在老年膝关节置换患者的疼痛康复护理
Li Liu1, Qiao-Zhen Guan2, Li-Fang Wang3
1Wuhan Fourth Hospital, Wuhan 430033, Hubei Province, China.
World journal of clinical cases
|February 7, 2024
概括
编程疼痛护理与协作护理相结合,改善了全膝关节整形术 (TKA) 患者的长期结果. 这种方法增强了日常生活活动和膝盖功能,在手术后的第三个月显示出更好的结果.
科学领域:
- 整形外科手术 整形外科手术
- 护理 护理 护理 护理
- 疼痛管理 疼痛管理
背景情况:
- 膝关节整形术 (TKA) 是膝关节关节炎的关键干预措施,早期康复对恢复至关重要.
- 手术后的疼痛和胀会阻碍动员,延长住院时间,并对患者的康复产生负面影响.
- 外科手术后增强康复方案旨在优化TKA后患者的治疗结果.
研究的目的:
- 评估编程疼痛护理与老年TKA患者的协作护理相结合的有效性.
- 评估这种综合护理模式对疼痛,日常生活活动和功能恢复的影响.
- 确定这种方法是否能改善护理质量和膝关节置换术后患者的预后.
主要方法:
- 对116名TKA患者 (2019年7月至2021年7月) 进行了回顾性分析.
- 患者被分为对照组 (编程护理) 和观察组 (编程+协作护理).
- 测量结果包括视觉模拟尺度 (VAS) 疼痛,日常生活活动 (ADL) 评分和功能膝盖评分.
主要成果:
- 虽然ADL得分在两组都增加,但观察组在手术后3个月显示得分明显更高.
- 两组都经历了VAS疼痛得分的降低,没有显著的群体间差异.
- 膝关节功能评分在1个月后是可比的,但在观察组在出院后的2个月和3个月后显着更高.
结论:
- 将编程疼痛护理与协作护理相结合,为非医院TKA患者护理提供了显著的好处.
- 这种综合方法可以改善疼痛管理,改善功能预后,并提高护理质量.
- 该模型显示,在全膝关节整形术后,优化康复和患者满意度是有前途的.
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