结构化健康教育辅助术后康复训练对膝关节置换术患者护理效果分析OA
Analysis of the Nursing Effect of Structured Health Education Assisted Postoperative Rehabilitation Training on Patients Undergoing Knee Arthroplasty
目的 探究采用结构化教育辅助术后康复训练对进行膝关节置换术(TKA)患者术后膝关节功能、自我效能及生活质量的影响.方法 选取 2020 年 6 月至 2022 年 6 月期间濮阳市安阳地区医院收治的 70 例TKA患者采用随机双盲法将其均分为研究组(35 例)和对照组(35 例).对照组术后给予常规康复训练干预,研究组在常规康复训练的基础上进行结构化健康教育干预.对比两组患者干预前和干预后美国膝关节协会评分(KSS)、膝关节活动度、自我效能康复量表(SER)、通过生活质量评分(SF-36)对两组患者干预前及干预 6 个月后的生活质量进行对比,同时进行术后随访,比较干预后6个月两组患者满意度.结果 干预后6个月时,两组患者KSS评分与膝关节活动度较干预前明显增高,且研究组KSS评分与膝关节活动度均高于对照组,差异有统计学意义(P＜0.05).干预后 6 个月时,两组患者SER评分中康复锻炼自我效能、应对自我效能评分与SF-36 评分均高于干预前,且研究组SER应对自我效能与SF-36 评分均显著高于对照组,差异有统计学意义(P＜0.05).通过随访发现研究组干预后 6 个月时满意度高于对照组,差异无统计学意义(P＞0.05).结论 膝关节置换术治疗后,对患者实施结构化健康教育辅助术后康复训练可以提高患者康复训练自我效能,并有助于帮助减轻患者术后疼痛,改善术后膝关节功能,对提高生活质量有积极意义.
Objective To investigate the impact of structured education-assisted postoperative rehabilitation training on knee joint function,self-efficacy,and quality of life in patients undergoing total knee arthroplasty(TKA).Methods Seventy TKA patients admitted to Anyang Hospital in Puyang City from June 2020 to June 2022 were randomly divided into a study group(35 cases)and a control group(35 cases)using a double-blind method The control group received routine rehabilitation training after surgery,while the study group received structured health education intervention based on routine rehabilitation training.The Knee Society Score(KSS),knee joint activity,Self-Efficacy Rehabilitation Scale(SER),and quality of life assessment using the Short Form-36(SF-36)were compared between the two groups before and after intervention and at 6 months after intervention.Postoperative follow-up was conducted to compare the satisfaction of the two groups 6 months after intervention.Results At 6 months after intervention,the KSS scores and knee joint activity of both groups were significantly increased compared to before intervention,and the KSS scores and knee joint activity of the study group were higher than those of the control group,with statistically significant differences(P＜0.05).At 6 months after intervention,the self-efficacy in rehabilitation exercise and coping self-efficacy scores of both groups were higher than before intervention,and the SER coping self-efficacy and SF-36 scores of the study group were significantly higher than those of the control group,with statistically significant differences(P＜0.05).Follow-up revealed that the satisfaction of the study group was higher than that of the control group at 6 months after intervention,with no statistically significant difference(P＞0.05).Conclusion After TKA,implementing structured health education-assisted postoperative rehabilitation training for patients can improve patients'self-efficacy in rehabilitation training,help alleviate postoperative pain,improve postoperative knee joint function,and have a positive significance for improving quality of life.
薛文青;张耀友
濮阳市安阳地区医院 骨三科,河南 濮阳 455000濮阳市安阳地区医院 骨科,河南 濮阳 455000
临床医学
膝关节置换术结构化健康教育康复训练关节功能自我效能生活质量
knee arthroplastystructured health educationrehabilitation trainingjoint functionself-efficacyquality of life
《临床研究》 2024 (006)
185-188 / 4
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