首页|全膝关节置换术患者结果期望管理方案的构建及应用

全膝关节置换术患者结果期望管理方案的构建及应用

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  • NETL
  • NSTL
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目的 探讨结果期望管理对全膝关节置换术患者的影响.方法 选取86例骨关节炎患者,按照时间顺序分组,将2022年3-4月收治的43例设为对照组,实施常规护理;2022年5-6月收治的43例设为干预组,在常规护理基础上建立和实施结果期望管理方案.比较干预前后两组结果期望评分、功能锻炼依从性评分、结果期望实现水平及膝关节功能满意度.结果 对照组41例、干预组42例完成3个月研究.干预后两组结果期望、功能锻炼依从性、结果期望实现水平及膝关节功能满意度评分比较,差异有统计学意义(均P＜0.05).结论 结果期望管理有助于全膝关节置换术患者结果期望合理化,提高患者功能锻炼依从性和膝关节满意度,促进患者结果期望的实现.
Construction and application of an outcome expectation management program for patients undergoing total knee arthroplasty
Objective To explore the impact of an outcome expectation management program on patients undergoing total knee ar-throplasty.Methods A total of 86 patients with osteoarthritis of the knee were selected,with 43 cases hospitalized within the period from March to June 2022,into the control group,who received routine care,and 43 cases from May to April 2022,into the exper-imental group,who received outcome expectation management on the basis of routine care.The outcome expectation scores,the functional exercise adherence scores,the level of achievement of the outcome expectations,and the knee satisfaction scores of the two groups were compared before and after the intervention.Results Forty-one patients in the control group and 42 patients in the experimental group completed this study.There were significant differences in group effects,time effects,and group-by-time effects in the outcome expectation scores,adherence to functional exercise scores,achievement scores of outcome expectations,and knee satisfaction scores between the two groups after the intervention(all P＜0.05).Conclusion Outcome expectation management helps to rationalize outcome expectations for patients undergoing total knee arthroplasty,improves patient functional exercise ad-herence and satisfaction with knee function,and promotes the achievement of patient outcome expectations.

osteoarthritisknee arthroplastyfunctional exerciseoutcome expectationsself-managementadherencerehabilitation care

韩瑞娟、李瑞玲、张俊娟、张士变、李佳佳、贾田田、姚倩倩、刘姝、杨艳明

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河南中医药大学第一附属医院护理部(河南 郑州,450003)

河南大学护理与健康学院

河南省人民医院/郑州大学人民医院

平顶山市第二人民医院

河南省胸科医院

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骨关节炎 膝关节置换 功能锻炼 结果期望 自我管理 依从性 康复护理

中华医学会杂志社护理学科研究课题一般课题(2021-2022)河南省中医药文化与管理研究项目河南卫生健康委国家中医药传承创新中心科研专项

CMAPH-NRG2021026TCM20230012023ZXZX1114

2024

10.3870/j.issn.1001-4152.2024.08.001

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子：2.062
ISSN：1001-4152
年,卷(期)：2024.39(8)
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