摘要
目的探讨基于4R危机管理理论的综合护理干预在全膝关节置换术患者恐动症管理中的作用。方法采用便利抽样法,选取2023年8月至2024年2月在郑州大学第一附属医院进行全膝关节置换术的132例患者作为研究对象。采用随机数字表法将其分为对照组和观察组,各66例。对照组给予常规护理,观察组给予基于4R危机管理理论的综合护理干预,并于患者术后12 h内及出院当天比较两组恐动症评分、膝关节功能评分、疼痛评分。结果干预后,观察组恐动症评分、疼痛评分均低于对照组(t=7.290,P<0.001;t=7.552,P<0.001),膝关节功能评分高于对照组(t=-9.690,P<0.001)。结论基于4R危机管理理论的综合护理干预措施,可有效降低全膝关节置换术后患者恐动症风险及疼痛程度,促进全膝关节置换术患者术后膝关节功能的恢复。
Objective To explore the effect of comprehensive nursing based on the 4R crisis management theory in the management of total knee arthroplasty(TKA)patients with kinesiophobia.Methods A total of 132 TKA patients with kinesiophobia and admitted to the first affiliated hospital of Zhengzhou university between August 2023 and February 2024 were enrolled as research subjects by using a convenience sampling method.They were divided into an observation group and a control group,each of 66,according to random number table method.After total knee arthroplasty,the observation group was given comprehensive nursing based on the 4R crisis management,while the control group only received routine nursing care.The scores of kinesiophobia,knee function and pain of 2 groups within twelve hours after the operation and on the day of discharge.Results After the intervention,the kinesiophobia and pain scores of the observation group were significantly lower than that of the control group(t=7.290,P<0.001;t=7.552,P<0.001),while the score of knee function was significantly higher than the latter(t=-9.690,P<0.001).Conclusion The comprehensive nursing interventions based on the 4R crisis management theory can effectively reduce the risk of kinesiophobia and pain in patients after total knee arthroplasty,and promote their recovery.
作者
刘红秀
蔡立柏
崔妙然
LIU Hongxiu;CAI Libai;CUI Miaoran(Orthopedic Ward 1,Zhengdong Branch,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Orthopedic Ward,West Branch,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国临床护理》
2024年第10期613-617,621,共6页
Chinese Clinical Nursing
基金
中华医学会杂志社2022-2023年护理学科研究课题(编号:CMAPH-NRG2022001)
郑州大学第一附属医院2023年护理科研专项青年项目(编号:HLKY2023016)。
关键词
4R危机管理理论
护理干预
全膝关节置换
恐动症
4R crisis management theory
Nursing intervention
Total knee arthroplasty
Kinesiophobia
