膝关节置换术后基于动机行为转化的渐进性康复护理效果
| 作者: |
1郝艳艳,
1李倩倩,
1陈岩
1 亳州市人民医院关节外科，安徽 亳州 236800 |
| 通讯: |
郝艳艳
Email: haowei3240@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2021.02.020 |
摘要
目的：研究膝关节置换术后基于动机行为转化的渐进性康复护理效果，为患者术后护理提供参考依据。方法：选择2019年1月至2020年4月亳州市人民医院接诊的60例需要膝关节置换的患者进行研究。将所有患者按照随机数表法，随机均分为研究组和对照组各30例。对照组患者给予常规护理，观察组在对照组护理方式的基础上给予基于动机行为转化的渐进性康复护理。对2组患者干预前后的自我效能、护理前后的不良情绪、护理前后膝关节功能、术后并发症发生率与护理满意度进行比较。结果：护理前，2组康复自我效能感量表(self-efficacy rehabilitation scale， SERS)、抑郁自评量表(self-rating depression scale，SDS)、焦虑自评量表(self-rating anxiety scale，SAS)、视觉模拟评分法(VAS)、膝关节评分系统(hospital for special surgery，HSS)评分相比，差异无统计学意义(P>0.05)；护理后，2组患者SER、HSS评分结果均明显升高，且研究组SER、HSS评分(87.52±10.61，73.61±9.39)明显高于对照组评分(71.35±9.41，62.80±9.62)，差异有统计学意义(P<0.05)；护理后，2组患者SDS、SAS、VAS评分结果均明显降低，且研究组患者SDS、SAS、VAS(评分18.13±4.32、22.38±4.21，2.83±0.59)明显低于对照组评分(26.92±6.13、35.21±5.91、4.71±0.32)，差异有统计学意义(P<0.05)。研究组患者的直腿抬高试验、股四头肌锻炼和(肢体智能运动训练治疗护理器)连续被动运动(continuous passive motion，CPM)机锻炼的功能锻炼正确率明显高于对照组患者，运动功能达标率明显高于对照组，差异有统计学意义(P<0.05)。研究组的术后并发症发生率明显低于对照组患者，差异有统计学意义(P<0.05)。研究组的护理满意度明显高于对照组，差异有统计学意义(P<0.05)。结论：膝关节置换术后基于动机行为转化的渐进性康复护理效果理想，值得临床推广应用。
关键词：
膝关节置换术；动机；行为；康复护理；并发症；效果
Effect of progressive rehabilitation nursing based on motivational behavior transformation after knee arthroplasty
CorrespondingAuthor: HAO Yanyan Email: haowei3240@163.com
DOI: 10.3978/j.issn.2095-6959.2021.02.020
Abstract
Objective: To study the effect of progressive rehabilitation nursing based on motivational behavior transformation after knee arthroplasty, and to provide reference for clinical nursing. Methods: The study was conducted on 60 patients who were admitted to Bozhou People’s Hospital and needed knee arthroplasty from January 2019 to April 2020. All patients were randomly divided into study group (30 cases) and control group (30 cases) according to random number table method. Patients in the control group were given routine nursing intervention, while patients in the observation group were given progressive rehabilitation nursing based on motivation behavior transformation after knee arthroplasty on the basis of the nursing mode in the control group. The self-efficacy before and after the intervention, the bad mood before and after the nursing, the knee joint function before and after the nursing, the incidence of postoperative complications and nursing satisfaction were compared between the two groups. Results: Before nursing, there was no significant difference in scores of SERS, SDS, SAS, VAS and HSS between the two groups (P>0.05). After nursing, the scores of SERS and HSS in 2 groups were significantly increased, and the above scores in study group (87.52±10.61, 73.61±9.39) were significantly higher than those in control group (71.35±9.41, 62.80±9.62), and the difference was statistically significant (P<0.05). After nursing, the scores of SDS, SAS and VAS in 2 groups were significantly decreased, and the above scores in study group (18.13±4.32, 22.38±4.21, 2.83±0.59) were significantly lower than those in control group (26.92±6.13, 35.21±5.91, 4.71±0.32), and the difference was statistically significant (P<0.05). The accuracy rate of straight leg raising test, quadriceps exercise and CPM machine exercise in the study group were significantly higher than those in the control group, and the motor function qualified rate was significantly higher than that in the control group (P<0.05). The incidence of postoperative complications in the study group was significantly lower than that in the control group (P<0.05). The nursing satisfaction of the study group was significantly higher than that of the control group (P<0.05). Conclusion: Progressive rehabilitation nursing based on motivational behavior transformation after knee arthroplasty had an ideal effect, which was worthy of clinical promotion and application.
Keywords：
knee arthroplasty; motivation; behavior; rehabilitation nursing; complications; effect