【doc】护理干预对人工全膝关节置换术患者术后康复的影响.docVIP

护理干预对人工全膝关节置换术患者术后康复的影响 ? 临床护理?2009年1月第47卷第3期 护理干预对人工全膝关节置换术患者术后康复的影响 张朝晖 (中南大学湘雅医学院益阳临床学院,湖南益阳413000) 【摘要】目的探讨护理干预对人工全膝关节置换术(TKA)患者术后康复的影响.方法将150例拟行人工全膝关节置换术 患者随机分为对照组和干预组,各75例.对照组接受骨科常规治疗和护理,干预组在此基础上接受包括健康教育,心理护 理和综合功能锻炼在内的综合护理干预.比较两组患者术前和术后2周(术后)的美国膝关节学会评分(AKSS),膝关节活动 范围(ROM),视觉模拟评分(VAS)和术后住院天数.结果与对照组相比,干预组术后AKSS和ROM明显增加,而VAS和住 院天数明显降低,差异均有统计学意义,均Plt;0.01(t=5.562,4.628,10.359,4.939).结论综合护理干预可提高TKA术后患 者的功能恢复效果,促进患者康复. 【关键词】人工全膝关节置换术;骨关节病;护理干预 【中图分类号】R473.6[文献标识码】A【文章编号】1673—9701(2009)03—136—03 EffectofNursingInterventionsOilPostoperativeRehabilitationinPatients ReceivingTotalKneeArthroplasty ZHANGZhaohui YiyangClinicalInstituteofXiangyaMedicalCoHegeofSouthCentralUniversity,Hunan413000 【Abstract】ObjectiveToinvestigatetheeffectofnursinginterventionsonpostoperativerehabilitationinpatientsreceivingtotalkneearthro- plasty(TKA).MethodsAtotalof150casesscheduledforTKAwererandomlyassignedtothecontrolandinterventionalgroup,eachconsist- ingof75cases.Thecontrolgroupreceivedroutinetreatmentandnursingcareinorthopedics,whiletheinterventionalgroupreceivedintegrated nursinginterventionsincludinghealtheducation.mentalnursingandcomprehensivefunctionalexerciseinadditon.Acomparsionwasconduct— edinbothgroupsintermsofAmericanKneeSocietyscore(AKSS).rangeofmotion(ROM)andvisualanaloguescale(VAS)aswellaspostop- erativelengthofstaybeforeand2wkafteroperation.ResultsTheAKSSandROMwereconsiderablyelevatedintheinterventionalgroup whiletheVASandpostoperativehospitaldayweredecreasedmarkedlywhencomparedwiththoseofthecontrolgroup.showingsignificantd;f_ ferencesbetweentwogroups,allPlt;O.ol(t=5.562,4.628,10.359,4.939respectively).ConclusionTheintegratednursinginterventions provetoincreasetheefficacyofthepostoperativefunctionalrecoveryinTKApatients,facilitatingtheearlyrecoveryofthepatients. 【KeyWordslArtificialtotalkneearthroplasty;Osteoarthrosis;Nursingintervention 人工全膝关节置换术(Totalkneearthroplasty,TKA)是一种治 疗膝关节屈曲,畸形的有效的关节重建手术,具有较高的患者满 意度_l1.术后康复锻炼及护理不仅是患者获得独立生活能力的关 键,而且可直接影响手术效果的好坏,因此越来越受临床工作者 重视[21.作者对