临床护理及心理干预在关节镜下腓骨长肌腱重建前交叉韧带围术期中的应用  

Application of perioperative clinical care and psychological intervention in anterior cruciate ligament reconstruction of peroneus longus tendon under arthroscopic

作　　者：刘田虹 史福东[1] 闫少茹[1] 王雪臣[1] 孟小光[1] 

机构地区：[1]华北理工大学附属唐山市人民医院骨科,河北唐山063001

出　　处：《中国医药导报》2016年第13期174-177,共4页China Medical Herald

基　　金：河北省医学科学研究重点课题(20130319)

摘　　要：目的探讨关节镜下腓骨长肌腱重建前交叉韧带围术期临床护理及心理干预的临床效果。方法选择2014年5月-2015年8月在华北理工大学附属唐山市人民医院行关节镜下腓骨长肌腱重建前交叉韧带术的患者83例,采用随机数字表法将患者分为两组,分别采取围术期临床护理及心理干预（干预组,n=41）和常规护理干预（对照组,n=42）,评估两组患者术后的焦虑和抑郁心理状况及膝关节恢复情况。结果治疗后干预组焦虑、认识障碍、日夜变化、迟缓、睡眠障碍、绝望感、HAMD总分均明显低于对照组（P〈0.05）;干预组躯体性焦虑、精神性焦虑、HAMA总分均明显低于对照组（P〈0.05）;干预组膝关节恢复等级明显优于对照组（P〈0.05）,膝关节功能恢复优良率（92.68%）明显高于对照组（71.43%）（P〈0.05）。结论关节镜下腓骨长肌腱重建前交叉韧带围术期临床护理及心理干预对患者的恢复有积极作用。Objective To investigate the clinical effect of perioperative clinical care and psychological intervention in anterior cruciate ligament reconstruction of peroneus longus tendon under arthroscopic. Methods 83 cases of patients underwent anterior cruciate ligament reconstruction of peroneus longus tendon under arthroscopic in Tangshan People＇s Hospital Affiliated to North China University of Science and Technology from May 2014 to August 2015 were selected,and divided into two groups according to random number table method. Patients in the intervention group（n=41） were given perioperative clinical care and psychological intervention, and patients in the control group（n =42） were given routine nursing intervention. The anxiety and depression status and knee recovery of the two groups were evaluated.Results After treatment, the scores of anxiety, cognitive disturbance, diurnal variation, slow, sleep disorders, hopelessness and HAMD total score in the intervention group were lower than those in the control group, with statistically significant differences（P 〈0.05）. The scores of somatic anxiety, psychic anxiety and HAMA total score in the intervention group were lower than those in the control group, with statistically significant differences（P 〈0.05）. The knee recovery grade of the intervention group was significantly better than that of the control group（P 〈0.05）, and the excellent rate of knee function recovery（92.68%） in the intervention group was significantly higher than that in the control group（71.43%）（P 〈0.05）. Conclusion The perioperative clinical nursing and psychological intervention play a positive role for recovery of patients underwent anterior cruciate ligament reconstruction of peroneus longus tendon under arthroscopic.

关 键 词：关节镜 前交叉韧带损伤 临床护理 心理干预 

分 类 号：R473.6[医药卫生—护理学]