首页|基于达标理论的康复护理对老年膝关节镜术患者锻炼依从性及膝关节功能的影响

基于达标理论的康复护理对老年膝关节镜术患者锻炼依从性及膝关节功能的影响

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目的 探讨互动达标理论指导下的康复护理对老年膝关节镜术患者锻炼依从性及关节功能的影响。方法 将2021年6月-2022年12月我院疼痛康复科收治的行膝关节镜术的老年患者78例作为研究对象,采用随机数字法分为观察组及对照组各39例。对照组采取常规护理模式,包括健康宣教、围术期健康指导、疼痛管理、心理指导、出院随访指导;观察组在对照组的基础上以达标理论为指导,通过人际间互动,全面了解患者的需求,医患康护共同制定个体化的康复护理方案并实施。分别在出院时及术后1个月评价2组患者膝关节Lysholm评分、膝关节活动度(ROM)及功能锻炼依从性,同时比较2组患者术前及术后1个月的改良Barthel指数(MBI)。结果 出院及术后1个月时,观察组的膝关节功能Lysholm评分、ROM及功能锻炼依从性均高于对照组(P<0。05),术后1个月MBI明显高于对照组(P<0。001)。结论 基于达标理论的康复护理可提高老年患者的锻炼依从性及关节活动度,改善关节功能,促进日常生活能力恢复,值得临床借鉴。
Effects of rehabilitation nursing based on the interaction standard mode for exercise compliance and joint function in elderly knee arthroscopy patients
Objective To explore the impact of rehabilitation care guided by the theory of interaction standard mode on exercise compliance and joint function in elderly patients who have undergone knee arthroscopy.Methods A total of 78 elderly patients who underwent knee arthroscopy and were admitted to our department between June 2021 and December 2022 were selected as research objects,and were randomly divided into an observation group and a control group,each consisting of 39 cases.The control group implemented a standard nursing protocol that included health education,perioperative health guidance,pain management,psychological support,and follow-up care after discharge.On the basis of the control group,the observation group was guided by the theory of interaction standard mode,and comprehensively understood the needs of the patients through interpersonal interaction,and the individu-alized rehabilitation nursing program developed by the doctor-patient recreation and nursing teams together.The Ly-sholm score of the knee joint,joint range of motion(ROM),and functional exercise compliance of 2 groups were e-valuated at admission,discharge,and 1 month after surgery.Additionally,the modified Barthel index(MBI)scores of 2 groups were compared at admission and 1 month after surgery.Results At discharge and lmonth after surgery,the Lysholm scores of knee function,score of ROM,and functional exercise compliance of the observation group were higher than those of the control group(P<0.05).Additionally,MBI of the observation group was significant-ly higher than that of the control group 1 month after surgery(P<0.001).Conclusion Rehabilitation nursing based on the theory of interaction standard mode can enhance exercise compliance and joint mobility,improve joint func-tion,and promote daily living ability in elderly patients,which is worthy of clinical reference.

knee osteoarthritisinteraction standard modearthroscopeexercise compliancerehabilita-tion nursing

柴玲、俞凤、屈潘英、杨倩、赵亦红、石国栋

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上海市公共卫生临床中心疼痛康复科,上海 201508

上海市公共卫生临床中心护理部,上海 201508

膝关节骨性关节炎 达标理论 关节镜 锻炼依从性 康复护理

上海市公共卫生临床中心院级项目

KY-GW2021-12

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(6)
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