| 詹雪,吴明珑.出院准备服务在全膝关节置换术病人中的应用.骨科,2019,10(6): 559-562. |
| 出院准备服务在全膝关节置换术病人中的应用 |
| Application of discharge preparation service in patients with total knee arthroplasty |
| 投稿时间：2019-03-20 |
| DOI：10.3969/j.issn.1674-8573.2019.06.015 |
| 中文关键词: 全膝关节置换术 出院准备服务 膝关节功能 |
| 英文关键词: Total knee arthroplasty Discharge preparation service Knee function |
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| 中文摘要: |
| 目的 探讨出院准备服务在全膝关节置换术（total knee arthroplasty, TKA）病人中的临床护理效果及意义。方法 将2018年1月至6月我科收治的58例单侧TKA病人纳入对照组，采用常规护理和健康教育；将2018年7月至12月收治的64例单侧TKA病人纳入观察组，在常规护理和健康教育的基础上提供出院准备服务。术前和术后3个月采用美国特种外科医院（Hospital for Special Surgery, HSS）膝关节功能评分标准和健康调查简表（the MOS item short form health survey, SF-36）评价病人膝关节功能和生活质量，出院时调查病人护理服务满意度。结果 术后3个月，观察组HSS膝关节功能评分为（89.56±7.17）分，优于对照组的（77.59±6.03）分，差异有统计学意义（t=9.030，P=0.007）；观察组SF-36评分为（68.29±8.68）分，优于对照组的（51.29±3.55）分，差异有统计学意义（t=5.060，P=0.014）。出院时，观察组护理服务满意度为96.88%（62/64），明显高于对照组的86.21%（50/58），差异有统计学意义（χ2=3.920，P=0.012）。结论 实施出院准备服务全面、有效地保证了TKA病人出院后康复训练的连续性，使病人及时、准确地获得膝关节功能锻炼指导，提升了TKA病人的膝关节功能、生活质量和护理服务满意度。 |
| 英文摘要: |
| Objective To explore the clinical nursing efficacy and significance of discharge preparation service in the patient with total knee arthroplasty (TKA). Methods Fifty-eight cases of total knee arthroplasty admitted from January to June 2018 served as the control group to implement routine nursing and health education. Sixty-four cases of total knee arthroplasty admitted from July to December 2018 were treated as observation group to provide discharge preparation services on the basis of routine nursing and health education. Before operation and 3 months after operation, the knee joint function and quality of life of patients were evaluated by the Hospital for Special Surgery (HSS) knee joint function scoring standard and the MOS item short form health survey (SF-36), and the satisfaction of patients’ nursing service was investigated at the time of discharge. Results Three months after operation, the score of HSS knee joint function in the observation group was 89.56±7.17, which was significantly greater than that in the control group (77.59±6.03) (t=9.030，P=0.007). the score of SF-36 of knee joint function in the observation group was 68.29±8.68, which was significantly greater than that in the control group (51.29±3.55) (t=5.060, P=0.014). The satisfaction of nursing service in the observation group was 96.88%(62/64), significantly higher than that in the control group (86.21%, 50/58) （χ2=3.920, P=0.012）. Conclusion The implementation of discharge preparation service can ensure the continuity of rehabilitation training for patients with TKA after discharge comprehensively and effectively, enable patients to obtain the guidance of knee function exercise timely and accurately, and improve the knee function, quality of life and satisfaction of nursing service of patients with TKA. |
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