疼痛管理模式对人工膝关节置换术患者膝关节活动度及生活质量的影响

Effect of Pain Management Model on Knee Joint Mobility and Life Quality of Patients with Artificial Knee Joint Replacement

目的探讨疼痛管理模式在人工膝关节置换术患者中的应用价值。方法选取我院2017年4月-2021年4月择期行膝关节置换术的66例患者,随机将其分为观察组(n=33)和对照组(n=33)。对照组采用常规护理,观察组在此基础上实施疼痛管理。比较两组护理前后视觉模拟疼痛(VAS)评分、哈里斯髋关节功能评分(HHS),比较不同时点生活质量量表(QLO-C30)。结果护理后与对照组比较,观察组VAS评分降低、HSS评分增高(P<0.05)。与对照组比较,观察组护理后1、3个月QLO-C30评分增高(P<0.05)。结论疼痛管理模式干预人工膝关节置换术患者可以增强膝关节活动能力和生活质量,值得临床关注。

Objective:To explore the value of pain management model in patients with artificial knee joint replacement.Methods:66 patients undergoing selective knee replacement in our hospital from April 2017 to April 2021,were randomly divided into observation group(n=33)and control group(n=33).The control group was given routine nursing,while the observation group was given pain management based on it.The visual analogue pain(VAS)score,Harris hip function score(HHS)and QLO-C30 at different time points were compared between the two groups before and after nursing.Results:Compared with the control group after nursing,the VAS score of the observation group decreased and the HSS score increased(P<0.05).Compared with the control group,the QLO-C30 score in the observation group was higher on 1 and 3 months after nursing(P<0.05).Conclusion:Pain management intervention for patients with artificial knee joint replacement can enhance knee joint mobility and quality of life,which is worthy of clinical attention.