摘要
目的探讨交叉韧带损伤膝关节镜术后患者开展精细化护理联合程序化护理管理对其关节功能恢复及生活质量的影响。方法于2022年4月—2023年4月采集病例资料入档,对象为医院收治的膝关节交叉韧带损伤患者,共计纳入60例,随机数表法分组为对照组与观察组两组,每组各30例。对照组接受精细化护理,观察组在精细化护理理念上开展程序化管理;观察对比两组视觉模拟评分法(visual analog scales,VAS)、Lysholm膝关节功能量表(Lysholmknee scale,LKS)、膝关节活动度、日常生活活动能力量表(Activities of Daily Living Scale,ADL)、护理满意度。结果干预后,两组VAS评分均呈下降趋势,且观察组较对照组更低(P<0.05);治疗后,两组LKS评分大幅度升高,且观察组较对照组更高(P<0.05);干预后,两组膝关节屈伸度数均明显升高,且观察组升高幅度更大(P<0.05);干预后,两组ADL评分均明显提高,且观察组较对照组更高(P<0.05);两组患者满意度对比(P>0.05),均高于90%。结论精细化护理联合程序化护理用于交叉韧带损伤膝关节镜术后患者,可有效缓解膝关节疼痛,改善膝关节活动度及促进关节功能恢复,且对改善其生活质量发挥积极作用,取得满意的护理效果。
Objective To explore the influence of refined nursing combined with programmed nursing management on the recovery of joint function and quality of life in patients received knee arthroscopy surgery due to cruciate ligament injury.Methods Case data were collected and filed from April 2022 to April 2023.The subjects were patients who were admitted to the hospital due to knee cruciate ligament injury,and a total of 60 cases were included in the study.Based on the“random number table”method(patients were numbered according to admission order and then“single blind”method was used to divide them into two groups),named the control group and the observation group,with 30 cases in each group.The control group received refined care,and the observation group carried out programmed management based on the concept of refined care.The scores of visual analog scales (VAS), Lysholm knee scale (LKS), knee range of motion, Activities of Daily Living Scale (ADL), and nursing satisfaction of the two groups were compared. Results After intervention, the VAS scores of both groups showed a downward trend, and the score of observation group was lower than the control group ( P <0.05 );After treatment, the LKS scores of the two groups significantly increased, and the observation group was higher than the control group ( P <0.05);After intervention, both groups showed a significant increase in knee joint flexion and extension, and the observation group showed a greater increase ( P <0.05);After intervention, the ADL scores of both groups were significantly improved, and the observation group was higher than the control group ( P <0.05);The satisfaction comparison of the two groups indicated that both groups were higher than 90%( P >0.05). Conclusions The combination of refined nursing and programmed nursing for patients received knee arthroscopy due to cruciate ligament injury can effectively alleviate knee pain, improve knee mobility, and promote joint function recovery. It also plays a positive role in improving their quality of life, achieving satisfactory nursing outcomes.
作者
陈晓君
莫淑珍
罗伟花
周新卫
关智能
Chen Xiaojun;Mo Shuzhen;Luo Weihua;Zhou Xinwei;Guan Zhineng(Department of Orthopaedics,Zhanjiang Central People's hospital,Zhanjiang,Guangdong 524001,China)
出处
《齐齐哈尔医学院学报》
2023年第24期2392-2396,共5页
Journal of Qiqihar Medical University
基金
湛江市科学技术局科技计划项目(2021B01166)。
