Background: As the population ageing, more patients suffer from joint disease. Joint replacement surgery performed in Taiwan is about 10,000 to 20,000 cases yearly. Aims: The purpose of this study is to realize Total ...Background: As the population ageing, more patients suffer from joint disease. Joint replacement surgery performed in Taiwan is about 10,000 to 20,000 cases yearly. Aims: The purpose of this study is to realize Total Knee Arthroplasty (TKA) patients’ views about life experiences and difficulty in daily life before and after the surgery. Methods: In this study, in-depth interview with interview guideline was used to analyze patients’ experience by using a qualitative research method, and questionnaires were used to collect quantity data. Results: 1) A total of 20 participants were recruited. Average age was 75.15 (SD = 6.468). Eighteen of the participants were female and the other two were male. The majority of participants indicated that their home facilities were convenient or very convenient. 2) Motivations of the participants to undergo TKA were joint pain, limited joint range of motion, and weakness in legs. Participants’ expectations after surgery were no more pain and ease in walking, and able to manage daily life. 3) Depending on the time after surgery, joint pain and walking ability had improved to some extent. The joint range of motion increased, but kneeling remained difficult, and the participants’ mood and exercise capacity were improved. Conclusions: The finding can be as a reference for clinical practitioner to provide preoperative education for total knee arthroplasty patients.展开更多
BACKGROUND Considering the limited effectiveness of clinical interventions for knee osteoarthritis(KOA),it is necessary to continue to explore appropriate and effective treatment strategies to improve the condition of...BACKGROUND Considering the limited effectiveness of clinical interventions for knee osteoarthritis(KOA),it is necessary to continue to explore appropriate and effective treatment strategies to improve the condition of KOA patients.AIM To clarify the influence of ankle flexion and extension exercises combined with a psychological intervention on the psychological status and activities of daily living(ADLs)of patients with KOA.METHODS The research participants were 116 KOA patients admitted to The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine between May 2019 and May 2022,including 54 patients receiving routine treatment,care and psychological intervention(control group)and 62 patients additionally treated with ankle flexion and extension exercises(research group).The two groups were comparatively analyzed in terms of psychological status(Self-rating Anxiety/Depression Scale,SDS/SAS),ADLs,knee joint function(Lysholm Knee Scoring Scale),pain(Visual Analog Scale,VAS),fatigue(Multidimensional Fatigue Inventory,MFI),and quality of life(QoL;Short-Form 36 Item Health Survey,SF-36).RESULTS After evaluation,it was found that the postinterventional SDS,SAS,VAS,and MFI scores in the research group were significantly reduced compared with the baseline(before the intervention)values and those of the control group,while the postinterventional Lysholm,ADL and SF-36 scores were markedly elevated.CONCLUSION Therefore,ankle flexion and extension exercises are highly effective in easing negative psychological status,enhancing ADLs,daily living ability,knee joint function and QoL,and relieving pain and fatigue in KOA patients,thus warranting clinical promotion.展开更多
目的探讨关节镜下半月板成形术治疗膝关节半月板损伤患者的效果及对Lysholm评分、关节生理功能的影响。方法选取2017年9月—2020年2月在本院行关节镜下治疗的膝关节半月板损伤106例患者,据治疗方法不同分为观察组及对照组各53例,观察组...目的探讨关节镜下半月板成形术治疗膝关节半月板损伤患者的效果及对Lysholm评分、关节生理功能的影响。方法选取2017年9月—2020年2月在本院行关节镜下治疗的膝关节半月板损伤106例患者,据治疗方法不同分为观察组及对照组各53例,观察组采用关节镜下半月板成形术治疗,对照组采用关节镜下半月板切除术治疗。比较2组术后临床疗效和手术前后疼痛程度、关节活动度、膝关节功能及生活质量改善情况;术后随访6个月,了解2组术后并发症发生情况。结果术后观察组总有效率显著高于对照组(P<0.05);术后,2组视觉模拟评分法(visual analogue score,VAS)评分明显降低,关节活动度及Lysholm评分、国际膝关节评分委员会(international knee documentation committee,IKDC)膝关节主观功能评分明显升高,且术后观察组VAS评分下降程度、关节活动度及Lysholm评分、IKDC膝关节主观功能评分升高程度均大于对照组,差异均有统计学意义(P<0.05或P<0.01);观察组术后改良美国特种外科医院膝关节总评分明显高于对照组(P<0.01);术后,2组世界卫生组织生存质量测定量表简表(World Health Organization quality of life scale-brief form questionnaire,WHOQOL-BREF)社会功能、物质生活、躯体功能、心理功能评分均明显升高,且观察组术后WHOQOL-BREF量表各领域评分均显著高于对照组,差异均有统计学意义(P<0.05或P<0.01);随访期间2组均未发现明显并发症。结论对膝关节半月板损伤患者行关节镜下半月板成形术治疗,具有令人满意的临床效果,并且可以有效改善患者疼痛程度,促进患膝关节生理功能恢复,提高患者生活质量。展开更多
文摘Background: As the population ageing, more patients suffer from joint disease. Joint replacement surgery performed in Taiwan is about 10,000 to 20,000 cases yearly. Aims: The purpose of this study is to realize Total Knee Arthroplasty (TKA) patients’ views about life experiences and difficulty in daily life before and after the surgery. Methods: In this study, in-depth interview with interview guideline was used to analyze patients’ experience by using a qualitative research method, and questionnaires were used to collect quantity data. Results: 1) A total of 20 participants were recruited. Average age was 75.15 (SD = 6.468). Eighteen of the participants were female and the other two were male. The majority of participants indicated that their home facilities were convenient or very convenient. 2) Motivations of the participants to undergo TKA were joint pain, limited joint range of motion, and weakness in legs. Participants’ expectations after surgery were no more pain and ease in walking, and able to manage daily life. 3) Depending on the time after surgery, joint pain and walking ability had improved to some extent. The joint range of motion increased, but kneeling remained difficult, and the participants’ mood and exercise capacity were improved. Conclusions: The finding can be as a reference for clinical practitioner to provide preoperative education for total knee arthroplasty patients.
文摘BACKGROUND Considering the limited effectiveness of clinical interventions for knee osteoarthritis(KOA),it is necessary to continue to explore appropriate and effective treatment strategies to improve the condition of KOA patients.AIM To clarify the influence of ankle flexion and extension exercises combined with a psychological intervention on the psychological status and activities of daily living(ADLs)of patients with KOA.METHODS The research participants were 116 KOA patients admitted to The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine between May 2019 and May 2022,including 54 patients receiving routine treatment,care and psychological intervention(control group)and 62 patients additionally treated with ankle flexion and extension exercises(research group).The two groups were comparatively analyzed in terms of psychological status(Self-rating Anxiety/Depression Scale,SDS/SAS),ADLs,knee joint function(Lysholm Knee Scoring Scale),pain(Visual Analog Scale,VAS),fatigue(Multidimensional Fatigue Inventory,MFI),and quality of life(QoL;Short-Form 36 Item Health Survey,SF-36).RESULTS After evaluation,it was found that the postinterventional SDS,SAS,VAS,and MFI scores in the research group were significantly reduced compared with the baseline(before the intervention)values and those of the control group,while the postinterventional Lysholm,ADL and SF-36 scores were markedly elevated.CONCLUSION Therefore,ankle flexion and extension exercises are highly effective in easing negative psychological status,enhancing ADLs,daily living ability,knee joint function and QoL,and relieving pain and fatigue in KOA patients,thus warranting clinical promotion.
文摘目的探讨关节镜下半月板成形术治疗膝关节半月板损伤患者的效果及对Lysholm评分、关节生理功能的影响。方法选取2017年9月—2020年2月在本院行关节镜下治疗的膝关节半月板损伤106例患者,据治疗方法不同分为观察组及对照组各53例,观察组采用关节镜下半月板成形术治疗,对照组采用关节镜下半月板切除术治疗。比较2组术后临床疗效和手术前后疼痛程度、关节活动度、膝关节功能及生活质量改善情况;术后随访6个月,了解2组术后并发症发生情况。结果术后观察组总有效率显著高于对照组(P<0.05);术后,2组视觉模拟评分法(visual analogue score,VAS)评分明显降低,关节活动度及Lysholm评分、国际膝关节评分委员会(international knee documentation committee,IKDC)膝关节主观功能评分明显升高,且术后观察组VAS评分下降程度、关节活动度及Lysholm评分、IKDC膝关节主观功能评分升高程度均大于对照组,差异均有统计学意义(P<0.05或P<0.01);观察组术后改良美国特种外科医院膝关节总评分明显高于对照组(P<0.01);术后,2组世界卫生组织生存质量测定量表简表(World Health Organization quality of life scale-brief form questionnaire,WHOQOL-BREF)社会功能、物质生活、躯体功能、心理功能评分均明显升高,且观察组术后WHOQOL-BREF量表各领域评分均显著高于对照组,差异均有统计学意义(P<0.05或P<0.01);随访期间2组均未发现明显并发症。结论对膝关节半月板损伤患者行关节镜下半月板成形术治疗,具有令人满意的临床效果,并且可以有效改善患者疼痛程度,促进患膝关节生理功能恢复,提高患者生活质量。
