膝关节术后的无痛康复护理  

Nursing of analgesia rehabilitation after knee surgery

作　　者：陆琦 

机构地区：[1]无锡市卫生高等耽世技术学校基础护理教研室,214028

出　　处：《中华现代护理杂志》2010年第27期3264-3267,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨无痛护理方法对膝关节患者术后疼痛、睡眠时间、关节活动度及出院满意度的影响.方法 选择120例实施膝关节手术患者进行随机分为观察组（60例）和对照组（60例）,对照组按照传统护理模式进行护理,观察组按照无痛护理方案进行护理.结果 术后72 h观察组患者的静息痛、活动痛评分与对照组比较差异有统计学意义（P＜0.05）;术后3 d观察组患者的睡眠时间与对照组比较差异有统计学意义（P＜0.05）;术后观察组患者的主动直腿抬高时间、主动屈膝90.时间、出院时膝关节平均活动度与对照组比较差异有统计学意义（P＜0.05）;观察组的出院满意度高于对照组.结论 无痛康复护理措施可以减轻膝关节手术患者的术后疼痛,改善睡眠质量,缩短住院时间,提高患者的出院满意度,同时具有并发症少、安全、可行的优点.关键词：膝关节手术;无痛康复;Objective To discuss the effect of analgesia rehabilitation nursing in patients who had undergone knee surgery on postoperative pain,sleeping duration,range of motion and patient satisfaction rate.Methods Patients who had undergone knee surgery were randonly divided into observation group （n = 60） and control group （n = 60）.The control group received routine nursing and the observation group received analgesia nursing.Results Grade of rest pain and motion pain 72 h after surgery of the two groups was significantly different （P〈0.05）.There was significant difference of sleeping duration 3 d after surgery between the two groups （P〈0.05）.Significant differences were also found in time of active straight leg raising,time of active 90° knee bending and range of motion upon discharge.Patient satisfaction rate of the observation group was higher than the control group,with statistical significance （P〈0.05）.Conclusions Analgesia rehabilitation nursing effectively reduces postoperative pain,promotes sleeping,decreases length of stay and enhances patient satisfaction rate in patients who had undergone knee surgery,and is proved to be safe and feasible,with less complication.

关 键 词：膝关节手术 无痛康复 护理 

分 类 号：R473.6[医药卫生—护理学]