医护治一体化工作模式对全膝关节置换术患者生活质量的影响

目的探讨医护治一体化工作模式对全膝关节置换术后患者生活质量的影响。方法2018年10月至2019年10月甘肃省中医院骨科行初次全膝关节表面置换术的患者90例。采用数字表法将患者随机分为2组。观察组45例实施专病医护治一体化工作模式;对照组45例实施常规临床工作模式。采用美国膝关节学会评分(KSS)、疼痛视觉模拟评分(VAS)、膝关节活动度(ROM)、日常生活活动能力量表(ADL)评分进行比较。采用spss 23.0软件对数据进行处理。结果入院当天患者KSS、VAS、ROM、ADL评分两组间比较差异无统计学意义(P>0.05)。术后第3天VAS、ROM、ADL评分观察组优于对照组(P<0.05),KSS评分两组间比较差异无统计学意义(P>0.05)。术后第7天,KSS、VAS、ROM、ADL观察组优于对照组(P<0.05)。术后2周KSS、VAS、ROM、ADL观察组优于对照组(P<0.05),KSS功能评分两组间比较差异无统计学意义(P>0.05)。术后1个月KSS、VAS、ROM、ADL观察组优于对照组(P<0.05),KSS两组间比较差异无统计学意义(P>0.05)。术后3、6个月KSS、KSS、VAS、ROM、ADL观察组优于对照组(P<0.05)。结论专病医护治一体化工作模式对全膝关节置换术患者膝关节功能、疼痛程度、膝关节活动能力,日常活动能力都有明显改善,有利于提高患者生活质量。

Effect of integrated medical treatment mode on the quality of life of patients after primary total knee arthroplasty

Objective Exploring the influence of the medical-nurse cooperation work mode on the quality of life of patients after the total knee arthroplasty(TKA).Methods A randomized controlled study was conducted on 90 patients who underwent the first total knee arthroplasty in Department of Orthopedics,Gansu Provincial Hospital of Traditional Chinese Medicine from October 2018 to October 2019.Patients were randomly divided into two groups:45 cases in the observation group implemented the medical-nurse cooperation work mode;45 cases in the control group were treated with routine clinical work mode.The KSS score of American Knee Association,Visual Analogy Scale(VAS),knee joint mobility(ROM)and ADL scale scores were compared between the two groups.Spss 23.0 software was used to process the data.Results There was no significant difference between the two groups in KSS,VAS,knee joint mobility scale and ADL scale on the day of admission(P>0.05).Three days after operation,the VAS,knee joint activity scale and daily living activity scale scores in observation group were better than those in control group,and the difference was statistically significant(P<0.05),while the KSS score had no statistical difference between the two groups(P>0.05).Seven days after operation,KSS clinical score,VAS,knee joint mobility and activities of daily living in observation group were better than those in control group,and the difference was statistically significant(P<0.05).Two weeks after operation,KSS,VAS,knee joint mobility and activities of daily living in observation group were better than those in control group,and the difference was statistically significant(P<0.05).There was no significant difference in KSS function score between the two groups(P<0.05).One month after operation,KSS clinical score,VAS score of visual analogy scale,ROM of knee joint activity and activity of daily living in observation group were better than those in control group,and the difference was statistically significant(P<0.05).There was no significant difference in KSS function score between the two groups(P<0.05).Three and six months after operation,KSS clinical score,KSS function score,VAS score of visual analogy scale,knee joint mobility and activities of daily living in observation group were better than those in control group,and the difference was statistically significant(P<0.05).Conclusion The medical-nurse cooperation work mode can significantly improve the knee joint function,degree of pain relief,knee joint mobility and daily activities of patients after total knee arthroplasty,which is conducive to improving life quality of patients,so the application of this model has a high clinical value.