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目的探讨整体系统护理干预对膝关节置换术围手术患者膝关节功能恢复的作用。方法将80例行膝关节置换术的患者随机分为对照组和观察组,各40例。对照组给予骨科常规护理,观察组在对照组护理方法的基础上给予整体系统护理。观察2组的肿胀程度,并比较2组术后疼痛及膝关节功能评分。结果术后12,24 h视觉模拟评分法(VAS)评分及术后1周、1月膝关节功能评分显著升高,与同组术前比较,差异均有统计意义(P<0.05或P<0.01),且观察组VAS及膝关节功能评分改善效果优于对照组(P<0.01);术后7 d 2组肿胀均值显著升高,与同组术前比较,差异均有统计意义(P<0.05或P<0.01),且观察组肿胀均值显著低于对照组(P<0.01);观察组优良率为80.0%,对照组为55.0%,2组比较差异有高度统计意义(P<0.01)。结论对行膝关节置换术的患者实施整体系统护理能有效促进患者膝关节功能的恢复,提高患者的生存质量。
Objective To investigate the effect of total system nursing intervention on functional recovery of knee joint in patients undergoing perioperative knee arthroplasty. Methods Eighty patients undergoing knee arthroplasty were randomly divided into control group and observation group, 40 cases in each group. The control group was given routine orthopedic care. The observation group was given systematic nursing care based on the control group nursing methods. The degree of swelling in the two groups was observed, and postoperative pain and knee function scores were compared between the two groups. Results Visual analog scale (VAS) score at 12 and 24 h after operation and knee function score at 1 week and 1 month were significantly higher than those before operation (P <0.05 or P < 0.01). The VAS and knee joint function scores of the observation group were better than those of the control group (P <0.01), and the average swelling value of the 7th day group was significantly higher than that of the control group (P <0.05 or P <0.01), and the mean value of swelling in the observation group was significantly lower than that in the control group (P <0.01). The excellent and good rate was 80.0% in the observation group and 55.0% in the control group, the difference was statistically significant ). Conclusion The implementation of holistic system nursing for patients undergoing knee arthroplasty can effectively promote the recovery of knee joint function and improve the quality of life of patients.