基于多模式护理干预对围术期全膝关节置换术患者的临床效果

Clinical effect of multi-mode nursing intervention on patients with total knee arthroplasty during perioperative period

目的:探讨多模式护理干预对围术期全膝关节置换术(TKA)患者的临床效果。方法:选取2020年1月~2020年6月在甘肃省中医院接受TKA治疗的患者90例随机分为研究组和对照组各45例,对照组采用常规方案,观察组采用多模式护理,比较两组患者情绪、睡眠质量、肢体功能、视觉模拟量表(VAS)评分、并发症。结果:护理后,观察组汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分均低于对照组,差异均有统计学意义(P<0.05)。治疗前两组间睡眠质量总分差异无统计学意义(P>0.05),治疗后观察组睡眠质量总分优于对照组,差异均有统计学意义(P<0.05)。护理后,观察组患者的肢体功能评分高于对照组,差异有统计学意义(P<0.05)。护理前两组患者的疼痛评分差异无统计学意义(P>0.05);护理后观察组患者的疼痛评分低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:基于多模式护理改善负性情绪和睡眠质量外,还提高了TKA患者的肢体功能,减轻了疼痛和并发症。

Objective To evaluate the effect of multimodal nursing intervention on perioperative total knee arthroplasty(TKA) patients.Method 90 patients who received TKA treatment in Gansu Provincial Hospital of Traditional Chinese Medicine from January to June 2020 were randomly divided into observation group and control group with 45 cases each. The control group was treated with routine scheme, and the observation group was treated with multi-mode nursing. The mood, sleep quality, limb function, visual analogue scale(VAS) score and complications were compared between the two groups.Results After nursing, the scores of Hamilton Depression Scale(HAMD) and Hamilton Anxiety Scale(HAMA) in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the total score of sleep quality between the two groups before treatment(P>0.05). After treatment, the total score of sleep quality in the observation group was better than that in the control group(P<0.05).After nursing, the score of limb function in the observation group was higher than that in the control group(P<0.05);There was no significant difference in pain score between the two groups before nursing(P>0.05);After nursing, the pain score of the observation group was lower than that of the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion In addition to improving negative emotion and sleep quality, multimodal nursing can also improve limb function and reduce pain and complications in patients with TKA.