舒适护理干预对人工全膝关节置换术后患者肢体功能恢复的影响

摘要

目的：探析舒适护理干预对人工全膝关节置换术后患者肢体功能恢复的影响。方法：选择2013年5月至2015年1月在我院接受全膝关节置换术治疗的70例患者为研究对象，依据护理干预方式不同分为实验组（35例）和对照组（35例），对照组患者接受常规护理，实验组患者接受常规护理和舒适护理，分析两组患者在手术后第一、三、七天的膝关节屈曲度数及VAS（视觉模拟评分）、ROM（膝关节活动范围）和AKSS（美国膝关节学会评分）评分。结果：两组患者术后的VAS、ROM、AKSS评分均与术前的差异显著（P<0.05），且术后实验组患者的VAS、ROM、AKSS评分与对照组患者的差异具有统计学意义（P<0.05）；手术后第一、三、七天，实验组患者的膝关节屈曲度显著高于对照组，且两组之间的差异显著，具有统计学意义（P<0.05）。结论：舒适护理干预可以有效地提高人工膝关节置换术后患者的肢体功能恢复效果，值得在今后的临床治疗中推广使用。%Objective: Impact of comfortable nursing intervention on patients with total knee replacement surgery recovery of limb function. Methods: Select May 2013 January 2015 in our hospital total knee arthroplasty treated 70 patients for the study, based on nursing interventions were divided into experimental group (35 cases) and control group (35 cases) and control patients receiving usual care group, patients in the experimental group received usual care and comfort care, analyze the two groups of patients after surgery 1,3,7d degree of knee flexion and VAS (visual analogue scale), ROM (range of motion of the knee) and AKS (American knee Society score) score. Results: The postoperative the VAS, ROM, AKSS scores were associated with significant differences in preoperative (P <0.05), and postoperative patients in the experimental group VAS, ROM, AKSS score difference with the control group of patients was statistically significant (P <0.05); 3, 7 days after surgery, knee flexion in patients in the experimental group was significantly higher, and the difference between the two groups is significant, statistically significant (P <0.05) Conclusion: Comfort care interventions can effectively improve the artificial limb function in patients after knee replacement recovery effect and should be introduced in future clinical therapy.