临床管理路径对人工膝关节置换术后患者生活质量、膝关节功能及康复锻炼依从性的影响

Influence of clinical management pathway on quality of life,knee function and rehabilitation compliance of patients underwent artificial knee replacement

目的探讨人工膝关节置换术患者应用临床管理路径对其术后患者生活质量、膝关节功能及康复锻炼依从性的影响。方法纳入2021年2月至2022年2月收治的行人工膝关节置换术治疗的患者110例,随机分为对照组和研究组,每组55例。对照组接受常规干预,研究组采用临床管理路径进行干预,比较2组干预效果。结果2组美国特种外科医院膝关节量表(HSS)评分均高于干预前(P<0.05),且研究组高于对照组(P<0.05)。2组的康复锻炼依从性评分均高于干预前(P<0.05),且研究组高于对照组(P<0.05)。2组康复自我效能量表(SER)评分均高于干预前(P<0.05),且研究组高于对照组(P<0.05)。2组干预后的生活质量评分均高于干预前(P<0.05),研究组高于对照组(P<0.05)。2组的并发症差异有统计学意义(P<0.05)。结论人工膝关节置换术患者应用临床管理路径进行干预,可有效提高患者的康复锻炼依从性和自我效能水平,有助于患者膝关节功能改善和生活质量提升,还能降低术后并发症。

Objective To explore the effect of clinical management pathway on the quality of life,knee function and rehabilitation compliance of patients underwent artificial knee replacement.Methods Totally 110 patients underwent artificial knee replacement from February 2021 to February 2022 were enrolled.They were randomly divided into the control group(n=55,received routine intervention)and the study group(n=55,received clinical management pathway),The intervention effects of the two groups were compared.Results After intervention,the hospital for special surgery(HSS)scores in the both groups were significantly higher than those before intervention,and which were significantly higher in the study group than in the control group(P<0.05).After intervention,the rehabilitation exercise compliance scores in the both groups were significantly higher than before intervention,and which were significantly higher in the study group than in the control group(P<0.05).After intervention,the Self-Efficacy for Rehabilitation Outcome Scale(SER)score in the both groups was significantly higher than that before intervention,and which was significantly higher in the study group than in the control group(P<0.05).After intervention,the quality of life scores in the both groups were significantly higher than those before intervention,which were significantly higher in the study group than in the control group(P<0.05).After intervention,the incidence of complications in the study group was significantly lower than that of the control group(5.45%vs 23.64%,P<0.05).Conclusion The application of clinical management pathway in the intervention of patients underwent artificial knee replacement can effectively improve the compliance of rehabilitation exercise and self-efficacy of patients,contribute to the improvement of knee joint function and quality of life,and reduce postoperative complications.