摘要
目的探讨个案管理模式在人工全膝关节表面置换术(TKA)后患者中的应用效果.方法选择2021年7月—2022年5月我院收治的125例TKA术后患者为研究对象,按随机数字表法分为两组.对照组(n=62)采用常规干预,观察组(n=63)在对照组基础上联合个案管理模式.两组均干预3个月.对比两组疼痛程度、膝关节功能、运动功能及护理满意度.结果观察组术后3个月疼痛视觉模拟评分为(0.78±0.14)分,低于对照组的(1.55±0.22)分,差异有统计学意义(P<0.05).观察组术后3个月美国纽约特种外科医院评分为(88.18±6.02)分,高于对照组的(70.17±5.46)分,6 min步行试验距离为(457.85±42.15)m,长于对照组的(422.17±40.26)m,组间差异有统计学意义(P<0.05).观察组护理满意度96.83%高于对照组的85.48%,差异有统计学意义(P<0.05).结论个案管理模式在TKA术后患者中具有较好的应用效果,有利于减轻其疼痛程度,促进膝关节功能恢复,提升运动功能与护理满意度.
Objective To explore the application effect of case management mode in patients after total knee arthopasty(TKA).Methods 125 patients admitted to the hospital after TKA from July 2021 to May 2022 were selected as the study objects and divided into two groups according to random number table method..The control group(n=62)received conventional intervention,and the observation group(n=63)was combined with case management mode on the basis of the control group.Both groups were treated for 3 months.Pain degree,knee function,motor function and nursing satisfaction were compared between the two groups.Results The pain visual analogue scale score of the observation group was(0.78±0.14)points 3 months after surgery,which was lower than(1.55±0.22)points of the control group,and the difference was statistically significant(P<0.05).3 months after operation,the score of hospital for special surgery in the observation group was(88.18±6.02)points,which was higher than(70.17±5.46)points in the control group,the 6-min walk test distance of the observation group was(457.85±42.15)m,which was longer than(422.17±40.26)m of the control group,and the differences between the groups were statistically significant(P<0.05).The nursing satisfaction was 96.83%in the observation group,which was higher than 85.48%in the control group,and the difference was statistically significant(P<0.05).Conclusion Case management model has a good application effect in patients after TKA,which is conducive to reducing the degree of pain,promoting the functional recovery of knee joint,improving motor function and nursing satisfaction.
作者
李慧
王丽燕
高芬
张娟
郝东升
LI Hui;WANG Liyan;GAO Fen;ZHANG Juan;HAO Dongsheng(Department of Orthopedics,Shanxi Bethune Hospital(Shanxi Academy of Medical Sciences)(Tongji Shanxi Hospital)(The Third Hospital of Shanxi Medical University),Taiyuan Shanxi,030032,China)
出处
《反射疗法与康复医学》
2023年第1期119-122,共4页
Reflexology And Rehabilitation Medicine
关键词
人工全膝关节表面置换术
个案管理模式
康复训练
疼痛程度
功能康复
Total knee arthopasty
Case management model
Rehabilitation training
Degree of pain
Functional rehabilitation
