| 毛慧珍.临床-康复-护理全周期管理模式对创伤性膝关节炎行全膝关节置换术后恢复的影响[J].实用中西医结合临床,2023,23(4): |
| 临床-康复-护理全周期管理模式对创伤性膝关节炎行全膝关节置换术后恢复的影响 |
| Effect of Clinical Rehabilitation-Nursing Full Cycle Management Model on Postoperative Recovery after Total Knee Arthroplasty for Post-traumatic Arthritis |
| 投稿时间：2023-01-04 修订日期：2023-03-02 |
| DOI： |
| 中文关键词: 临床-康复-护理全周期的管理模式 创伤性膝关节炎 全膝关节置换术 术后恢复 |
| 英文关键词: Management mode of clinical rehabilitation nursing cycle Post-traumatic arthritis Total knee arthroplasty Postoperative recovery |
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| 中文摘要: |
| 目的 探究临床-康复-护理全周期管理模式对创伤性膝关节炎行全膝关节置换术后恢复的影响。方法 选取我院骨科2021年1月~2022年1月收治的83例创伤性膝关节炎病人为研究对象，根据护理方法分为观察组（n=42）与对照组（n=41）。对照组采用常规骨科护理，观察组患者则另外加用临床-康复-护理全周期的管理模式实施治疗。对比干预前后两组病人的视觉模拟疼痛评分（VAS）、健康调查的简表SF-36（SF-36）、膝关节功能方面评分表（HSS）。对比两组病人住院具体的时间及费用情况。结果 VAS评分方面，较治疗前两组病人治疗后均降低显著（P＜0.05）；且治疗后，观察组病人较对照组病人低（P＜0.05）。SF-36评分方面，较治疗前两组病人治疗后均升高明显（P＜0.05）；且治疗后，观察组病人较对照组病人高（P＜0.05）。HSS评分方面，较治疗前两组病人治疗后均升高显著（P＜0.05）；且治疗后，观察组病人较对照组病人高（P＜0.05）。观察组病人住院的费用及时间均较对照组病人低（P＜0.05）。结论 临床-康复-护理全周期的管理模式能较传统护理更有效提高病人生活质量，改善膝关节功能，降低住院时间与费用。 |
| 英文摘要: |
| Objective To explore the clinical effect of management mode of clinical rehabilitation nursing cycle on postoperative recovery after total knee arthroplasty for post-traumatic arthritis. Methods Eighty-three invalids with post-traumatic arthritis admitted to orthopaedic department of our hospital from January 2021 to January 2022 were selected, and invalids were divided into 2 groups according to different nursing methods. Control group (n=41) received conventional nursing care, based on this, observation group (n=42) adopted clinical rehabilitation-nursing full cycle management model. Visual Analogue Scale (VAS), the MOS item short from health survey (SF-36), the Hospital for Special Surgery (HSS), hospital costs and stay length were compared between 2 groups. Results After treatment, VAS score had a notable decrease in both groups (P<0.05), and observation group scored lower on VAS than control group (P<0.05). SF-36 score demonstrated an increase in both groups after treatment (P<0.05), observation group had higher SF-36 score than control group after treatment (P<0.05). An increase was detected in HSS score in both groups after treatment (P<0.05), and observation group scored higher on HSS than control group (P<0.05). Compared with control group, observation group had lower medical costs and shorter hospital stay length, with statistical difference (P<0.05). Conclusion Application of management mode of clinical rehabilitation nursing cycle for invalids with post-traumatic arthritis after total knee arthroplasty can effectively improve the quality of life, ameliorate the knee function, shorten the hospital stay length and ease the medical expense burden. |
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