膝关节压力均衡术治疗膝关节退行性骨关节病的围术期护理

目的分析膝关节压力均衡术治疗膝关节退行性骨关节病(KOA)的围术期护理干预对自我管理、症状控制的影响,总结护理改进经验。方法选取相关研究对象84例,采用随机数字表分为对照组和观察组各42例,分别采用常规护理方式及在此基础上的综合护理干预,特别重视疼痛、肿胀的防控,注重提高康复训练、生活管理水平。结果观察组出院前、第3、6个月HSS评分高于对照组,第6个月观察组HSS优良率100.00%(42/42),高于对照组85.71%(36/42);观察组肿胀消退时间、术后3 d VAS均值水平、患侧膝关节训练开始时间低于对照组,术后1周膝关节训练次数,出院后膝关节训练维持时间高于对照组,差异有统计学意义(P0.05)。结论加强综合护理干预后,进一步提高了患者的疾病管理水平,症状控制效果,有助于膝关节功能恢复。

Perioperative nursing of patients with degenerative joint disease of knee joint treated by pressure equalization of knee joint

Objective To analyze the effect of perioperative nursing intervention on self management and symptom control in patients with knee joint degenerative joint disease (KOA), and to summarize the experience of nursing improvement.Methods A total of 84 cases were divided into control group and observation group using the random number, given routine nursing and comprehensive nursing intervention, respectively.Special attention should be paid to prevention and control of pain and swelling, improvement of the rehabilitation training and life management.Results Before discharge, HSS score at third month and sixth month in the observation group was higher than that in the control group, the observation group had higher excellent rate was than that of the control group at sixth months, the difference was statistically significant(100% vs.85.71%, P<0.05);Observation group had less swelling time, the mean VAS on the third postoperative day, and the ipsilateral knee start time than the control group.After 1 week, knee training times, training maintenance time of knee joint after discharge were higher than the control group, the difference was statistically significant (P<0.05).Conclusion Strengthening the comprehensive nursing intervention can improve the level of disease management and the control effect of the symptoms, which is helpful to the recovery of knee joint function.