协同护理对老年膝关节置换术患者膝关节功能、心理韧性及自我护理能力的影响

Effects of Collaborative Nursing on Knee Function,Mental Toughness and Self-care Ability of Elderly Patients with Knee Arthroplasty

目的探讨对老年膝关节置换术(TKA)患者给予协同护理对膝关节功能、心理韧性及自我护理能力的影响。方法选取2020年5月至2021年6月在河南省人民医院接受TKA的共计76例老年患者,按照随机数字表法分成干预组(38例)与对照组(38例),对照组采用常规护理干预,干预组采用协同护理干预,比较两组膝关节功能、心理韧性、自我护理能力及疼痛程度。结果两组干预后美国纽约特殊外科医院膝关节评分表(HSS)评分明显提高,差异有统计学意义(P<0.05),骨关节炎指数(WOMAC)评分明显降低,差异有统计学意义(P<0.05),干预组与对照组相比HSS评分明显更高,差异有统计学意义(P<0.05),WOMAC评分明显更低,差异有统计学意义(P<0.05);两组干预后心理韧性量表,差异有统计学意义(CD-RISC)评分明显提高,差异有统计学意义(P<0.05),干预组与对照组相比明显更高,差异有统计学意义(P<0.05);两组干预后自我护理能力量表(ESCA)评分明显提高,差异有统计学意义(P<0.05),干预组与对照组相比明显更高,差异有统计学意义(P<0.05);两组干预1个月、干预3个月、干预6个月后视觉模拟评分法(VAS)评分明显降低,差异有统计学意义(P<0.05),干预组与对照组相比明显更低,差异有统计学意义(P<0.05)。结论老年TKA患者给予协同护理,能够改善膝关节功能,增强心理韧性,提高自我护理能力,减轻疼痛。

Objective To investigate the effect of collaborative nursing on knee function,mental toughness and self-care ability in elderly patients with knee arthroplasty(TKA).Methods A total of 76 elderly patients who were admitted TKA in Henan Provincial People's Hospital from May 2020 to June 2021 were selected as the research objects,and they were divided into the intervention group(38 cases)and the control group(38 cases)according to random number table method.The control group was used routine nursing intervention,and the intervention group was used collaborative nursing intervention.The knee joint function,mental toughness,self-care ability and pain degree were compared of the two groups.Results After the intervention,the New York Hospital for Special Surgery Knee Score(HSS)scores in the two groups were significantly improved(P<0.05),and the Western Ontario University and McMaster University Osteoarthritis Index(WOMAC)scores were significantly decreased(P<0.05),HSS scores in the intervention group were significantly higher than the control group(P<0.05),WOMAC scores were significantly lower that of the control group(P<0.05).After the intervention,the CD-RISC scores of the two groups were significantly improved(P<0.05),the intervention group was significantly higher than the control group,the difference was statistically significant(P<0.05).The score of self-care ability Scale(ESCA)was significantly improved in both groups after intervention,and the difference was statistically significant(P<0.05).The ESCA score in the intervention group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).After 1,3 and 6 months of intervention,visual analog scale(VAS)scores of the two groups were significantly decreased,the difference was statistically significant(P<0.05),the intervention group was significantly lower than the control group,the difference was statistically significant(P<0.05).Conclusion Synergistic nursing for elderly TKA patients can improve knee joint function,enhance mental toughness,improve patients'self-care ability,and relieve pain.