摘要
目的 对人工全膝关节置换术患者采取多维预康复干预的效果进行研究分析。方法 随机抽取本院于2020年1月至2021年1月期间收治的采取人工全膝关节置换术治疗的患者，共计300例。按照信封抽签法分成两个组，分别实施常规干预（对照组）与多维预康复干预（实验组），每组各为150例。为了验证多维预康复干预在人工全膝关节置换术治疗中的效果，以各个时间段的膝关节屈膝度、疼痛评分、焦虑评分以及干预满意度来进行评价。结果 膝关节屈膝度数据上可见，在入院当日两组的膝关节屈膝度对比差异无法满足统计学含义（P＞0.05），实验组术后3天、7天以及14天的膝关节屈膝度相比较对照组较高（P＜0.05）。疼痛评分数据上可见，两组入院当日对比差异无法满足统计学含义（P＞0.05），实验组术后3天、7天以及14天的疼痛评分相比较对照组较低（P＜0.05）。结论 在人工全膝关节置换术患者的干预中施行多维预康复干预，可提升患者的膝关节屈膝度，缓解其疼痛，同时能够消除患者的负面情绪，从而患者对该干预效果较为满意。
关键词： 多维预康复干预；人工全膝关节置换术；膝关节屈膝度；疼痛评分；焦虑评分；干预满意度
Abstract
Objective To study and analyze the effect of multidimensional pre rehabilitation intervention on patients after total knee arthroplasty. Methods A total of300 patients treated with total knee arthroplasty in our hospital from January 2020 to January 2021 were randomly selected. According to the envelope lottery method, they were divided into two groups, with 150 cases in each group. In order to verify the effect of multi-dimensional pre rehabilitation pre after total knee arthroplasty, the knee flexion, pain score, anxiety score and intervention satisfaction at each time period were evaluated. Results the knee flexion data showed that the difference of knee flexion between the two groups on the day of admission could not meet the statistical significance (P > 0.05). The knee flexion of the experimental group on the 3rd, 7th and 14th day after operation was higher than that of the control group (P < 0.05). It can be seen from the pain score data that the difference between the two groups on the day of admission can not meet the statistical significance (P > 0.05). The pain scores of the experimental group at 3, 7 and 14 days after operation are lower than those of the control group (P < 0.05). In terms of anxiety score, the difference between the two groups before intervention could not meet the statistical significance (P > 0.05). Conclusion in the intervention of patients after total knee arthroplasty, the implementation of multidimensional pre rehabilitation pre intervention can improve the knee flexion of patients, alleviate their pain, and eliminate the negative emotions of patients, so patients are more satisfied with the effect of the intervention.
Key words： Multidimensional pre rehabilitation pre drying; Total knee arthroplasty; Knee flexion; Pain score; Anxiety score; Intervention satisfaction
参考文献 References
[1] 陈晓君、吴丽娇、金志华、霍英. 人工全膝关节置换患者术后护理中加速康复外科理念的应用价值分析[J]. 智慧健康, 2020,023(0032):3.
[2] 王春燕, 付玲玲, 韩杰. 多维预康复干预在人工全膝关节置换术后患者中的应用及效果观察[J]. 2020,035(021):15-15.
[3] 王春燕, 付玲玲, 韩杰. 多维预康复干预在人工全膝关节置换术后患者中的应用及效果观察[J]. 护士进修杂志, 2020, 35(24):5.
[4] 唐海蓉, 张克云, 高传英,等. 人工膝关节置换术后快速康复的护理体会[J]. 中国社区医师, 2020, 36(14):2.
[5] 吴利红. 护理干预对人工全膝关节置换术患者康复效果的影响[J]. 基层医学论坛, 2016, 20(33):2.
[6] 黄雪梅, 王珊, 郭晓霞. 持续性护理干预对人工全膝关节置换术患者康复的影响分析[J]. 基层医学论坛, 2018, 22(12):2.
[7] 王舒. 护理干预对人工全膝关节置换术患者术后康复的影响[J]. 中国乡村医药, 2015, 22(22):2.
[8] 李和婷. 护理干预对人工全膝关节置换术患者术后康复的影响[J]. 心理医生, 2015(1).
[9] 叶红红. 护理干预对人工全膝关节置换术患者术后康复的影响分析[J]. 临床医药文献电子杂志, 2018, 5(103):2.
[10] 邹晓燕. 术前护理干预对人工全膝关节置换术患者关节功能康复的影响[J]. 大家健康（上旬版） 2017年11卷1期, 259-260页, 2017.
[11] 张艳红, 高秀荣, 王辉,等. 人工全膝关节置换术患者的康复护理干预研究[J]. 实用临床护理学电子杂志, 2019, 4(9):2.
[12] 李国华. 强化护理干预在人工全膝关节置换翻修术中的应用[J]. 齐鲁护理杂志, 2015, 21(2):2.
[13] 王伟, 丁小萍, 周淼,等. 基于快速康复理念的团队康复模式在初次全膝关节置换中的应用[J]. 实用临床护理学电子杂志, 2018, 3(38):3.
[14] 杨芳, 谢婷, 龚泽辉. 人工全膝关节表面置换术后结合中西医康复治疗的临床效果[J]. 中国处方药, 2017, 015(002):1-1,2.
[15] 王芳. 疼痛护理在人工全膝关节置换术后康复锻炼中的应用效果评价[J]. 智慧健康, 2020.