[1]郭军辉,赵 英,聂志强,等.同伴教育联合加速康复外科在TKA患者日常生活能力改善中的应用[J].医学信息,2019,(04):66-69.[doi:10.3969/j.issn.1006-1959.2019.04.023]
 GUO Jun-hui,ZHAO Ying,NIE Zhi-qiang,et al.Application of Peer Education Combined with Accelerated Rehabilitation Surgery in Improving Daily Living Ability of Patients with TKA[J].Medical Information,2019,(04):66-69.[doi:10.3969/j.issn.1006-1959.2019.04.023]
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同伴教育联合加速康复外科在TKA患者日常生活能力改善中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2019年04期
页码:
66-69
栏目:
论著
出版日期:
2019-02-15

文章信息/Info

Title:
Application of Peer Education Combined with Accelerated Rehabilitation Surgery in Improving Daily Living Ability of Patients with TKA
文章编号:
1006-1959(2019)04-0066-04
作者:
郭军辉赵 英聂志强韩海津王原原
(天津北大医疗海洋石油医院康复医学科,天津 300452)
Author(s):
GUO Jun-huiZHAO YingNIE Zhi-qiangHAN Hai-jinWANG Yuan-yuan
(Department of Rehabilitation Medicine,Tianjin Peking University Medical Offshore Oil Hospital, Tianjin 300452,China)
关键词:
同伴教育加速康复外科日常生活能力人工膝关节置换
Keywords:
Peer educationAccelerated rehabilitation surgeryDaily living abilityArtificial knee joint replacement
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2019.04.023
文献标志码:
A
摘要:
目的 探讨同伴教育联合加速康复外科对全膝关节置换术后患者日常生活能力的影响。方法 选取2015年3月~2018年3月我院收治的行人工膝关节置换患者80例,随机分为观察组和对照组,每组40例。两组患者均给予加速康复外科理念干预,观察组在此基础上结合同伴教育,两组患者均进行3个月干预治疗,采用HSS评分、膝关节活动范围、改良Barthel指数量表对所有患者术前、术后第1天、术后2周、术后3个月膝关节活动度及日常生活能力进行评估。结果 两组患者术后2周、3个月HSS评分、ADL评分及膝关节活动度均较术前改善,差异均有统计学意义(P<0.05);与对照组相比,观察组术后2周、3个月HSS评分、ADL评分及膝关节活动度改善更明显,术后第1天、第2天、第3天疼痛程度均低于对照组,差异均有统计学意义(P<0.05);但两组患者术后并发症发生率无统计学意义(P>0.05)。结论 同伴教育联合加速康复外科可更好改善TKA患者的膝关节功能及日常生活能力,利于其早日无障碍或少障碍的回归家庭和社会。
Abstract:
Objective To explore the effect of peer education combined with accelerated rehabilitation surgery on the daily living ability of patients after total knee arthroplasty. Methods 80 patients with artificial knee joint replacement admitted to our hospital from March 2015 to March 2018 were randomly divided into observation group and control group, 40 cases in each group. Both groups of patients were given the intervention of accelerated rehabilitation surgery. The observation group was combined with peer education. The two groups were treated with intervention for 3 months. All patients were treated with HSS score, knee range of motion, and modified Barthel index.The knee joint activity and daily living ability were evaluated on the first day after surgery, 2 weeks after surgery, and 3 months after surgery. Results The HSS score, ADL score and knee motion of the two groups were significantly improved 2 weeks and 3 months after operation,the differences were statistically significant (P<0.05). Compared with the control group, the HSS score, ADL score and knee joint activity improved significantly in the observation group at 2 and 3 months after operation. The first day and the second day after surgery were observed. The pain level was lower in the day and the third day than in the control group,the difference was statistically significant (P<0.05). However, the incidence of postoperative complications was not statistically significant (P>0.05). Conclusion Peer education combined with accelerated rehabilitation surgery can better improve the knee function and daily living ability of patients with TKA, and help them return to their families and society with early barriers or fewer obstacles.

参考文献/References:


[1]Boonen B,Schotanus MGM,Kerens B,et al.Patient-specific positioning guides for total knee arthroplasty:no significant difference between final component alignment and preoperative digital plan except for tibial rotation[J].Knee Surg Sperts Traumatol Arthrosc,2017,25(9):2809-2817.
[2]Corbetta D,Imeri F,Gatti R.Rehabilitation that incorporates virtual reality is more effective than standard rehabilitation for improving walking speed,balance and mobility after stroke:a systematic review[J].J Physiother,2015,61(3):117-124.
[3]秦呈燕,张海苓,贾存显.床旁训练队人工膝关节置换术后患者康复效果的临床研究[J].泰山医学院学报,2016,37(1):67-69.
[4]时斌,连红强,薛之秀,等.全膝置换术后快速康复介入对患者日常生活能力的影响研究[J].当代医学,2018,24(5):16-18.
[5]李宁.围手术期处理的关键是加速康复外科[J].中华胃肠外科杂志,2015,18(7):635-637.
[6]吕猛,罗奇,周天健,等.加速康复外科在肥胖患者膝关节置换术中的应用[J].广东医学,2017,38(19):2988-2991.
[7]方红霞,梁晓燕,甄平,等.加速康复外科理念对人工膝关节置换功能恢复的影响[J].护士进修杂志,2013,28(14):1268-1369.
[8]杨志敏,段少华.加速康复外科理念在膝关节置换患者围手术期中的应用[J].天津护理,2017,25(6):530-532.
[9]闫彦宁,杨永红,芦剑峰,等.我国内地作业治疗人员从业现状的调查与分析[J].中国康复医学杂志,2018,33(7):833-836.
[10]李晓檬,李娅铃,姜嘉嘉,等.浙江省三级综合性医院康复医学科设置现状调查[J].中国康复,2017,32(1):65-66.
[11]谭洁,王如蜜,张满春,等.我国言语治疗师现状的网络调查研究与分析[J].中华物理医学与康复杂志,2016,38(8):619-620.
[12]王丽娜,关红,王秋节,等.同伴教育在经外周静脉置入中心静脉导管带管患者中的应用研究[J].中国实用护理杂志,2015, 31(zl):149-150.
[13]沈晓颖,周郁秋,韩秀梅,等.血液透析患者自我效能与自我管理行为的相关性分析[J].中华现代护理杂志,2013,19(27):3326-3329.
[14]赵华,王风丽,郭玉林.血友病患者慢性疼痛的自我管理与同伴教育[J].中华现代护理杂志,2015,21(7):860-862.
[15]Song EK,Seon JK,Yim JH,et al.Robotic-assisted TKA Reduces Postoperative Alignment Outliers and Improves Gap Balance Compared to Conventional TKA[J].Clin Orthop Relat Res,2013,1(1):118-126.
[16]时斌,连红强,薛枝秀,等.全膝置换术后快速康复介入对患者日常生活能力的影响研究[J].当代医学,2018,24(5):16-18.
[17]李小金,韩秀兰,田潇飞,等.脑卒中后偏瘫患者早期膝关节本体感觉干预对平衡功能及心理状况的影响[J].中华物理医学与康复杂志,2016,38(11):845-847.
[18]田梅梅,杨柳柳,龚美芳,等.加速康复外科理念在人工全膝关节置换患者术后护理中的应用[J].中华现代护理杂志,2016, 22(29):4233-4237.
[19]Lweis JL,Askew MJ,Wixson RL,et al.The influence of prosthetic stem stiffness and of a calcar collar on stresses in the proximal end of the femur with a cemented femoral component[J].J Bone joint Surg Am,2015,66(2):280-286.
[20]谭小欣.综合护理干预对全膝关节置换术患者疗效的影响[J].国际医药卫生导报,2016,22(6):852-854.
[21]潘卫宇,邓莹,杨慧敏,等.同伴教育对全膝关节置换术患者术前焦虑的干预研究[J].中国实用护理杂志,2016,32(z1):46-47.
[22]郑娇,庞忠莉,刘芳溪.同伴教育在膝关节置换术后功能锻炼中的应用与效果评价[J].实用医药杂志,2016,33(4):342-343.

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更新日期/Last Update: 2019-03-07