APP交流平台下的延伸护理服务对膝关节内翻畸形术后患者功能锻炼依从性及VAS评分的影响

Influence of Extended Nursing Service under APP Communication Platform on Functional Exercise Compliance and VAS Score of Patients with Knee Varus Deformity after Operation

目的:探讨APP交流平台下的延伸护理服务对膝关节内翻畸形术后患者功能锻炼依从性及视觉模拟量表(VAS)评分的影响。方法:选取2019年10月—2020年10月郑州市骨科医院收治的114例膝关节内翻畸形术后患者作为研究对象,采用分层随机法,按照1∶1实验原则分为对照组和观察组,每组各57例。对照组予以常规护理,观察组在常规护理基础上予以APP交流平台下的延伸护理服务,统计比较两组患者功能锻炼依从性,术前、术后1个月和术后3个月膝关节活动度,膝关节功能(HSS)评分,术后1周、术后1个月和术后3个月VAS评分及护理满意度。结果:观察组功能锻炼依从率(94.74%)较对照组(78.95%)高,差异有统计学意义(χ^(2)=6.218,P<0.05);术后1个月、术后3个月,观察组膝关节活动度、HSS评分较对照组高,差异有统计学意义(t=5.531、6.987;6.322、5.010,P<0.05);术后1个月、术后3个月,观察组VAS评分较对照组低,差异有统计学意义(t=6.461、13.394,P<0.05);观察组移情性、反应性、可靠性、保证性、有形性评分较对照组高,差异有统计学意义(t=5.956、6.582、9.390、10.197、4.830,P<0.05)。结论:APP交流平台下的延伸护理服务可提高膝关节内翻畸形术患者功能锻炼依从性,减轻术后疼痛,有利于其膝关节功能恢复,且患者护理满意度高。

Objective:To explore the effect of extended nursing service under the APP communication platform on functional exercise compliance and VAS score of patients with knee varus deformity after surgery.Methods:A total of 114 patients with knee varus deformity who were admitted to the hospital from October 2019 to October 2020 were selected as the research objects.They were divided into the control group and the observation group according to the 1:1 experimental principle by stratified randomiza⁃tion,with 57 cases in each group.The control group received routine nursing care,while the observation group received extended nursing services under the APP communication platform on the basis of the above research.The functional exercise compliance,knee range of motion,knee function(HSS)score,Visual Analog Scale(VAS)score 1 week,1 month and 3 months after operation and nursing satisfaction were compared between the two groups.Results:The compliance rate of functional exercise in the observa⁃tion group(94.74%)was higher than that in the control group(78.95%),and the difference was statistically significant(χ^(2)=6.218,P<0.05).At 1 month and 3 months after operation,the knee joint range of motion and HSS score in the observation group were higher than those in the control group,and the differences were statistically significant(t=5.531,6.987,6.322,5.010,P<0.05).The VAS score of the observation group was lower than that of the control group at 1 month and 3 months after operation,and the difference was statistically significant(t=6.461,13.394,P<0.05).The scores of empathy,responsiveness,reliability,assurance and tangibility in the observation group were higher than those in the control group,and the difference was statistically significant(t=5.956,6.582,9.390,10.197,4.830,P<0.05).Conclusion:The extended nursing service under the APP communication platform can improve the functional exercise compliance of patients with knee varus deformity,reduce postoperative pain,and facilitate the recovery of knee joint function,and the patient’s nursing satisfaction is high.