首页|基于多学科协作的快速康复护理在全膝关节置换术患者中的应用效果

基于多学科协作的快速康复护理在全膝关节置换术患者中的应用效果

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目的 基于多学科协作的快速康复护理在全膝关节置换术患者中的应用效果.方法 回顾性分析 2019 年 1 月至 2022 年 1 月于医院接受全膝关节置换术治疗的 164 例患者的临床资料.按不同护理方式分为两组,对照组采用常规护理(86 例),观察组采用基于多学科协作的快速康复护理(78例).采用倾向性评分匹配(PSM)进行类随机化的均衡处理,纳入患者特征、手术特征等10 项相关参数进行1‥1 匹配,最终两组各纳入70 例患者.比较两组膝关节功能[采用美国特种外科医院评分系统(HSS)评估]及术后生活活动能力[采用改良Barthel指数(MBI)评估]、下床活动时间、住院时间.结果 两组术前 1 d HSS评分比较,差异无统计学意义(P>0.05);观察组术后 1 周、1 个月、2 个月、3 个月的HSS评分均高于对照组,差异均有统计学意义(P<0.05).观察组术后MBI评分高于对照组,下床活动时间、住院时间均短于对照组,差异均有统计学意义(P<0.05).结论 基于多学科协作的快速康复护理有助于促进全膝关节置换术患者术后膝关节功能和生活活动能力的恢复,且可缩短术后下床活动时间和住院时间.
The Application Effect of Rapid Rehabilitation Nursing Based on Multidisciplinary Collaboration in Patients with Total Knee Arthroplasty
Objective To explore the application effect of rapid rehabilitation nursing based on multidisciplinary collaboration in patients with total knee arthroplasty.Methods With the retrospective analysis of the clinical data of 164 patients with total knee arthroplasty in hospitals from January 2019 to January 2022,and 86 patients who received routine care as the control group and 78 patients who received rapid rehabilitation care based on multidisciplinary collaboration as the observation group,10 related parameters such as patient characteristics and surgical features were included for 1‥1 matching,by using propensity score matching(PSM)for class randomization equalization.Finally,70 patients were included in each group.The knee function[assessed by the American Special Surgery Hospital Scoring System(HSS)]and postoperative activity of life[assessed by the Modified Barthel Index(MBI)],time to get out of bed,and length of hospital stay were compared between the two groups.Results There was no significant difference in HSS score 1 day before surgery between the two groups(P>0.05);The HSS scores of the observation group at 1 week,1 month,2 months,and 3 months after surgery were higher than those of the control group,and the differences were statistically significant(P<0.05).The postoperative MBI score of the observation group was higher than that of the control group,and the time of getting out of bed and hospitalization was shorter than that of the control group,with statistical significance(P<0.05).Conclusion The rapid rehabilitation nursing based on multidisciplinary collaboration can promote the recovery of knee joint function and activity of life in patients with total knee arthroplasty,and can shorten the time to get out of bed and stay in hospital after surgery.

Multidisciplinary collaborationRapid rehabilitation careRoutine careTotal knee arthroplasty

余佳琦

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南昌大学第二附属医院 (江西南昌 330006)

多学科协作 快速康复护理 常规护理 全膝关节置换术

2024

医疗装备
国家食品药品监督管理局北京医疗器械质量监督检验中心 北京市医疗器械检验所

医疗装备

影响因子:0.339
ISSN:1002-2376
年,卷(期):2024.37(2)
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