个性化康复指导结合延续护理在高龄膝关节置换患者功能锻炼的应用研究  

Application research of individualized rehabilitation guidance combined with continuous nursing in functional exercise of elderly patients undergoing knee arthroplasty

作　　者：邬洁[1] 赵洁 李蓉 彭婷 WU Jie;ZHAO Jie;LI Rong;PENG Ting(Department of Joint Surgery,Pingxiang People's Hospital,Jiangxi Province,Pingxiang 337000,China)

机构地区：[1]江西省萍乡市人民医院关节外科,江西萍乡337000

出　　处：《中国当代医药》2022年第32期189-192,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(220218295)。

摘　　要：目的探讨个性化康复指导结合延续护理在高龄膝关节置换患者中的应用效果。方法选取2021年10月至2022年5月在萍乡市人民医院接受治疗的80例人工膝关节置换患者作为研究对象,采用随机数字表法分成对照组和观察组,每组40例。其中对照组采取常规护理,观察组在对照组基础上采取个性化康复指导结合延续护理,比较两组患者疗效、膝关节功能恢复状况、日常生活自理能力、满意度及健康知识掌握情况。结果观察组优良率高于对照组,差异有统计学意义(P<0.05)。干预1个月后,两组患者日常活动能力量表(ADL)评分高于本组干预前,差异有统计学意义(P<0.05);干预2个月后,两组患者ADL评分高于本组干预1个月后及干预前,差异有统计学意义(P<0.05);观察组干预1、2个月后ADL评分高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。观察组健康知识总知晓率高于对照组,差异有统计学意义(P<0.05)。结论个性化康复指导结合延续护理能明显改善高龄膝关节置换患者功能锻炼效果,改善患者预后,临床价值良好。Objective To explore the application effect of individualized rehabilitation guidance combined with continuous nursing in elderly patients with knee arthroplasty.Methods A total of 80 patients with total knee arthroplasty treated in Pingxiang People's Hospital from October 2021 to May 2022 were selected as the research objects,they were divided into control group and observation group according to random number table method,with 40 patients in each group.The control group received routine nursing,the observation group adopted individualized rehabilitation guidance combined with continuous nursing on the basis of the control group.The curative effect,knee joint function recovery,daily self-care ability,satisfaction and awareness rate of health knowledge were compared between the two groups.Results The excellent and good rate of the observation group was higher than that of the control group,with statistical significance(P<0.05).After one month of intervention,the daily activity scale(ADL)scores of the two groups were higher than those before intervention,and after two months of intervention,the ADL scores were higher than those after one month of intervention and before intervention,the differences were statistically significant(P<0.05).After one month and two months of intervention,the ADL score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total awareness rate of health knowledge in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Individualized rehabilitation guidance combined with continuous nursing can obviously improve the effect of functional exercise and the prognosis of elderly patients with knee joint replacement,which has good clinical value.

关 键 词：康复指导 膝关节置换 延续护理 

分 类 号：R473.6[医药卫生—护理学]