医护一体化模式对老年膝关节置换术后患者膝关节功能及深静脉血栓发生的影响  

Effect of integrated nursing mode on knee function and occurrence of deep vein thrombosis in elderly patients after knee replacement

作　　者：张晓清 陈巧云 任慧琳 ZHANG Xiaoqing;CHEN Qiaoyun;REN Huilin(The Third Ward of Department of Orthopaedics,73rd Group Military Hospital,Fujian Province,Xiamen361000,China)

机构地区：[1]陆军第七十三集团军医院骨科三病区,福建厦门361000

出　　处：《中国当代医药》2025年第6期145-149,共5页China Modern Medicine

摘　　要：目的探讨医护一体化模式对老年膝关节置换术后患者的应用效果。方法选取2023年1月至2024年5月拟在陆军第七十三集团军医院行全膝关节置换术的92例患者作为研究对象,按照随机数字表法分为对照组和研究组,每组46例。对照组采用常规护理干预,研究组采用医护一体化模式干预,比较两组患者视觉模拟评分法(VAS)评分、膝关节功能[关节活动度(ROM)、Lysholm膝关节评分]、深静脉血栓(DVT)发生率、生活质量评分和护理满意度。结果术后1周、3个月,两组患者VAS评分均低于本组术前,ROM和Lysholm评分均高于本组术前,且研究组VAS评分低于对照组,ROM和Lysholm评分高于对照组,差异有统计学意义(P<0.05)。研究组术后DVT发生率低于对照组,差异有统计学意义(P<0.05)。干预后,两组患者生活质量评分均高于本组干预前,且研究组生活质量评分高于对照组,差异有统计学意义(P<0.05)。研究组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论医护一体化模式干预在全膝关节置换术患者中应用效果显著,能有效缓解患者术后疼痛程度,降低DVT发生率,进一步改善膝关节功能,促进恢复,从而提高其生活质量和护理满意度。Objective To explore the effect of integrated nursing mode on elderly patients after knee replacement.Methods A total of 92 patients undergo total knee replacement in the 73rd Group Military Hospital from January 2023 to May 2024 were selected as the research objects,and they were divided into control group and study group according to random number table method,with 46 cases in each group.The control group received routine nursing intervention,while the study group received integrated nursing mode intervention.Visual analogue scale(VAS)score,knee joint function(range of motion[ROM],Lysholm knee joint score),incidence of deep vein thrombosis(DVT),quality of life score and nursing satisfaction were compared between the two groups.Results At 1 week and 3 months after surgery,VAS scores in two groups were lower than those before surgery,ROM and Lysholm scores were higher than those before surgery,VAS scores in study group were lower than those of control group,ROM and Lysholm scores were higher than those of control group,the differences were statistically significant(P<0.05).The incidence of DVT in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).After the intervention,the quality of life scores of the two groups were higher than those before the intervention,and the quality of life scores of the study group were higher than those of the control group,with statistical significances(P<0.05).The total satisfaction of nursing in the study group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of integrated nursing mode intervention in total knee replacement patients is significant,which can effectively relieve the degree of postoperative pain,reduce the incidence of DVT,further improve the function of the knee joint,promote recovery,and thus improve their quality of life and nursing satisfaction.

关 键 词：医护一体化模式 老年 膝关节置换术 膝关节功能 深静脉血栓 

分 类 号：R473.6[医药卫生—护理学]