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健康赋权理论护理在人工膝关节置换术后患者中的应用效果

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目的:观察健康赋权理论护理在人工膝关节置换术后患者中的应用效果.方法:回顾性分析 2021 年 1 月至 2022 年 9 月该院收治的 75 例行人工膝关节置换术患者的临床资料,根据护理方法不同将其分为观察组 37 例和对照组 38 例.对照组给予常规护理,观察组在对照组基础上给予健康赋权理论护理.比较两组围术期相关指标水平、护理前后自我护理能力[自我护理能力量表(ESCA)]评分、术后并发症发生率和术后膝关节功能[美国特种外科医院膝关节(HSS)]评分.结果:观察组术后首次进食时间、首次下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05);出院时,两组自我概念、自护责任感、自我护理技能、健康知识水平等ESCA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05);出院时、随访 6 个月时,两组HSS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上给予健康赋权理论护理可提高人工膝关节置换术后患者自我护理能力评分,降低围术期相关指标水平、膝关节功能评分和术后并发症发生率,其效果优于单纯常规护理.
Application effects of health empowerment theory nursing in patients after artificial knee replacement
Objective:To observe application effects of health empowerment theory nursing in patients after artificial knee replacement.Methods:The clinical data of 75 patients who underwent artificial knee replacement in this hospital from January 2021 to September 2022 were retrospectively analyzed.According to different nursing methods,they were divided into observation group(37 cases)and control group(38 cases).The control group was given routine nursing,while the observation group was given the health empowerment theory nursing on the basis of that of the control group.The levels of perioperative related indexes,the self-care ability[exercise of self-care agency scale(ESCA)]score,the incidence of postoperative complications,and the postoperative knee joint function[hospital for special surgery(HSS)]score were compared between the two groups before and after the nursing.Results:The first feeding time,the first out-of-bed time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At discharge,the ESCA scores of self-concept,self-care responsibility,self-care skills and health knowledge level in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,at discharge and 6 months of follow-up,the HSS scores of 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).Conclusions:On the basis of the routine nursing,the health empowerment theory nursing can improve the self-care ability scores of the patients after artificial knee replacement and reduce the levels of perioperative related indexes,the knee function scores and the incidence of postoperative complications.Moreover,it is superior to single routine nursing.

Health empowerment theoryNursingArtificial knee replacementKnee joint functionSelf-care abilityComplication

李明明

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柘城中医院骨科,河南 商丘 476200

健康赋权理论 护理 人工膝关节置换术 膝关节功能 自我护理能力 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(13)