专病医护一体化随访管理模式对行人工膝关节置换术患者的影响研究

The effect of integrated follow-up management mode of doctors and nurses of special disease for patients undergoing artificial knee replacement

目的:探讨专病医护一体化随访管理模式对行人工膝关节置换术患者的影响。方法:2016年1月-2018年1月收治膝骨关节炎患者116例,根据不同随访管理模式分为两组各58例。对照组接受常规随访管理,观察组接受专病医护一体化随访管理。对比两组患者随访管理前后日常生活能力、膝关节功能和主观问卷评分以及护理满意度。结果:两组随访管理前ADL、HSS评分比较,差异无统计学意义(P>0.05);两组随访管理后ADL、HSS评分均明显提高,且观察组提升更为明显,差异有统计学意义(P<0.05)。观察组主观问卷评分优于对照组,差异有统计学意义(P<0.05)。观察组患者满意度高于对照组,差异有统计学意义(P<0.05)。结论:专病医护一体化随访管理模式能促进人工全膝关节置换术的治疗效果,促进患者早日康复,提高日常生活能力,患者认可度高,值得临床推广。

Objective:To explore the effect of integrated follow-up management mode of doctors and nurses of special disease for patients undergoing artificial knee replacement.Methods:From January 2016 to January 2018,116 patients with knee osteoarthritis were selected.According to different follow-up management modes,they were divided into two groups of 58 cases in each.The control group received routine follow-up management,and the observation group received integrated follow-up management mode of doctors and nurses of special disease.We compared the ability of daily living,knee function,subjective questionnaire score and nursing satisfaction of the two groups before and after follow-up management.Results:There was no significant difference in ADL before follow-up management score between the two groups(P>0.05).After follow-up management,the ADL scores of the two groups were significantly improved,the improvement of the observation group was more obvious,the difference was statistically significant(P<0.05).There was no significant difference in HSS before follow-up management score between the two groups(P>0.05).After follow-up management,the HSS scores of the two groups were significantly improved,the improvement of the observation group was more obvious,the difference was statistically significant(P<0.05).The subjective questionnaire score of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).The satisfaction degree of patients in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The integrated follow-up management mode of doctors and nurses of special disease can promote the treatment effect of total knee arthroplasty,promote the early recovery of patients,improve the ability of daily life,patients had high recognition,it was worthy of clinical application.