快速康复外科理念在膝关节置换术患者护理中的应用效果  

Application effect of the concept of fast track surgery in the nursing of patients undergoing knee arthroplasty

作　　者：李卓惠 张春琼[1] 李凌霄[1] LI Zhuo-hui;ZHANG Chun-qiong;LI Ling-xiao(Department of Surgery,the People′s Hospital of Huazhou City,Guangdong Province,Huazhou525100,China)

机构地区：[1]广东省化州市人民医院外科,广东化州525100

出　　处：《中国当代医药》2020年第18期246-248,252,共4页China Modern Medicine

摘　　要：目的 观察快速康复外科(FTS)理念在膝关节置换术患者护理中的应用效果.方法 选取2017年8月~2019年8月在我院住院行膝关节置换术的90例患者作为研究对象,根据随机数字表法分为两组.对照组(n=45)采取常规护理措施干预,观察组(n=45)在对照组基础上予以FTS理念的护理干预.采用膝关节评分标准(HSS)评估两组术前及术后3周膝关节功能恢复情况,采用视觉模拟评分法(VAS)评估两组术前及术后3周关节疼痛情况,采用自制护理满意度调查问卷表调查两组术后护理总满意度.结果 两组术前HSS及VAS评分比较,差异无统计学意义(P>0.05);两组术后3周HSS评分高于治疗前,差异均有统计学意义(P<0.05),而两组VAS评分低于治疗前,差异有统计学意义(P<0.05),且观察组术后3周HSS评分高于对照组,VAS评分低于对照组,差异均有统计学意义(P<0.05).观察组术后护理总满意度(93.33%)高于对照组(71.11%),差异有统计学意义(P<0.05).结论 在膝关节置换术护理中应用FTS理念可明显改善患者膝关节功能,减轻膝关节疼痛,显著提高护理满意度.Objective To observe the application effect of the concept of fast track surgery(FTS)in the nursing of patients undergoing knee arthroplasty.Methods A total of 90 patients hospitalized in our hospital from August 2017 to August 2019 for the treatment of knee arthroplasty were selected as the research objects,patients were divided into two groups according to random number table method,the control group(n=45)took routine nursing intervention,and the observation group(n=45)took the concept of FTS nursing intervention on the base of the control group.The recovery of knee joint function in the two groups before and 3 weeks after surgery was evaluated by hospital for special surgery knee rating scale(HSS).The joint pain in the two groups before and 3 weeks after surgery was evaluated by visual analogue scale(VAS).The postoperative nursing total satisfaction of two groups was investigated by the nursing satisfaction questionnaire.Results There were no significant differences in HSS and VAS scores between the two groups preoperative(P>0.05).The HSS score of the two groups 3 weeks after surgery was higher than that before treatment,the difference was statistically significant(P<0.05),and the VAS score was lower than before treatment,the difference was statistically significant(P<0.05).In addition,HSS score of the observation group was higher than of the control group after treatment,VAS score of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).The postoperative nursing total satisfaction of the observation group(93.33%)was higher than that of the control group(71.11%),the difference was statistically significant(P<0.05).Conclusion The application of FTS in the nursing of knee arthroplasty can significantly improve the patients′knee joint function,alleviate the knee joint pain,and significantly improve the nursing satisfaction.

关 键 词：快速康复外科 膝关节置换术 膝关节功能 关节疼痛 

分 类 号：R473.6[医药卫生—护理学]