舒适护理在全膝关节置换患者中的应用研究

Applied research of comfortable nursing for patients with total knee replacement

目的探讨舒适护理在全膝关节置换术后患者中的应用效果。方法选择我院行全膝关节置换术患者60例,采用随机数字表法分为观察组和对照组各30例,均给予常规护理,观察组在此基础上实施护理干预,比较2组护理效果。结果观察组患者术后不同时间点疼痛视觉模拟评分法(VAS)评分均明显低于对照组,膝关节软组织肿胀程度明显轻于对照组,差异有统计学意义(P<0.05)。手术前,2组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分差异无统计学意义(P>0.05);术后7 d,观察组SAS及SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论舒适护理能有效减轻全膝关节置换术后患者疼痛,降低膝关节软组织肿胀程度,缓解焦虑及抑郁负性情绪。

Objective To discuss the effects of comfortable nursing on patients＇ pain after total knee replacement surgery, the swelling dimension of soft tissue in the knees as well as negative emotions like anxiety and depression.Methods Select 60 patients who meet the criteria and divide them into the observation group and the contrast group by random number table, each group have 30 patients. Each patient is given routine nursing care, and the observation group is given extra nursing intervention, compare the nursing efficacy of the two groups. Results The visual analogue scale （VAS） of the patients in the observation group at different points of time is obviously lower than that of the contrast group and the swelling dimension of soft tissue in the knees is also lower than that of the contrast group. These differences have statistical significance（P〈0.05 ）.Before the operation, the scores of SAS and SDS of both groups are similar, the difference is of no statistical significance （P〉0.05）.But 7 d after the operation,the scores of SAS and SDS of the observation group were lower than those of the contrast group,the differences is of statistical significance （P〈0.05）.Conclusion Comfortable nursing can effectively reduce patients＇ pain after total knee replacement surgery,the swelling dimension of soft tissue in the knees and negative emotions like anxiety and depression.