| 孙启云,李聪.针对性康复护理对全膝关节置换术后患者膝关节功能评分及疼痛的影响[J].济宁医学院学报,2020,43(6):450-453 |
| 针对性康复护理对全膝关节置换术后患者膝关节功能评分及疼痛的影响 |
| Effect of rehabilitation care on the pain and knee function of patients after total knee arthroplasty |
| 投稿时间：2020-03-02 |
| DOI：10.3969/j.issn.1000-9760.2020.06.017 |
| 中文关键词: 针对性康复护理;全膝关节置换术;疼痛评分;KSS分析 |
| 英文关键词: Rehabilitation care;Total knee arthroplasty;Visual analogue scale;KSS analysis |
| 基金项目: |
| 作者 | 单位 | | 孙启云 | 枣庄市立医院, 枣庄 277100
济南市第四人民医院, 济南 250031 | | 李聪 | 枣庄市立医院, 枣庄 277100
济南市第四人民医院, 济南 250031 |
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| 中文摘要: |
| 目的 探讨针对性康复护理在全膝关节置换（total knee arthroplasty，TKA）术后提高膝关节功能评分及减轻疼痛中的作用。方法 选取2017年6月-2019年5月在枣庄市立医院行TKA手术患者73例，随机分为观察组（37例）和对照组（36例）。观察组进行针对性康复护理，为患者实施心理疏解、疼痛护理以及针对性康复训练，对照组给予常规护理。TKA术后12h、24h、48h和72h，视觉模拟评分法（visual analogue scale，VAS）评定患者膝关节疼痛程度，美国膝关节协会评分（knee society score，KSS）分析膝关节功能的变化情况，自行设计调查表检测患者满意度。结果 TKA术后12h、24h、48h以及72h，观察组VAS评分明显低于对照组（均P<0.05）；观察组KSS评分明显高于对照组（t=5.941，P<0.05）；观察组患者满意度优于对照组（χ2=8.764，P<0.05）。结论 针对性康复护理及训练可提高TKA术后患者膝关节功能评分，尽早恢复膝关节功能，并有效减轻患者术后疼痛，增加满意度。 |
| 英文摘要: |
| Objective To investigate the effect of rehabilitation care on improving patients'knee function score and relieving pain after total knee arthroplasty(TKA).Methods 73 patients who underwent TKA in Zaozhuang Municipal hospital from June 2017 to May 2019 were collected and randomly divided into experimental group(37 cases) and control group(36 cases).The experimental group was given rehabilitation care which includes psychological care, pain care and rehabilitation guidance based on routine care, while the control group patients were only given routine care.Observation indicators were detected as follows:1) 12h, 24h, 48h, and 72h after TKA, using visual analogue scale(VAS) to assess knee pain;2)72h after TKA, using knee society score(KSS) to assess knee function;3) Patient satisfaction survey.Results The pain VAS scores of patients in the experimental group at 12h, 24h, 48h, and 72h after TKA were significantly lower than those in the control group(P<0.05).KSS scores in the experimental group at 72h after TKA were significantly higher than that in the control group(t=5.941, P<0.05).The patient satisfaction of experimental group was significantly higher than that in the control group(χ2=8.764, P<0.05).Conclusion Comprehensive care is conducive to pain relief for patients after TKA, promoting knee function recovery, and improving patient satisfaction. |
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