摘要
目的探讨Guided Care护理模式对全膝关节置换术(TKA)患者锻炼依从性及膝关节功能恢复的影响。方法采用便利抽样法,选取2023年1月—2024年1月郑州市骨科医院收治的106例TKA患者为研究对象。按随机数字表法分为观察组和对照组,各53例。对照组采用常规护理干预,观察组在对照组基础上采用Guided Care护理模式干预。比较两组患者锻炼依从性(使用骨科患者功能锻炼依从性量表评估)、膝关节功能恢复情况[使用特种外科医院膝关节评分(HSS评分)、关节活动度评估]和术后并发症发生情况。结果干预后,观察组功能锻炼依从性总分、HSS评分、关节活动度均高于对照组,术后总并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论基于Guided Care护理模式的干预可有效提高TKA患者锻炼依从性,促进术后膝关节功能恢复,减少术后并发症发生。
ObjectiveTo explore the impact of the Guided Care nursing model on exercise adherence and knee joint function recovery in patients after total knee arthroplasty(TKA).MethodsA total of 106 TKA patients from Zhengzhou Orthopedic Hospital,selected by convenience sampling between January 2023 and January 2024,were randomly assigned to the observation group and the control group(53 patients in each group).The control group received routine nursing care,while the observation group received Guided Care nursing model intervention in addition to the routine care.Exercise adherence(assessed using the Orthopedic Patients'Exercise Adherence Scale),knee joint function recovery[assessed using the Hospital for Special Surgery Knee Score(HSS)and Range of Motion(ROM)],and postoperative complication rates were compared between the two groups.ResultsAfter intervention,the observation group showed significantly higher total scores for exercise adherence,HSS scores,and ROM compared to the control group(P<0.05).Additionally,the total postoperative complication rate in the observation group was lower than that of the control group,with statistically significant difference(P<0.05).ConclusionsThe Guided Care nursing model intervention effectively improves exercise adherence in TKA patients,accelerates knee joint function recovery,and reduces postoperative complications.
作者
唐颖超
魏瑄
李瑞娟
王拂晓
郑艳梅
Tang Yingchao;Wei Xuan;Li Ruijuan;Wang Fuxiao;Zheng Yanmei(Department of Orthopedics,Zhengzhou Orthopedic Hospital,Zhengzhou 450000,China)
出处
《中华现代护理杂志》
2025年第17期2325-2329,共5页
Chinese Journal of Modern Nursing
基金
河南省医学科技攻关计划(LHGJ20200756)。
