首页|围术期整体护理与规范化疼痛干预在全膝关节置换术患者中应用研究

围术期整体护理与规范化疼痛干预在全膝关节置换术患者中应用研究

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目的:探讨围术期整体护理及规范化疼痛干预在全膝关节置换术(TKA)患者中的应用效果.方法:选择2020年3月—2022年1月驻马店市中医院行TKA的88例患者作为研究对象,按随机数表法分为两组.对照组(44例)实施常规护理,观察组(44例)实施围术期整体护理及规范化疼痛干预,两组患者均随访3个月.对比两组患者膝关节功能、活动度、疼痛、并发症发生情况及生活质量.结果:护理后,观察组与对照组相比,膝关节功能评分较高,活动度较大,差异有统计学意义(t=3.526、2.567,P<0.05);护理后,观察组与对照组相比,疼痛评分较低,差异有统计学意义(t= 19.777,P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(χ2=4.062,P<0.05);护理后,观察组与对照组相比,生活质量各维度评分均较高,差异有统计学意义(t=3.136、3.727、3.494、3.618,P<0.05).结论:对行TKA的患者实施围术期整体护理及规范化疼痛干预,能够改善其膝关节功能及活动度,减轻疼痛程度,减少并发症的发生,提高生活质量.
Study of Perioperative Holistic Care and Standardized Pain Intervention in Patients Undergoing Total Knee Arthro-plasty
Objective:To investigate the effectiveness of perioperative holistic care and standardized pain intervention in patients undergoing total knee arthroplasty(TKA).Methods:88 patients who underwent TKA in the hospital from March 2020 to January 2022 were selected as the study subjects and were divided into two groups according to the random number table method.The control group(44 cases)implemented conventional care,and the observation group(44 cases)implemented perioperative holistic care and standardized pain intervention,and both groups were followed up for 3 months.The knee joint function,mobility,pain,complication occurrence and quality of life of patients in the two groups were compared.Results:After care,the observation group had higher knee function scores and greater mobility compared with the control group,and the difference was statistically significant(t=3.526,2.567;P<0.05).After care,the observation group had lower pain scores compared with the control group,and the difference was statistically significant(t=19.777,P<0.05).The complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(χ2=4.062,P<0.05).After care,the observation group had higher scores in all dimensions of quality of life compared with the control group,and the difference was statistically significant(t= 3.136,3.727,3.494,3.618;P<0.05).Conclusion:The implementation of perioperative holistic care and standardized pain intervention for patients undergoing TKA can improve their knee function and mobility,reduce the degree of pain,decrease the occurrence of complications,and promote the quality of life.

Total knee replacementPerioperative overall careStandardized pain interventionKnee functionDegree of mobilityPain

崔金凤

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驻马店市中医院骨关节科,河南 驻马店 463000

全膝关节置换术 围术期整体护理 规范化疼痛干预 膝关节功能 活动度 疼痛

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(8)
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