主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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• 延续护理 • 上一篇    下一篇

延续护理对关节镜下前交叉韧带重建术后功能恢复的影响

周敏 李昕华 丁丽 翁晓蓓 陈东阳 蒋青   

  1. 南京大学医学院附属鼓楼医院关节中心
  • 出版日期:2016-05-25 发布日期:2016-05-25
  • 基金资助:
    国家临床重点专科护理专业建设项目 (卫办医政函[2011] 872 号);国家自然科学基金面上项目(81271945)

Effect of continuous nursing on functional recovery after arthroscopic reconstruction of anterior cruciate ligament

  • Online:2016-05-25 Published:2016-05-25

摘要: 目的:调查延续护理对关节镜下前交叉韧带重建术后患者功能恢复的影响。方法:将接受关节镜下前交叉韧带重建术的82 例患者,分为观察组44 例,对照组38 例。观察组和对照组患者在出院时由责任护士给予统一的常规出院指导、疾病知识健康教育和注意事项,观察组患者在此基础上实施出院后延续护理,包括健康教育、电话随访和上门访视等。比较两组患者出院后遵医行为的功能康复锻炼和准时门诊复诊状况以及膝关节伸屈和活动度膝关节康复功能锻炼lysholm 评分。结果:第6 周、第24 周观察组功能康复锻炼依从性优于对照组(P <0.05);两组门诊复诊状况没有统计学差异(P >0.05) ;第24 周观察组膝关节康复功能锻炼lysholm 评分优于对照组(P <0.001);第12 周、第24 周观察组膝关节伸屈活动度优于对照组(P <0.001)。结论:实施延续护理对关节镜下前交叉韧带重建术后患者的膝关节功能恢复有明显的促进作用,可改善其生活质量。

Abstract: Objective: To investigate the effect of continuous nursing on the functional recovery after arthroscopic reconstruction of anterior cruciate ligament. Methods: Randomly divided 82 patients who had Arthroscopic reconstruction of anterior cruciate ligament into two groups, with 44 in observation group and 38 cases in control group. The observation group were provided with continuous nursing care including health education, telephone follow-ups and home visits.Control group did not have any care. Compared two groups of patients after discharge for the following: compliance behavior of functional rehabilitation exercise and follow up visits, knee extension activities and flexion degree of knee joint function rehabilitation exercise using lysholm score. Results: There are statistically significant differences between the two groups in the compliance of rehabilitation exercises at 6 and 24 weeks (P<0.05). The lysholm score at 24 weeks of knee rehabilitation exercise in the observation group is better than the control group (P<0.001). Conclusion: The implementation of continuous nursing care for patients with arthroscopic anterior cruciate ligament reconstruction has a significant role in promoting the recovery of knee joint function, improve their quality of life.