知信行延续护理模式在股骨头置换术患者功能恢复中的应用效果

Application Effect of Zhixinxing Continuous Nursing Mode in Functional Recovery of Patients with Femoral Head Replacement

目的:股骨头置换术患者出院后护理需求较大,本文分析对此类患者实施知信行延续护理模式对其功能恢复的影响。方法:选取2021年1月-2023年1月于我院接受治疗的60例股骨头置换术患者为研究对象,以随机信封法将其分为对照组与观察组,各30例。对照组在出院后接受常规指导,观察组在出院后接受知信行延续护理,对2组患者的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、Harris髋关节功能评价量表评分、知信行评分、简易生活质量测定量表(SF-36)评分、并发症发生情况、护理满意度进行对比。结果:干预前,2组SAS评分、SDS评分对比,组间差异无统计学意义(P>0.05);干预后,观察组SAS评分、SDS评分均低于对照组,组间差异有统计学意义(P<0.05);干预前,2组患者Harris评分、知信行评分、SF-36评分对比,组间差异无统计学意义(P>0.05);干预后,观察组Harris评分、知信行评分、SF-36评分均较对照组高,组间差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组患者的护理满意度经统计学软件分析后可见明显高于对照组,差异有统计学意义(P<0.05)。结论:对于行股骨头置换术的患者而言,在其出院后实施知信行延续护理可有效提高患者对患肢功能康复训练的认知水平、信念和行为,并可改善患者的负面情绪,有利于促进患者患肢功能恢复,降低并发症发生率,进而可提高患者生活质量及患者对护理的满意度。

Objective:Patients with femoral head replacement have great demand for nursing care after discharge,and this paper analyzes the effect of the implementation of knowledge,attitude and practice(KAP)continuous nursing model on the functional recovery of these patients.Methods:60 patients with femoral head replacement who received treatment in our hospital from January 2021 to January 2023 were selected as the study objects and divided into a control group and an observation group according to the random envelope method,with 30 cases in each group.The control group received routine guidance after discharge,while the observation group received KAP continuous nursing after discharge.Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)score,Harris hip function evaluation scale score,knowledge,attitude and practice score,short form 36 quality of life scale(SF-36)score,occurrence of complications and nursing satisfaction were compared between the two groups.Results:Before the intervention,there were no statistically significant differences in SAS score and SDS score between the two groups(P>0.05).After the intervention,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Before intervention,there were no statistically significant differences in Harris score,knowledge,attitude and practice score,and SF-36 score between the two groups(P>0.05).After intervention,the Harris score,knowledge,attitude and practice score and SF-36 score of the observation group were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of patients in the observation group was significantly higher than that in the control group after statistical software analysis,and the difference was statistically significant(P<0.05).Conclusion:For patients with femoral head replacement,the implementation of KAP continuous nursing after discharge can effectively improve the cognitive level,belief and practice of patients with functional rehabilitation training of the affected limb,improve the negative emotions of patients,promote the functional recovery of the affected limb,reduce the incidence of complications,and thus improve the quality of life and satisfaction of patients with nursing.