手术室无缝隙护理对膝关节周围骨肿瘤患者全膝关节置换术治疗中关节功能的影响

Effect of perioperative seamless nursing in operating room on joint function in patients with bone tumors around the knee joint undergoing total knee replacement

目的探讨手术室无缝隙护理对膝关节周围骨肿瘤患者全膝关节置换术治疗中关节功能的影响。方法选取2018年1月至2020年1月间空军军医大学第二附属医院收治的行全膝关节置换术治疗的96例膝关节周围骨肿瘤患者,根据护理方法不同进行分组,采用常规护理模式的48例患者纳入对照组,采用手术室无缝隙护理的48例患者纳入观察组。观察对比术前及术后两组患者的心理状况、护理满意度及关节功能。结果护理后,两组患者的焦虑及抑郁情况均有所缓解,观察组患者焦虑及抑郁状况优于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。观察组膝关节功能优良率高于对照组,差异有统计学意义(P<0.05)。结论膝关节周围骨肿瘤患者全膝关节置换术治疗中采用手术室无缝隙护理,可以有效缓解患者不良情绪,促进膝关节功能恢复,护理后满意率更高,值得临床进一步推广应用。

Objective To investigate the perioperative seamless nursing in operating room on joint function in patients with bone tumors around the knee joint undergoing total knee replacement.Methods Between January 2018 and January 2020,96 patients with bone tumors around the knee joint undergoing total knee replacement were selected at Second Affiliated Hospital of Air Force Military Medical University.They were categorized into an observation group and a control group.Forty-eight patients receiving perioperative seamless nursing were included in the observation group and 48 patients receiving conventional nursing were included in a control group.Psychological conditions,patient satisfaction with nursing and joint function were compared before and after the operation.Results After nursing,anxiety and depression were alleviated in the two groups,and anxiety and depression status in the observation group than in the control group(all P<0.05).Patient satisfaction with nursing was higher in the observation group than in the control group(P<0.05).Fine/excellent rate of knee joint function was higher in the observation group than in the control group(P<0.05).Conclusion Seamless nursing care in the operating room can effectively relieve patients bad emotions,help recovery of knee function with high satisfaction rate in patients with bone tumors around the knee joint undergoing total knee replacement,which is worthy of further clinical promotion and application.