Application effects of structural psychological nursing in patients undergoing knee arthroplasty
Objective:To observe application effects of structural psychological nursing in patients with total knee arthroplasty(TKA).Methods:A prospective study was conducted on 108 patients undergoing TKA in this hospital from January 2021 to January 2022.They were divided into control group and observation group according to the random number table method,54 cases in each group.The control group was given routine nursing,while the observation group was given the structural psychological nursing on the basis of that of the control group.The exercise compliance score,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores,the disease uncertainty[Mishel uncertainty in illness scale-adult(MUIS-A)]score,the quality of life[general quality of life inventory-74(GQOLI-74)]score before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:The score of nursing exercise compliance in the observation group was higher than the control group,and the difference was statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The MUIS-A scores of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;the GQOLI-74 scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 96.30%(52/54),which was higher than 81.48%(44/54)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The structural psychological nursing on the basis of the routine nursing can improve the exercise compliance scores,the quality of life scores and the nursing satisfaction of the TKA patients,and reduce the negative emotion scores and the disease uncertainty scores.Moreover,it is superior to single routine nursing.
Structural psychological nursingKnee arthroplastyNegative emotionUncertainty in illnessComplianceNursing satisfaction