursing intervention on the basis of conventional nursing.Pain level[Visual Analog Scale(VAS)score],functional rehabilitation[Osteoarthritis Index Rating Scale(WOMAC)score],quality of life[Short Form of Health Survey(SF-36)],complications and satisfaction with care were compared between the two groups.Results:After the intervention,the pain level of patients in the observation group was significantly lighter than that of the control group,and the difference was statistically significant(Z=4.851,P＜0.05).After intervention,patients in the observation group had lower WOMAC scores and higher SF-36 scores than those in the control group,with statistically significant differences(t=11.966,23.033;P＜0.05).The complication rate of patients in the observation group was significantly lower than that of the control group,and the difference was statistically significant(χ2=1.641,P＜0.05).The nursing satisfaction of patients in the observation group was significantly higher than that of the control group,and the difference was statistically significant(χ2=5.671,P＜0.05).Conclusion:Implementing TTM-based nursing interventions for KOA patients can reduce the level of arthroscopic treatment pain,promote functional rehabilitation of the knee,improve patients'quality of life and nursing satisfaction,and reduce the incidence of complications.
关键词
膝骨性关节炎/跨理论模型/护理干预/疼痛/功能康复/生活质量Key words
Knee osteoarthritis/Transtheoretical model/Nursing intervention/Pain/Functional rehabilitation/Quality of life引用本文复制引用
基金项目
江西省卫生健康委科技计划项目(202211786)
出版年
2024
NETL
NSTL
维普
万方数据