快速康复护理在全膝关节置换围术期的应用效果

Application effect of rapid rehabilitation nursing in perioperative period of total knee arthroplasty

目的探讨快速康复护理在全膝关节置换术围术期的应用效果。方法选取2018年3~12月在我院住院行全膝关节置换术80例患者作为研究对象,按随机数字表法分成对照组和观察组,每组各40例。观察组给予符合快速康复外科理念的护理措施,对照组给予常规围手期护理,比较两组术后第1、3、7天的膝关节功能和疼痛情况,术后并发症总发生率、术后首次下床活动时间、住院时间及护理满意度评分。结果术后第1、3、7天,观察组膝关节功能评分[(62.08±7.14)、(75.37±6.05)、(83.52±4.67)分]高于对照组[(58.02±6.69)、(72.22±5.82)、(78.26±5.39)分],差异有统计学意义(P<0.05);观察组疼痛评分[(6.33±1.54)、(4.53±1.12)、(2.36±1.04)分]均低于对照组[(7.27±1.36)、(5.29±1.53)、(3.22±0.98)分],差异有统计学意义(P<0.05)。观察组术后并发症总发生率(10.00%)低于对照组(37.50%),差异有统计学意义(P<0.05);观察组术后首次下床活动时间[(1.24±0.56)d]短于对照组[(2.46±0.84)d],差异有统计学意义(P<0.05);观察组住院时间[(6.82±1.62)d]短于对照组[(11.38±2.28)d],差异有统计学意义(P<0.05);观察组的护理满意度评分[(35.17±2.35)分]高于对照组[(33.55±2.08)分],差异有统计学意义(P<0.05)。结论快速康复护理能促进膝关节功能恢复,减轻疼痛,促进患者早期下床活动,缩短住院时间,提高患者的护理满意度评分。

Objective To investigate the effect of rapid rehabilitation nursing in the perioperative period of total knee arthroplasty.Methods A total of 80 patients who underwent total knee arthroplasty in our hospital from March to December 2018 were selected and divided into control group and observation group according to the random number table method,40 cases in each group.The observation group received nursing measures in line with the concept of rapid rehabilitation surgery,while the control group received routine perioperative nursing.The knee joint function and pain on the 1,3 and 7th postoperative day,the postoperative complication rate,first time to get out of bed,hospital stay and nursing satisfaction were compared between the two groups.Results On the 1,3 and 7th postoperative day,the knee joint function scores of the observation group([62.08±7.14],[75.37±6.05],[83.52±4.67]points)were higher than that of the control group([58.02±6.69].[72.22±5.82],[78.26±5.39]points),the difference was statistically significant(P<0.05);the pain scores of the observation group([6.33±1.54],[4.53±1.12],[2.36±1.04]points)were lower than that of the control group([7.27±1.36],[5.29±1.53],[3.22±0.98]points),the differences were statistically significant(P<0.05).The postoperative complication rate in the observation group(10.00%)was lower than that in the control group(37.50%),the difference was statistically significant(P<0.05).The first time to get out of bed in the observation group([1.24±0.56]d)was shorter than that in the control group([2.46±0.84)d),the difference was statistically significant(P<0.05);the hospital stay of the observation group([6.82±1.62]d)was shorter than the control group([11.38±2.28]d),the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group([35.17±2.35]points)was higher than that of the control group(33.55±2.08)points,the difference was statistically significant(P<0.05).Conclusion Rapid rehabilitation nursing can promote knee function recovery,relieve pain,promote early bed-out activities,shorten hospital stay,and improve patient satisfaction.