临床-康复-护理全周期管理模式对创伤性膝关节炎行全膝关节置换术后恢复的影响  

Effect of Clinical Rehabilitation-Nursing Full Cycle Management Model on Postoperative Recovery after Total Knee Arthroplasty for Post-traumatic Arthritis

作　　者：毛慧珍 张俊霞[1] 张春艳 Mao hui-zhen;Zhang Jun-xia;Zhang Chun-yan(Department of Emergency Trauma Surgery,First People's Hospital of Shangqiu,Shangqiu 476000,Henan,China)

机构地区：[1]河南省商丘市第一人民医院急诊创伤外科,商丘476000

出　　处：《实用中西医结合临床》2023年第4期114-117,共4页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探究临床-康复-护理全周期管理模式对创伤性膝关节炎行全膝关节置换术后恢复的影响。方法:选取商丘市第一人民医院2021年1月至2022年1月收治的83例创伤性膝关节炎患者为研究对象,根据护理方法不同分为观察组(n=42)与对照组(n=41)。对照组采用常规骨科护理干预,观察组则另外加用临床-康复-护理全周期管理模式干预。对比干预前后两组患者视觉模拟评分(VAS)、健康调查简表SF-36(SF-36)评分、膝关节功能评分表(HSS)评分、住院时间及住院费用。结果:干预后,两组患者VAS评分均低于干预前,且观察组低于对照组(P<0.05);干预后,两组患者SF-36评分均高于干预前,且观察组高于对照组(P<0.05);干预后,两组患者HSS评分均高于干预前,且观察组高于对照组(P<0.05);观察组住院费用、住院时间与对照组相比,差异无统计学意义(P>0.05)。结论:临床-康复-护理全周期的管理模式能较传统护理更有效提高患者生活质量,改善膝关节功能。Objective:To explore the clinical effect of management mode of clinical rehabilitation nursing cycle on postoperative recovery after total knee arthroplasty for post-traumatic arthritis.Methods:Eighty-three invalids with post-traumatic arthritis admitted to orthopaedic department of our hospital from January 2021 to January 2022 were selected,and invalids were divided into 2 groups according to different nursing methods.Control group(n=41)received conventional nursing care,based on this,observation group(n=42)adopted clinical rehabilitation-nursing full cycle management model.Visual analogue scale(VAS),the MOS item short from health survey(SF-36),the hospital for special surgery(HSS),hospital costs and stay length were compared between 2 groups.Results:After treatment,VAS score had a notable decrease in both groups(P<0.05),and observation group scored lower on VAS than control group(P<0.05).SF-36 score demonstrated an increase in both groups after treatment(P<0.05),observation group had higher SF-36 score than control group after treatment(P<0.05).An increase was detected in HSS score in both groups after treatment(P<0.05),and observation group scored higher on HSS than control group(P<0.05).Compared with control group,observation group had lower medical costs and shorter hospital stay length,with no statistical difference(P>0.05).Conclusion:Application of management mode of clinical rehabilitation nursing cycle for invalids with post-traumatic arthritis after total knee arthroplasty can effectively improve the quality of life and ameliorate the knee function.

关 键 词：创伤性膝关节炎 临床-康复-护理全周期的管理模式 全膝关节置换术 术后恢复 

分 类 号：R473.6[医药卫生—护理学]