摘要
目的 探究膝关节骨关节炎病人全膝关节置换治疗期间用康复护理的作用。方法 随机均分2023年8月-2025年7月本院接诊膝关节骨关节炎病人(N=74)。试验组全膝关节置换治疗期间用康复护理,对照组行常规护理。对比住院时间等指标。结果 关于住院、术后首次进食和首次下床活动时间:试验组短于对照组(P<0.05)。HSS评分:出院时,试验组(76.39±3.04)分,对照组(69.22±4.19)分,差异显著(P<0.05)。并发症:试验组2.7%,对照组16.22%,P<0.05。结论 膝关节骨关节炎病人全膝关节置换治疗期间用康复护理,其康复情况、膝关节功能改善与并发症防治效果均十分显著。
关键词: 全膝关节置换;住院时间;膝关节骨关节炎;康复护理
Abstract
Objective To investigate the role of rehabilitation nursing during total knee replacement (TKR) for patients with osteoarthritis of the knee. Methods A total of 74 knee osteoarthritis patients admitted to our hospital between August 2023 and July 2025 were randomly divided into two groups. The experimental group received rehabilitation nursing during TKR, while the control group received routine nursing. Comparison of hospitalization duration and other indicators was conducted. Results Regarding hospitalization duration, first postoperative feeding time, and first ambulation time: The experimental group was shorter than the control group (P <0.05). HSS scores: At discharge, the experimental group (76.39±3.04) scored significantly higher than the control group (69.22±4.19) (P <0.05). Complications: The experimental group had a complication rate of 2.7%, while the control group had 16.22%, P <0.05. Conclusion Rehabilitation nursing during TKR for knee osteoarthritis patients significantly improves rehabilitation outcomes, enhances knee joint function, and effectively prevents complications.
Key words: Total knee replacement; Length of hospital stay; Knee osteoarthritis; Rehabilitation nursing
参考文献 References
[1] 张梦珂,魏铭慧,张远,等. 膝骨关节炎患者行全膝关节置换术后症状群的发生现状及影响因素分析[J]. 中国实用护理杂志,2024,40(29):2271-2279.
[2] 母庆磊,王小芃,古玉龙. 基于时机理论的体位管理方案对老年TKA术后关节、运动功能康复的影响[J]. 中国老年学杂志,2024,44(23):5723-5726.
[3] 许小珍,陈桂丽,周春嫦,等. 加速康复外科护理在老年全膝关节置换术中的应用效果观察[J]. 中国老年保健医学,2023,21(5):161-164.
[4] 华婷,俞蒙倩. 以深静脉血栓评估为基准的康复护理在膝关节骨关节炎行全膝关节置换术患者中的应用效果[J]. 国际护理学杂志,2024,43(2):261-265.
[5] LEONARDO ANTÔNIO SANTOS DE OLIVEIRA, ALMIR VIEIRA DIBAI-FILHO, GABRIELA NASCIMENTO DE SANTANA, et al. Translation, cross-cultural adaptation, and analysis of the measurement properties of the Fremantle Knee Awareness Questionnaire (FreKAQ) into Brazilian Portuguese for individuals with knee osteoarthritis[J]. BMC Musculoskeletal Disorders, 2024, 26(1):157-159.
[6] 孙文轩,朱倩倩,高丽,等. 单踝膝关节置换术与全膝关节置换术患者报告结局的系统评价与meta分析[J]. 北京医学,2023,45(11):972-978.
[7] 郭海,朱勇,马开好,等. "医护一体化"多模式镇痛方案在初次行全膝关节置换术患者术后的应用效果[J]. 河南医学研究,2025,34(6):1128-1133.
[8] 陈伟,兰秀娟,杨海旭,等. 预康复干预联合本体感觉训练对膝骨关节炎行全膝关节置换术患者膝关节功能及负性情绪的影响[J]. 联勤军事医学,2025,39(2):143-148.
[9] 李秀娟,孙英洁. 康复护理在膝关节骨关节炎行全膝关节置换术患者中的应用效果[J]. 中国伤残医学,2025, 33(1):106-109,119.
[10] 黎超炎,李泽光,陈雪妮,等. 快速康复对膝关节置换术后患者影响的研究进展[J]. 百科论坛电子杂志,2024(17): 249-251.