二维码的应用配合心理护理对全膝关节置换术患者早期康复的研究

Effects of two-dimensional code along with psychological nursing on early rehabilitation of patients with TKA

目的探讨二维码配合心理护理对全膝关节置换术(total knee arthroplasty,TKA)患者早期康复的影响。方法选取2017年2月至2018年5月遵义医科大学附属医院行TKA的患者84例,随机数字表法分为对照组和观察组,每组42例。对照组给予围手术期常规护理,观察组在常规护理的基础上增加二维码配合心理护理。比较两组患者出院时的心理焦虑程度、膝关节功能、日常生活自理能力、跌倒效能及患者满意度。结果干预后,观察组患者焦虑问卷评分(40.31±2.90)分,低于对照组(48.05±2.64)分,差异有统计学意义(t=12.78,P<0.05)。观察组美国纽约特种外科医院(hospital for special surgery,HSS)膝关节功能评分(68.40±5.96)分,对照组(64.10±4.97)分,差异有统计学意义(t=-3.60,P<0.01)。观察组膝关节屈曲达到90°的时间(4.23±0.84)d,短于对照组(5.42±0.87)d,差异有统计学意义(t=6.43,P<0.01)。观察组跌倒效能量表(modified fall efficacy scale,MFES)评分(85.98±3.38)分,高于对照组(81.76±4.28)分,差异有统计学意义(t=-5.01,P<0.01)。两组患者干预后Barthel指数(Barthel index,BI)评分(t=-4.99,P<0.01)及纽卡斯尔护理服务满意度调查表(New castle satisfaction with nursing scale,NSNS)评分(t=-5.14,P<0.01)差异有统计学意义。结论对TKA患者实施二维码配合心理护理,能有效促进膝关节功能恢复,增强肌力,提高生活自理能力,并能消除患者焦虑情绪,提高患者满意度,促进整体康复。

Objective To understand the effect of two-dimentional(QR)code along with psychological nursing on early rehabilitation of patients undergoing total knee arthroplasty(TKA).Methods Eighty-four patients with TKA in Affiliated Hospital of Zunyi Medical University from February 2017to May 2018were randomly divided into two groups:control group(n=42)and observation group(n=42).Patients in control group were given routine nursing care during the perioperative period of TKA,while those in observation group were also given two-dimensional code along with psychological nursing care.The anxiety degree,knee joint function,self-care ability of daily life,fall efficiency and patient satisfaction were compared between the two groups at the time of being discharged.Results After the intervention,the score of anxiety in the observation group was significantly lower while the HSS score was significantly higher than that in the control group(40.31±2.90 vs 48.05±2.64,t=12.78,P<0.05;68.40±5.96 vs 64.10±4.97,t=-3.60,P<0.01).It took shorter time for patients in observation group to flex their knees to 90degree compared to those in control group(4.23±0.84 vs 5.42±0.87,t=6.43,P<0.01).Barthel index score and the modified fall efficacy scale score of patients in observation group were significantly higher than those of controls(78.57±5.98 vs 71.67±6.69,t=-4.99,P<0.01;85.98±3.38 vs 81.76±4.28,t=-5.01,P<0.01),and the satisfaction score was also higher(89.16±7.25 vs 85.53±3.06,t=-5.14,P<0.01).Conclusions The adoption of QR code along with psychological nursing care in patients with TKA during hospitalization can effectively promote the recovery of knee joint function,enhance muscle strength,improve self-care ability,and eliminate the anxiety of patients.