全膝关节置换术患者分期护理干预联合持续性被动运动的效果

Effect of staged nursing intervention combined with continuous passive exercise for patients after total knee arthroplasty

目的探讨分期护理干预联合持续性被动运动(CPM)对全膝关节置换术后患者康复锻炼依从性及生活质量的影响。方法选取本院行全膝关节置换术患者96例,根据入院顺序分为对照组和实验组各48例。对照组给予常规护理,实验组在此基础上给予分期护理干预联合CPM。观察2组锻炼依从性并比较干预前后膝关节功能(HSS)、自我管理能力、生活质量(SF-36)。结果实验组锻炼依从性97. 92%高于对照组的77. 08%(P <0. 05);与对照组比较,实验组HSS评分较高(P <0. 05);与对照组比较,实验组自我管理能力、SF-36评分较高(P <0. 05)。结论分期护理干预联合CPM用于全膝关节置换术后患者,可改善膝关节功能,增强自我管理能力,提高康复锻炼依从性及生活质量。

Objective To investigate the effect of staged nursing intervention combined with continuous passive exercise(CPM)on rehabilitation and quality of life in patients after total knee arthroplasty.Methods A total of 96 patients underwent total knee arthroplasty in our hospital were divided into two groups.The control group was given routine care,while the experimental group was given a staged nursing intervention combined with CPM according to the order of admission,with 48 patients per group.The exercise compliance,the knee function(HSS),self-management ability,and quality of life(SF-36)were compared before and after intervention.Results The exercise compliance of the experimental group was higher than that of the control group(97.92%vs.77.08%,P<0.05).Compared with the control group,the HSS score,self-management ability,SF-36 score of the experimental group were higher(P<0.05).Conclusion Staged nursing intervention combined with CPM for patients after total knee arthroplasty can improve knee function,enhance self-management ability,improve rehabilitation compliance and quality of life.