医护康陪一体化模式对骨科全膝关节置换术患者的影响

Effect of Integrated Model of Healthcare and Wellness Companionship on Orthopedic Total Knee Arthroplasty Patients

目的:研究医护康陪一体化模式对骨科全膝关节置换术患者术后康复的影响。方法:选取2020年6月—2022年6月电子科技大学医学院附属绵阳医院收治的118例骨科全膝关节置换术患者作为研究对象,按照随机数表法分为对照组和研究组,每组各59例。对照组患者采用常规护理模式干预,研究组患者采取医护康陪一体化模式干预。比较两组患者病情康复情况、膝关节功能评分、自我效能评分、生命质量评分、运动水平评分。结果:干预后,研究组患者肢体屈曲畸形评分、疼痛测评评分、肢体活动范围评分、关节稳定性评分、肌肉力量评分及功能情况评分均高于对照组,差异均有统计学意义(t=4.034、3.755、9.463、8.025、7.528、8.388,P<0.001);干预后,研究组患者伤口愈合时间、住院时间及下床时间均短于对照组,差异均有统计学意义(t=8.532、13.806、6.231,P<0.05);干预后,研究组患者身体锻炼自我效能评分及应对自我效能评分高于对照组,差异均有统计学意义(t=9.598、15.465,P<0.001);干预后,研究组患者运动水平评分高于对照组,差异有统计学意义(t=11.458,P<0.001);干预后,研究组患者精神健康评分及躯体健康评分高于对照组,差异有统计学意义(t=8.225、10.944,P<0.001)。结论:医护康陪一体化模式能够有效改善骨科全膝关节置换术患者术后的膝功能关节功能,提高患者自主锻炼和应对能力,提高患者的生命质量,促进患者病情康复。

Objective:To study the effect of an integrated model of health care and recreation accompaniment on postoperative rehabilitation of orthopedic total knee arthroplasty patients.Methods:118 orthopedic total knee arthroplasty patients admitted to the hospital from June 2020 to June 2022 were selected as the study subjects,and were divided into the control group and the study group according to the randomized number table method,with 59 cases in each group.The patients in the control group were intervened by the conventional nursing model,and the patients in the study group were intervened by the integrated model of medical care and recreational accompaniment.The condition of recovery,knee function score,self-efficacy score,quality of life score and motor level score(Tenger)score were compared between the two groups.Results:After intervention,the limb flexion deformity scores,pain measurement scores,limb range of motion scores,joint stability scores,muscle strength scores,and functional condition scores of the patients in the study group were higher than those of the control group,and the differences were statistically significant(t=4.034,3.755,9.463,8.025,7.528,8.388;P<0.05).After intervention,wound healing time,hospitalization time and time out of bed were shorter in the study group than in the control group,and the difference was statistically significant(t=8.532,13.806,6.231;P<0.05).After the intervention,the physical exercise self-efficacy scores and coping self-efficacy scores of the patients in the study group were higher than those of the control group,and the differences were statistically significant(t=9.598,15.465;P<0.05).After the intervention,Tenger scores of patients in the study group were higher than those of the control group,and the difference was statistically significant(t=11.458,P<0.05).After intervention,patients in the study group had higher mental health scores and physical health scores than the control group,and the difference was statistically significant(t=8.225,10.944;P<0.05).Conclusion:The integrated model of medical care and recreational accompaniment can effectively improve the postoperative knee function joint function of orthopedic total knee arthroplasty patients,improve the patients’independent exercise and coping ability,improve the patients’quality of life,and promote the recovery of the patients’condition.