系统性康复护理指导对膝关节骨性关节炎患者康复效果的影响

Effect of system rehabilitation nursing guidance on the recovery of patients with knee osteoarthritis

目的观察系统性康复护理指导对膝关节骨性关节炎患者康复效果的影响。方法将78例膝关节骨性关节炎患者利用随机数字表随机分为康复组和对照组各39例，两组均给予高频热疗、中频脉冲及蜡疗治疗，并给予常规健康教育。康复组在以上物理因子治疗基础上给予早期、系统化的康复护理指导。两组患者分别于治疗前和治疗3个疗程后进行日常生活活动能力（ADL）及膝关节功能评定。结果治疗前两组患者ADL能力及膝关节功能比较差异无统计学意义（P〉0．05）；治疗3个疗程后，康复组患者ADL评分与膝关节功能评分分别为（9．52±0．46）分，（68．82±0．74）分，对照组患者分别为（8．71±0．66）分，（62．06±1．25）分，两组患者ADL能力及膝关节功能恢复均有明显改善，且康复组改善程度优于对照组，组间差异有统计学意义（t=7．200，P=0．015；t=13．800，P=0．044）。对于两组治疗效果，康复组优良率（89．7％）高于对照组（58．9％），组间差异有统计学意义（x2=11．631，P=0．009）。结论系统性康复护理指导联合物理因子治疗能明显改善膝关节骨性关节炎患者的膝关节功能及ADL能力。

Objective To ol）serve the effect of system rehabilitation nursing guidance on the recovery of patients with knee osteoarthritis （KOA）. Methods Seventy-eight patients with KOA were randomly divided into rehabilitation group and control group, with 39 cases of each group. All groups had been given high-frequency hyperthermia, intermediate-frequency pulse, wax treatment and routine health education. Based on these physical factors treatment, the patients in the rehabilitation group were given early and systematic rehabilitation nursing guidance. The activity of daily living （ADL） and knee function of all cases were observed before the treatment and after three courses of treatment. Results Before the treatment, no significant difference was found in the ADL and knee function between two groups （P 〉 0.05）. After three courses of treatment, ADL and knee function of two groups were improved when compared with that before the treatment, ADL score and knee function score of rehabilitation group respectively were （9.52 ± 0.46） and （68.82±0.74 ）, and those of control group were （8.71±0.66） and （62.06 ± 1.25 ）, and the differences were statistically significant （t = 7. 200,13. 800, respectively;P 〈0.05）. The good rate of treatment effect of rehabilitation group was 89.7%, while that of the control group was 58. 9%, with significant difference （ x2 = 11. 631, P 〈 0. 05 ）. Conclusions System rehabilitation nursing guidance combining with physical factors treatment can significantly improve knee function and ADL of patients with knee osteoarthritis.