快速康复联合延续护理在微创膝关节置换术患者中的应用研究  

Application study of rapid rehabilitation combined continuing care in patients with minimally invasive knee replacement arthroplasty

作　　者：饶渭霞[1] 潘海芳[1] 陈敏[1] RAO Weixia;PAN Haifang;CHEN Min(Department of Orthopedics,the Second Affiliated Hospital of Nanchang University,JiangxiProvince,Nanchang330006,China)

机构地区：[1]南昌大学第二附属医院骨科,江西南昌330006

出　　处：《中国当代医药》2022年第2期164-167,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(20204296)。

摘　　要：目的探究快速康复联合延续护理在微创膝关节置换术患者中的应用。方法选取2019年11月至2020年11月南昌大学第二附属医院收治的60例行膝关节置换术患者,按随机数字表法分为对照组与观察组,每组各30例。对照组采用常规流程护理,观察组运用快速康复联合延续性护理,比较两组手术情况、自护能力、生活质量及并发症。结果观察组下床活动时间、住院时间均短于对照组,住院费用均少于对照组,差异有统计学意义(P<0.05);术后3 d,观察组疼痛评分低于对照组,差异有统计学意义(P<0.05);护理后,观察组健康知识、自护责任感、自我概念与自护技能评分高于对照组,差异有统计学意义(P<0.05);护理后,观察组社会、认知、躯体及角色功能评分高于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论快速康复联合延续护理可有效减轻微创膝关节置换术患者疼痛感,缩短住院时间,减轻患者经济负担,改善自护能力和生活质量,且降低术后并发症总发生率。Objective To explore the application of rapid rehabilitation combined continuing care in patients with minimally invasive knee replacement.Methods A total of 60 patients undergoing knee arthroplasty in the Second Affiliated Hospital of Nanchang University from November 2019 to November 2020 were selected and divided into the control group and the observation group according to a random number table,with 30 cases in each group.The control group used routine nursing care,and theobservation group used rapid rehabilitation combined with continuous nursing to compare the surgical conditions,self-care ability,quality of life and complications between the two groups.Results The observation group′s time to get out of bed and hospital stay were shorter than those of the control group,and the hospitalization expenses was less than that of the control group,the differences were statistically significant(P<0.05).The pain score of the observation group was lower than that of the control group at 3 d after surgery,the difference was statistically significant(P<0.05).After nursing,the scores of health knowledge,self-care responsibility,self-concept and self-care skills in the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the social,cognitive,physical and role function scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Rapid rehabilitation combined with continuing care can effectively reduce the pain of minimally invasive knee arthroplasty patients,shorten the hospital stay,reduce the economic burden of patients,improve self-care ability and quality of life,and reduce the incidence of postoperative complications.

关 键 词：微创膝关节置换术 快速康复 延续性护理 疼痛 住院时间 自护能力 膝关节功能 

分 类 号：R473[医药卫生—护理学]