赋能健康教育模式应用于膝关节置换术患者的效果评价

Evaluation of effect of empowering health education model applied to patients after knee replacement

目的探讨赋能健康教育模式对膝关节置换术患者康复训练依从性及膝关节功能的影响。方法选择2019年1月至12月山东省淄博市市立医院收治的膝关节置换术患者86例,按照随机数字表法将其分为观察组与对照组,每组43例。对照组给予膝关节置换术围术期常规护理,观察组在对照组基础上联合赋能健康教育。随访至术后12周,观察两组康复训练依从性,使用美国特种外科医院膝关节评分(HSS)评价两组膝关节功能。结果术后12周,观察组康复锻炼依从性优良率明显高于对照组(P<0.05);两组HSS评分均较本组手术前显著增加(P<0.05);观察组关节疼痛、功能、肌力、关节稳定性评分及HSS总评分显著高于对照组(P<0.05)。结论赋能健康教育模式有助于提高膝关节置换术患者康复训练依从性,进一步改善膝关节功能,对改善预后具有重要意义。

Objective To explore the effect of empowering health education model on knee replacement patients’compliance with rehabilitation training and knee joint function.Methods A total of 86 patients undergoing knee replacement surgery admitted to Zibo Municipal Hospital,Shandong Province from January to December 2019 were selected.According to the random number table method,they were divided into treatment group and control group,with 43 cases in each group.The control group was given routine care during the perioperative period of knee replacement,and the treatment group was given health education on the basis of control group.Follow-up to 12 weeks after operation,the compliance of the two groups with rehabilitation training was observed,and the hospital for special surgery knee score(HSS)was used to evaluate the knee joint function of the two groups.Results At the time of 12 weeks,after the surgery the treatment group’s compliance rate of rehabilitation exercise was significantly higher than that of the control group(P<0.05);the HSS scores of the two groups were significantly higher than those of this group before the operation(P<0.05);the joint pain,function,muscle strength,joint stability score and total HSS score of the treatment group were significantly higher than those of the control group(P<0.05).Conclusion The empowering health education model is helpful to improve the compliance of patients with knee replacement to rehabilitation training and further improve knee joint function,which is of great significance for improving the prognosis.