基于PG-SGA评分的多元化护理联合阶段性四肢锻炼在单髁置换术患者中的应用

Application of diverse nursing combined with staged limb exercise based on PG-SGA score in patients underwent unicompartmental knee arthroplasty

目的探讨基于患者主观整体营养评估(PG-SGA)评分的多元化护理联合阶段性四肢锻炼在单髁置换术患者中的干预效果。方法选取2020年6月—2021年6月于河南省直第三人民医院接受单髁置换术治疗的98例患者,采用信封法随机分为对照组与研究组,每组49例。对照组患者给予阶段性四肢锻炼干预,研究组患者给予基于PG-SGA评分的多元化护理联合阶段性四肢锻炼干预,比较2组患者干预前后主观营养状况、膝关节功能、膝关节屈伸活动范围及并发症发生情况。结果2组患者干预前主观营养状况分级比较,差异无统计学意义(P>0.05);研究组患者干预后主观营养状况分级优于对照组,差异有统计学意义(P<0.05)。2组患者干预前Feller髌骨评分、美国膝关节协会评分(AKSS)及主动关节活动度比较,差异均无统计学意义(P>0.05);2组患者干预后Feller髌骨评分、AKSS评分均高于干预前且研究组高于对照组,主动关节活动度均大于干预前且研究组大于对照组,差异均有统计学意义(P<0.05)。2组患者干预前膝关节屈伸活动范围比较,差异无统计学意义(P>0.05);2组患者干预后膝关节屈伸活动范围均大于干预前,且研究组大于对照组,差异均有统计学意义(P<0.05)。研究组患者并发症发生率为8.16%(4/49),低于对照组的26.53%(13/49),差异有统计学意义(χ^(2)=5.765,P=0.016)。结论在单髁置换术患者中采用基于PG-SGA评分的多元化护理联合阶段性四肢锻炼进行干预,有助于改善患者营养状况,降低并发症发生风险,提高膝关节功能,值得在临床推广。

Objective This paper aims to investigate the intervention effect of diverse nursing combined with staged limb exercise based on the Patient-Generated Subjective Global Assessment(PG-SGA)score in patients receiving unicompartmental knee arthroplasty.Methods From June 2020 to June 2021,98 patients who received unicompartmental knee arthroplasty in the Third People's Hospital of Henan Province were randomly assigned to a control group(n=49)and a study group(n=49)by envelope method.Patients in the control group received staged limb exercise intervention,while patients in the study group received diverse nursing in combination with staged limb exercise intervention based on PG-SGA score.Subjective nutritional status,knee joint function,knee flexion and extension range of motion,and complications were compared between the two groups before and after the intervention.Results There was no significant difference in subjective nutritional status before intervention between the two groups(P>0.05).The subjective nutritional status after intervention in the study group was significantly superior to the control group(P<0.05).There were no significant differences in the Feller patellar score,American Knee Society score(AKSS),and active range of motion before intervention between the groups(P>0.05).The Feller patellar and AKSS scores after intervention in the two groups were higher than those before the intervention,with the study group higher than the control group;the active range of motion was greater than that before the intervention,with the study group greater than the control group,all with statistical significance(P<0.05).There was no significant difference in the range of motion of knee flexion and extension before intervention between the two groups(P>0.05).The range of motion of knee flexion and extension after intervention in both groups was significantly increased,with the study group significantly greater than the control group(P<0.05).The incidence rate of complications in the study group was 8.16%(4/49),which was significantly lower than that in the control group(26.53%,13/49;χ^(2)=5.765,P=0.016).Conclusion Diverse nursing based on PG-SGA score combined with staged limb exercise in patients who underwent unicompartmental knee arthroplasty is conducive to improving the nutritional status of patients,reducing the risk of complications,