生物-心理-社会一体化护理在膝骨关节炎针刀治疗患者中的应用效果  

Application effects of bio-psycho-social integrated nursing in patients with knee osteoarthritis undergoing needle knife treatment

作　　者：周艳萍 ZHOU Yanping(Department of Minimally Invasive Surgery of Zhengzhou Traditional Chinese Medicine Orthopedics Hospital,Zhengzhou 450016 Henan,China)

机构地区：[1]郑州中医骨伤病医院微创科,河南郑州450016

出　　处：《中国民康医学》2024年第18期177-180,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察生物-心理-社会一体化护理在膝骨关节炎(KOA)针刀治疗患者中的应用效果。方法:选取2021年1月至2023年1月该院采取针刀治疗的88例KOA患者进行前瞻性研究,采用随机数字表法将其分为对照组和观察组各44例。对照组采取常规护理,观察组采取生物-心理-社会一体化护理,比较两组护理前后不良情绪[正性负性情绪量表(PANAS)]、膝关节病情严重程度[膝骨关节炎严重性指数(ISOA)]、生命质量[健康调查简表(SF-36)],以及护理满意度评分。结果:护理后,观察组积极情感层面PANAS评分高于对照组,消极情感层面PANAS评分低于对照组,差异均有统计学意义(P<0.05);护理后,观察组ISOA评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组躯体功能、情感职能、心理健康、活力、躯体疼痛、社会功能、总体健康和生理职能等SF-36评分均高于对照组,差异有统计学意义(P<0.05);观察组护理方式、心理干预、沟通态度和护理效果评分均高于对照组,差异有统计学意义(P<0.05)。结论:生物-心理-社会一体化护理应用于KOA针刀治疗患者可提高SF-36和护理满意度评分,改善PANAS评分,降低ISOA评分,效果优于常规护理。Objective:To observe application effects of bio-psycho-social integrated nursing in patients with knee osteoarthritis(KOA)undergoing needle knife treatment.Methods:A prospective study was conducted on 88 patients with KOA undergoing needle knife treatment in this hospital from January 2021 to January 2023.They were divided into control group and observation group by using the random number table method,44 cases in each group.The control group was given routine nursing,while the observation group was given the bio-psycho-social integrated nursing.The negative emotion[positive and negative affect scale(PANAS)],the severity of knee joint disease[knee osteoarthritis severity index(ISOA)],the quality of life[the MOS 36-item short form health survey(SF-36)],and the nursing satisfaction scores were compared between the two groups before and after the nursing.Results:After the nursing,the positive emotional level PANAS score of the observation group was higher than that of the control group,the negative emotional level score was lower than that of the control group,and the difference were statistically significant(P<0.05).After the nursing,the ISOA score of the observation group was lower than that of the control group,and the differences was statistically significant(P<0.05).After the nursing,the SF-36 scores of physical function,emotional function,mental health,vitality,physical pain,social function,general health and physiological function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the scores of nursing methods,psychological intervention,communication attitude and nursing effect in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The bio-psycho-social integrated nursing in the KOA patients can improve the SF-36 and the nursing satisfaction scores,improve the PANAS scores and reduce the ISOA scores.Moreover,it is superior to the routine nurs

关 键 词：膝骨关节炎 生物-心理-社会一体化护理 针刀治疗 负性情绪 生命质量 膝关节功能 

分 类 号：R473[医药卫生—护理学]