延续护理对关节镜下前交叉韧带重建术后功能恢复的影响.pdf

延续护理 Transitional Care 延续护理对关节镜下前交叉韧带重建术后 功能恢复的影响 周敏 李昕华 丁丽 翁晓蓓 陈东阳 蒋青 [ 摘 要] 目的：调查延续护理对关节镜下前交叉韧带重建术后患者功能恢复的影响。方法：将接受关节镜 下前交叉韧带重建术的 82 例患者，分为观察组44 例，对照组 38 例。观察组和对照组患者在出院时由责任护士 给予统一的常规出院指导、疾病知识健康教育和注意事项，观察组患者在此基础上实施出院后延续护理，包括 健康教育、电话随访和上门访视等。比较两组患者出院后遵医行为的功能康复锻炼和准时门诊复诊状况以及膝关 节伸屈和活动度膝关节康复功能锻炼 lysholm评分。结果：第 6周、第24周观察组功能康复锻炼依从性优于对 照组（P0.05）；两组门诊复诊状况没有统计学差异 (P0.05)；第 24周观察组膝关节康复功能锻炼 lysholm 评 分优于对照组（P0.001）；第12周、第 24周观察组膝关节伸屈活动度优于对照组(P0.001)。结论：实施延续 护理对关节镜下前交叉韧带重建术后患者的膝关节功能恢复有明显的促进作用，可改善其生活质量。 [ 关键词 ] 关节镜；康复；延续护理 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.05.028 Effect of continuous nursing on functional recovery after arthroscopic reconstruction of anterior cruciate ligament / ZHOU Min, LI Xinhua, DING Li, WENG Xiaobei, CHEN Dongyang, JIANG Qing // The Center of Diagnosis and Treatment for Joint Disease, Drum Tower Hospital Affiliated to Medical School of Nanjing University, Nanjing, 210008 China /// Chinese Nursing Management-2016,16(5): 685-688 [Abstract] Objective: To investigate the effect of continuous nursing on the functional recovery after arthroscopic reconstruction of anterior cruciate ligament. Methods: Randomly divided 82 patients who had Arthroscopic reconstruction of anterior cruciate ligament into two groups, with 44 in observation group and 38 cases in control group. The observation group were provided with continuous nursing care including health education, telephone follow-ups and home visits. Control group did not have any care. Compared two groups of patients after discharge for the following: compliance behavior of functional rehabilitation exercise and follow up visits, knee extension a