摘要
目的探讨标式锻炼视频联合个人行为日志在膝关节内侧单间室骨性关节炎患者术后的应用效果。方法选取2019年10月—2020年9月南阳市某医院收治的104例膝关节内侧单间室骨性关节炎患者为研究对象,根据建档顺序分为对照组(n=52)和研究组(n=52)。对照组患者予以常规护理干预,研究组患者在对照组护理基础上予以标式锻炼视频联合个人行为日志干预,2组患者均持续干预2个月。比较2组患者功能锻炼依从性、患肢恢复情况(术后首次下床时间、膝关节屈曲>90°所需时间、最大屈曲度)及护理满意度,比较2组患者干预前、干预2个月时膝关节功能量表(HSS)评分、骨性关节炎指数量表(WOMAC)评分。结果研究组患者功能锻炼依从率为90.38%,高于对照组的75.00%,差异有统计学意义(P<0.05)。研究组患者术后首次下床时间、膝关节屈曲>90°所需时间均短于对照组,最大屈曲度大于对照组,差异均有统计学意义(P<0.05)。干预2个月时,研究组患者HSS评分及WOMAC评分均高于对照组,差异均有统计学意义(P<0.05)。研究组患者服务质量量表各维度(移情性、反应性、可靠性、保证性、有形性)评分均高于对照组,差异均有统计学意义(P<0.05)。结论标式锻炼视频联合个人行为日志干预应用于膝关节内侧单间室骨性关节炎术后效果明显,可显著提高患者功能锻炼依从性,改善其膝关节功能,促进患者恢复,且护理满意度高。
Objective To explore the effect of the standardized exercise video combined with personal behavior log in postoperative patients with medial unicompartmental osteoarthritis of the knee.Methods A total of 104 patients with medial unicompartmental osteoarthritis of the knee admitted to a hospital in Nanyang from October 2019 to September 2020 were selected as subjects and assigned to a control group(n=52)and a study group(n=52)in accordance with the order of archiving.Patients in the control group received conventional nursing intervention,while patients in the study group received standardized exercise videos combined with personal behavior log intervention in addition to the conventional nursing,and both groups received continuous intervention for 2 months.The functional exercise compliance,recovery of the affected limb(time to first get out of bed after surgery,time required for knee flexion over 90°,maximum flexion)and satisfaction with care were compared between the two groups,and the Hospital for Special Surgery Knee-Rating Scale(HSS)scores and Western Ontario and Mc Master Universities Arthritis Index(WOMAC)scores were compared between the two groups before and at 2 months of intervention.Results The compliance rate of functional exercise was 90.38%in the study group,which was higher than that of in the control group(75.00%),and the difference was statistically significant(P<0.05).The first time out of bed after surgery and the time required for knee flexion over 90°were shorter in the study group than those in the control group,and the maximum flexion was greater in the study group than that in the control group,and the differences were statistically significant(P<0.05).At 2 months of intervention,the HSS scores and WOMAC scores of patients in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of all dimensions of patient care satisfaction(empathy,responsiveness,reliability,assurance,and tangibility)were higher in the study group than those in the control group,and all differences were statistically significant(P<0.05).Conclusion The application of the standardized exercise video combined with the personal behavior log intervention in postoperative patents with medial unicompartmental osteoarthritis of the knee was effective,significantly increasing patients’compliance with functional exercise,improving their knee function,and facilitating their recovery process with high nursing satisfaction.
作者
王延平
马莉
李娜
Wang Yanping;Ma Li;Li Na(Department of Pain Management,West Henan Jianhe Hospital,Nanyang Henan 474500,China;Department of Pain Management,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Operation,Nanyang First People's Hospital,Nanyang Henan 473000,China)
出处
《保健医学研究与实践》
2022年第6期145-148,共4页
Health Medicine Research and Practice
