院外延续性护理联合家庭康复训练对TKA患者术后恢复的影响  

Effect of Continuing Nursing and Family Rehabilitation Training on Postoperative Recovery of TKA Patients

作　　者：黄滚娥 冯雁玲[1] 徐结芳 黄玉妞 黄天带[1] Huang Gun′e;Feng Yanling;Xu Jiefang;et al(Nanhai People′s Hospital Affiliated to Southern Medical University, Foshan Guangdong 528200, Chin)

机构地区：[1]南方医科大学附属南海区人民医院,广东佛山528200

出　　处：《齐鲁护理杂志》2018年第10期11-13,共3页Journal of Qilu Nursing

摘　　要：目的:探讨院外延续性护理联合家庭康复训练对全膝关节置换术(TKA)患者术后恢复的影响。方法:将116例TKA患者随机分为对照组52例和研究组64例,对照组接受常规院内干预和院外指导,研究组在对照组基础上实施院外延续性护理联合家庭康复训练。于出院时(T1)及出院6个月(T2)评估两组患者生活能力、膝关节功能、自我效能及生活质量,于T2时评估两组护理服务质量。结果:T2时两组患者功能独立性评定量表(FIM)、美国纽约特种外科医院TKA术后功能评分标准(HSS)、康复自我效能感量表(SER)、生存质量量表(SF-12)及PZB服务质量量表(SERVQUAL)评分均较T1时升高,且研究组高于对照组(P<0.05)。结论:院外延续性护理联合家庭康复训练可改善TKA患者生活能力、膝关节功能、自我效能和生活质量,有效提升患者院外护理服务质量,促进患者恢复。Objective： To explore the effect of continuing nursing combined with family rehabilitation training on postoperative recoveryof patients undergoing total knee arthroplasty. Methods： Atotal of 116 TKA patients were randomly divided into 52 cases in the controlgroup and 64 cases in the observation group. The control group received routine hospital intervention and out of hospital guidance. The observation group carried out the continuing nursing combined with family rehabilitation training on the basis of the control group. The life ability, knee function, selfefficacy and quality of life of the two groups were evaluated at the time of discharge（ T1） and 6 months of discharge（ T2） . And the quality of nursing service was evaluated in two groups at T2. Results： At the time of T2, two groups of patients′ functional independence assessment scale（ FIM） , New York special surgery hospital after TKA function score standard（ HSS） , rehabilitationselfefficacy scale（ SER） , quality of life scale（ SF12） and PZB service quality scale（ SERVQUAL） score were higher than that of T1, andthe observation group was higher than the control group（ P 〈 0. 05） . Conclusion： The continuing nursing and family rehabilitation trainingcan improve the living ability, knee function, selfefficacy and quality of life of TKA patients, improve the quality of nursing service outsidethe hospital and the recovery of patients.

关 键 词：院外延续性护理 家庭康复训练 全膝关节置换术 生活能力 膝关节功能 

分 类 号：R473.6[医药卫生—护理学]