全膝关节置换术后患者生活自理能力及膝关节功能自我报告与护士报告的一致性研究  

Consistency study of self-reports and nurses′assessment in self-care ability and knee function among patients after total knee arthroplasty

作　　者：沈芒慧 韩梦月 李剑楠 徐芳成琳 余永琴 梅迎雪[2] Shen Manghui;Han Mengyue;Li Jiannan;Xu Fangchenglin;Yu Yongqin;Mei Yingxue(School of Nursing,Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学护理学院,宁夏银川750004 [2]宁夏回族自治区人民医院

出　　处：《护理学杂志》2023年第21期42-45,共4页Journal of Nursing Science

基　　金：宁夏自然科学基金项目(2022AAC03364);宁夏回族自治区重点研发计划项目(2022BEG03096)。

摘　　要：目的调查分析全膝关节置换术后患者出院时生活自理能力、膝关节功能自我报告与护士报告的一致性,为客观了解患者病情,改善患者预后提供参考。方法采用便利抽样法,对100例全膝关节置换术后患者及其责任护士采用生活自理能力量表(BI)和美国特种外科医院膝关节评分表(HSS)进行问卷调查。结果全膝关节置换术后患者生活自理能力及膝关节功能自我报告与其责任护士报告存在不一致性,在生活自理能力评估中除总分外,其余各条目均显示一致性较差(ICC=-0.114~0.103),相关性不显著(r=-0.114~0.148,均P>0.05)。在膝关节功能评估中除功能、减分项目、总分外,其余项目患者报告与护士报告差异均有统计学意义;在一致性方面除活动度、减分项目外,总分及其余维度患者自我报告与护士报告均显示一致性较差(ICC=0.205~0.289),相关性较弱(r=0.217~0.320,均P<0.05)。结论全膝关节置换术后患者生活自理能力、膝关节功能自我报告与其责任护士报告存在不一致性,护理人员需重视患者主诉,以准确评估患者生活自理能力与膝关节功能。Objective To investigate and analyze the consistency of self-reports and nurses assessment in self-care ability and knee function at discharge among patients after Total Knee Arthroplasty(TKA),so as to provide a reference to understand patients′condition objectively and improve their prognosis.Methods The convenient sampling method was utilized,and 100 patients after TKA at discharge and their primary nurses were investigated by using the Barthel Index(BI)and the American Hospital for Special Surgery Knee Score(HSS).Results The patients′self-reports in self-care ability and knee joint function were inconsistent with the assessment of their primary nurses.In the assessment of self-care ability,except for the total score of BI,the score of each item showed poor consistency(ICC=-0.114-0.103),and the correlation were not significant(r=-0.114-0.148,all P>0.05).In the assessment of knee joint function,except for function,score reduction items,and the total score of HSS,there were significant differences between patients′self-reports and nurses′assessment in other dimensions;in terms of consistency,except for range of motion and score reduction items,the other dimensions demonstrated poor consistency(ICC=0.205-0.289)and weak correlation(r=0.217-0.320,all P<0.05).Conclusion The self-reports and nurses′assessment in self-care ability and knee function at discharge among patients after TKA are inconsistent.Nursing staff should pay attention to patients′chief complaints,so as to assess their self-care ability and knee function accurately.

关 键 词：全膝关节置换术 生活自理能力 膝关节功能 自我报告 护士评估 一致性 

分 类 号：R473.6[医药卫生—护理学]