中国学术期刊网络出版总库入编期刊
CNKI中文期刊全文数据库全文收录期刊
中国核心期刊(遴选)数据库全文收录期刊
万方数据——数字化期刊群收录期刊
中文科技期刊数据库全文收录期刊

主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

全面护理对全膝关节置换术患者疼痛、关节功能和护理满意度的影响

蔺金玲,王玲

(延安市吴起县人民医院手术室,陕西 延安,717600)

浏览次数:106次 下载次数:442次

摘要:

目的 探讨全面护理对全膝关节置换术患者疼痛、膝关节功能和护理满意度的影响。方法 选取我院收治的全膝关节置 换术患者80 例作为研究对象,并随机分成观察组与对照组,各40 例。对照组患者给予常规护理,观察组患者给予全面护理。 比较两组患者术后VAS 评分、膝关节功能及护理满意度。结果 观察组患者术后1、3、7 d 的VAS 评分明显低于对照组(P<0.05);观察组患者术后膝关节功能优良率为95.00%,明显高于对照组的77.50%(P<0.05);观察组患者术后满意度为 97.50%,明显高于对照组的80.00%(P<0.05)。结论 全膝关节置换术患者给予全面护理能够有效改善患者术后疼痛程度和膝 关节功能,可显著提高患者的护理满意度,值得临床应用推广。

关键词:全膝关节置换术;全面护理;术后疼痛;膝关节功能

中图分类号:R473文献标志码:A文章编号:2096-1413(2018)02-0189-02

    Effect of comprehensive nursing on pain, knee function and nursing satisfaction in patients with total knee arthroplasty
    LIN Jin-ling, WANG Ling
    (Operating Room, the People``s Hospital of Wuqi County, Yan``an 717600, China)

    ABSTRACT: Objective To discuss the effect of comprehensive nursing on pain, knee function and nursing satisfaction in patients with total knee arthroplasty. Methods Eighty cases of patients with total knee arthroplasty admitted in our hospital were selected and divided into observation group and control group, with 40 cases in each group. Patients in the control group were given routine nursing, while patients in the observation group were given comprehensive nursing. The VAS scores after operation, knee function and nursing satisfaction were compared between the two groups. Results At 1, 3 and 7 days after operation, the VAS scores of the observation group were lower than those of the control group (P<0.05). The excellent rate of knee function in the observation group was 95.00%, which was higher than 77.50% in the control group (P<0.05). The nursing satisfaction rate in the observation group was 97.50%, which was higher than 80.00% in the control group (P<0.05). Conclusion Comprehensive nursing can obviously alleviate pain and improve knee function in patients with total knee arthroplasty, and it can improve the nursing satisfaction, which has high clinical value.

    KEYWORDS: total knee arthroplasty; comprehensive nursing; postoperative pain; knee function

    参考文献:
    [1] 郝瑞胡,郭林,李丽丽,等.全膝关节置换术治疗膝关节骨性关节炎的临床观察[J].中国骨与关节损伤杂志,2014,29(6):544-546.
    [2] 李云霞,龚雅萍,邱瑾.老年患者全膝关节置换术围手术期程序化疼痛护理规程的建立与应用[J].中国实用护理杂志,2014,30(12):19-23.
    [3] 曹红,糜丽梅.双膝关节置换术围手术期的护理体会[J].护士进修杂志,2013,28(5):444-446.
    [4] 王向阳,王磊,陈亚婷,等.46 例类风湿性关节炎病人行双侧人工全膝关节置换术后的康复护理[J].全科护理,2012,10(19):1738-1739.
    [5] 张玲,崔玉洁,段玉莲,等.个性化疼痛护理对全膝关节置换术患者的影响[J].护理实践与研究,2016,13(14):38-39.
    [6] 黄式环,林少虹,卢琼芳,等.全程疼痛管理对人工膝关节置换术术后患者疼痛及膝关节功能恢复的观察[J].现代临床护理,2013,12(9):49-52.

上一篇康复护理程序对老年股骨颈骨折患者髋关节功能恢复及并发症的影响

下一篇PDCA 模式在高龄骨折患者压疮预防中的应用