基于循证的精准护理在全膝关节置换术伴肌少症患者中的应用

Effects of evidence-based precision nursing in patients with sarcopenia undergoing total knee arthroplasty

目的探讨基于循证的精准护理在全膝关节置换术(TKA)伴肌少症患者中的应用效果。方法采用便利抽样法,选取2021年8月—2022年2月郑州大学第一附属医院骨科收治的41例TKA伴肌少症患者为对照组,选取2022年3月—2023年3月收治的41例TKA伴肌少症患者为观察组。对照组采用常规护理,观察组采用基于循证理念的精准护理方案,比较干预前后两组患者肌肉质量、握力、躯体活动能力、膝关节功能及生活质量的差异。结果干预后观察组总肌肉量、患肢骨骼肌质量、四肢骨骼肌质量、四肢骨骼肌质量指数、握力高于对照组,差异有统计学意义(P<0.05);干预后观察组简易躯体功能量表得分、Lysholm评分高于对照组,差异有统计学意义(P<0.05);干预后观察组肌肉衰减症生活质量量表评分高于对照组,差异有统计学意义(P<0.05)。结论基于循证的精准护理可以提高TKA伴肌少症患者术后肌肉质量及力量,改善躯体活动能力及关节功能,提高患者生活质量。

Objective To investigate the effects of evidence-based precision nursing in patients with sarcopenia undergoing total knee arthroplasty(TKA).Methods By convenience sampling,totally 41 TKA patients with sarcopenia treated in the Department of Orthopedics at The First Affiliated Hospital of Zhengzhou University from August 2021 to February 2022 were selected as the control group,and 41 TKA patients with sarcopenia treated from March 2022 to March 2023 as the observation group.Patients in the control group received conventional nursing care,while patients in the observation group received an evidence-based precision nursing plan.The differences in muscle mass,grip strength,physical activity ability,knee joint function,and quality of life between the two groups before and after the intervention were compared.Results After the intervention,the total muscle mass,affected limb skeletal muscle mass,limb skeletal muscle mass,limb skeletal muscle mass index,and grip strength in the observation group were significantly higher than those in the control group(P<0.05).The scores on the Short Physical Performance Battery,Lysholm Score,and Sarcopenia Quality of Life Scale in the observation group were also significantly higher than those in the control group(P<0.05).Conclusions Evidence-based precision nursing can improve postoperative muscle mass and strength,enhance physical activity ability and joint function,and improve the quality of life in TKA patients with sarcopenia.