专病医护一体化工作模式在人工全膝关节置换术中的应用与发展  

Application and Development of Integrated Work Model of Specialized Disease, Medical Care and Nursing in Artificial Total Knee Arthroplasty

作　　者：崔俊燕[1] 吴俪昊 吴玮[1] CUI Jun-yan;WU Li-hao;WU Wei(Department of Joint Orthopedics,Section One,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou,Gansu Province,730050 China)

机构地区：[1]甘肃省中医院关节骨一科,甘肃兰州730050

出　　处：《系统医学》2020年第21期196-198,共3页Systems Medicine

基　　金：甘肃省卫生行业科研计划项目(GSWSKY2018-56)。

摘　　要：基于人口老龄化趋势的影响,膝关节病患者基数逐渐增加,若缺乏及时有效地治疗,患者会因为疼痛不耐受的情况而无法正常工作、生活,甚至会丢失自理能力。临床认为膝关节疼痛的原因主要在于骨性关节炎、类风湿性关节炎,多通过人工全膝关节置换术进行治疗,以改善患者膝关节功能,同时解除疼痛症状。不过该治疗方案的操作难度较大,术后患者出现相关并发症的风险性较高,例如假体松动、压疮、深静脉血栓、假体脱位等,辅以必要的护理干预方案对患者预后有重要影响。专病医护一体化工作模式是目前较为流行的一种护理管理方案,其要求专门小组为患者提供治疗、护理、康复等方面的辅助性服务,在工作质量、安全性等方面均有较好的保障。该次为探讨该模式在人工全膝关节置换术中的应用与发展,结合既有研究资料展开综述,旨在可以为有关人员提供参考。Based on the influence of the aging trend of the population,the base of patients with knee joint disease is gradually increasing.Without timely and effective treatment,patients will be unable to work and live normally due to pain intolerance,and even lose their ability to take care of themselves.It is clinically believed that the main cause of knee joint pain is osteoarthritis and rheumatoid arthritis,and it is mostly treated by artificial total knee arthroplasty to improve knee joint function and relieve pain symptoms.However,the operation of this treatment plan was difficult,and the risk of postoperative complications was higher for patients,such as prosthesis loosening,pressure sores,deep vein thrombosis,prosthesis dislocation,etc.,supplemented by necessary nursing interventions to improve the prognosis of patients Have an important impact.The integrated work model of specialized disease,medical care and nursing is currently a more popular nursing management plan,which requires specialized teams to provide patients with auxiliary services in terms of treatment,nursing,and rehabilitation.They had good work quality and safety.This time,to discuss the application and development of this model in artificial total knee arthroplasty,combined with existing research data,the review is carried out,aiming to provide reference for relevant personnel.

关 键 词：人工膝关节置换术 医护一体化 护理模式 围术期应用 发展 

分 类 号：R473[医药卫生—护理学]