围手术期综合护理模式对行膝关节镜手术患者术后疼痛程度及膝关节功能的影响  

Impact of Perioperative Comprehensive Nursing Mode on Postoperative Pain and Knee Joint Function in Patients Undergoing Knee Arthroscopic Surgery

作　　者：欧阳菊荣 OUYANG Jurong(Department of Operating Room,Linchuan District First People’s Hospital,Fuzhou 344000,China)

机构地区：[1]江西省抚州市临川区第一人民医院手术室,江西抚州344000

出　　处：《中国伤残医学》2024年第22期130-134,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨将围手术期综合护理模式应用于行膝关节镜手术患者对其术后疼痛程度、膝关节功能的影响。方法:选取2021年1月-2023年1月临川区第一人民医院收治的68例行膝关节镜手术治疗患者为研究对象,按随机数字表法将其分为对照组和观察组,各34例。对照组采取常规护理,观察组在此基础上采取围手术期综合护理模式。两组均护理2周。比较两组疼痛程度、膝关节功能、手术相关指标、护理满意度及并发症发生情况。结果:护理后,观察组疼痛数字评分法评分(3.67±0.48)分低于对照组的(4.12±0.57)分,差异有统计学意义(P<0.05)。护理后,观察组膝关节功能评分中疼痛(37.98±4.13)分、活动度(16.97±1.47)分、稳定性(19.65±2.38)分、行走能力(40.14±3.87)分、上下楼能力(38.46±2.37)分均高于对照组的(35.66±3.86)分、(12.88±4.34)分、(17.12±2.13)分、(37.88±2.51)分、(35.12±2.36)分,差异均有统计学意义(P<0.05)。观察组术中出血量(80.67±11.53)mL少于对照组的(113.79±14.27)mL,手术时间(96.73±8.10)min、术后首次下床时间(3.56±0.37)d及住院时间(11.96±2.87)d均短于对照组的(130.41±12.24)min、(3.89±0.45)d及(18.46±3.67)d,差异均有统计学意义(P<0.05)。观察组护理满意度97.06%高于对照组的76.47%,并发症发生率2.94%低于对照组的23.53%,差异均有统计学意义(P<0.05)。结论:对行膝关节镜手术患者采用围手术期综合护理模式干预,能够有效缓解患者疼痛,改善膝关节功能和手术指标,有助于减少并发症的发生,提升护理满意度。Objective:To explore the effect of perioperative comprehensive nursing mode on postoperative pain and knee joint function of patients undergoing arthroscopic knee surgery.Methods:A total of 68 patients who underwent arthroscopic knee surgery in the First People’s Hospital of Linchuan District from January 2021 to January 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group,with 34 patients in each group,using a random number table method.The control group was given routine nursing,and the observation group was given perioperative comprehensive nursing mode on this basis.Both groups were treated for two weeks.The pain degree,knee joint function,operation-related indicators,nursing satisfaction score and complications were compared between the two groups.Results:After nursing,the pain Numeric Rating Scale score of the observation group(3.67±0.48)points was lower than(4.12±0.57)points of the control group,and the difference was statistically significant(P<0.05).After nursing,the pain score(37.98±4.13)points,activity score(16.97±1.47)points,stability score(19.65±2.38)points,walking ability score(40.14±3.87)points,and ability to climb up and down stairs score(38.46±2.37)points of the Knee Society Score in the observation group were all higher than(35.66±3.86)points,(12.88±4.34)points,(17.12±2.13)points,(37.88±2.51)points,and(35.12±2.36)points in the control group,with statistical significance(P<0.05).The intraoperative blood loss of the observation group(80.67±11.53)mL was less than(113.79±14.27)mL of the control group,the operation time(96.73±8.10)min,the first time to get out of bed after surgery(3.56±0.37)d,and the hospitalization time(11.96±2.87)d were all shorter than(130.41±12.24)min,(3.89±0.45)d,and(18.46±3.67)d of the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction rate of the observation group was 97.06%,higher than 76.47%of the control group,and the incidence of complications w

关 键 词：膝关节镜手术 疼痛程度 膝关节功能 临床相关指标 护理满意度 

分 类 号：R473.6[医药卫生—护理学]