目标护理在膝关节置换术后康复训练中的应用

Application of the goal- directed nursing to the postoperative rehabilitation training of patients with knee arthroplasty

目的:探讨目标护理在膝关节置换术后康复训练中的应用效果。方法:将62例行膝关节置换术的患者随机分为观察组与对照组各31例,对照组采用常规康复训练方法,即讲解-督促锻炼的模式;观察组采用常规康复训练方法 +目标护理的训练模式。术前及术后2周、1个月、2个月、3个月、6个月、1年进行膝关节HSS评分比较,比较两组术后康复效果认同情况。结果:观察组术后各阶段膝关节HSS评分显著优于对照组(P<0.01);观察组对目标护理康复训练模式的认可度显著优于对照组(P<0.01)。结论:目标护理有助于调动患者康复锻炼的积极性,从而提高康复效果。

Objective：To investigate the application effect of the goal - directed nursing in the postoperative rehabilitation training of pa-tients with knee arthroplasty. Methods ：62 patients who underwent knee arthroplasty were randomly divided into the observation group and the control group （ 31 cases in each group）. The conventional rehabilitation training method was used in the control group, namely the ex-plaining - supervising exercise mode;the conventional rehabilitation training method combined with the goal - directed nursing was ap-plied in the observation group. The scores of HSS of knee joint of the patients were marked and compared before operation and in 2 weeks, one month ,2,3,6 months and one year after operation, and the self-identity of the postoperative rehabilitation effect was compared be-tween the two groups. Resuhs ：The scores of HSS of the patients at any stage after operation were significantly superior in the observation group to the control group （P 〈 0.01） ;the acceptance of the goal-directed nursing was significantly better in the observation group than the control group （ P 〈 0.01 ）. Conclusion ： The goal -directed nursing can mobilize the enthusiasm of the patients for rehabilitation exer- cise so as to improve the rehabilitation effect.