摘要
目的探讨延续性护理干预对膝关节置换术患者负性情绪、生活质量、膝关节功能及自我护理能力的影响.方法选取2018年7月—2021年2月该院收治的90例膝关节置换术患者,按照随机数字表法分为观察组与对照组,每组45例.对照组患者予以常规护理干预,观察组在对照组基础上联合使用延续性护理干预,两组均持续干预6个月.比较两组干预前、干预6个月后焦虑自评量表(SAS)、抑郁自评量表(SDS)、健康状况调查简表(SF-36)、自我护理能力量表(ESCA)评分以及干预6个月后膝关节功能.结果干预前,两组患者SAS、SDS评分比较,组间差异无统计学意义(P>0.05);干预6个月后,观察组SAS、SDS评分均低于对照组,组间差异有统计学意义(P<0.05).干预前,两组患者各项SF-36评分比较,组间差异无统计学意义(P>0.05);干预6个月后,观察组SF-36中躯体功能、情绪角色、心理健康、疼痛、社会功能、精力、躯体角色和总体健康评分均高于对照组,组间差异有统计学意义(P<0.05).干预6个月后,观察组膝关节功能总优良率93.33%明显高于对照组的71.11%,差异有统计学意义(P<0.05).干预前,两组患者各项ESCA评分比较,组间差异无统计学意义(P>0.05);干预6个月后,观察组ESCA中自护责任、健康知识水平、自护技能、自我概念评分均高于对照组,组间差异有统计学意义(P<0.05).结论延续性护理干预可有效缓解膝关节置换术患者负性情绪,改善生活质量,提高自我护理能力,促进膝关节功能恢复.
Objective To explore the effects of continuous nursing intervention on negative emotion,quality of life,knee function and self-care ability of patients undergoing knee arthroplasty.Methods 90 patients undergoing knee arthroplasty who were admitted to our hospital from July 2018 to February 2021 were selected.They were divided into a control group and an observation group according to random number table method,with 45 cases in each group.Routine nursing intervention was given to patients in the control group,and the observation group was combined with continuous nursing intervention on the basis of the control group.Both groups continued to intervene for 6 months.The self-rating anxiety scale(SAS),selfrating depression scale(SDS),the MOS item short from health survey(SF-36),exercise of self-care agency scale(ESCA)scores and knee joint function after 6 months of intervention were compared between the two groups before intervention and 6months after intervention.Results Before intervention,there was no statistically significant difference in SAS and SDS scores between the two groups(P>0.05);after 6 months of intervention,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in various SF-36 scores between the two groups(P>0.05);after 6months of intervention,the scores of physical function,emotional role,mental health,pain,social function,energy,physical role and overall health in SF-36 in the observation group were significantly higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After 6 months of intervention,the total excellent and good rate of knee joint function in the observation group was 93.33%,which was significantly higher than 71.11%in the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in various ESCA scores between the two groups(P>0.05);after intervention,the scores of self-care responsibility,health knowledge,self-care skills and self-concept in ESCA in the observation group were significantly higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The continuous nursing intervention can effectively alleviate the negative emotion of patients undergoing knee arthroplasty,improve the quality of life,improve self-care ability and promote the recovery of knee function.
作者
刘静
LIU Jing(Department of Orthopaedics,Joint Group 2,Army Hospital of the 80th Army Group,Weifang Shandong,261021,China)
出处
《反射疗法与康复医学》
2022年第7期128-131,142,共5页
Reflexology And Rehabilitation Medicine
作者简介
刘静(1986-),女,山东潍坊人,本科,护师,研究方向:骨关节护理。
