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基于动静互补平衡论的康复护理在全膝关节置换患者术后功能锻炼中的应用效果

Effects of rehabilitation nursing based on dynamic and static complementary balance theory in functional exercise of patients after total knee replacement

摘要目的:分析基于动静互补平衡论的康复护理在全膝关节置换患者术后功能锻炼中的应用效果。方法:采用简单随机抽样法选取2020年6月—2021年6月丽水市中心医院收治的84例进行全膝关节置换术的患者为研究对象,采用随机数字表法分为观察组和对照组,各42例。对照组患者出院前给予常规康复护理,观察组患者出院前给予基于动静互补平衡论指导的康复护理。出院时及出院后1、3个月比较两组患者的功能锻炼依从性(院外功能康复锻炼依从性问卷评分)、膝关节功能评分、平衡能力评分,记录并比较两组患者住院时间和出院3个月内的并发症发生率。结果:出院3个月内两组患者的院外功能康复锻炼依从性问卷评分降低,膝关节功能评分及平衡能力评分均升高,且观察组出院后1、3个月各项评分均高于对照组,差异有统计学意义( P<0.05)。观察组患者的住院时间短于对照组,出院3个月内并发症总发生率低于对照组,差异有统计学意义( P<0.05)。 结论:基于动静互补平衡论的康复护理可有效促进全膝关节置换患者术后膝关节功能恢复,提高患者功能锻炼依从性,减少并发症的发生。

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abstractsObjective:To analyze the effect of rehabilitation nursing based on dynamic and static complementary balance theory in functional exercise of patients after total knee replacement.Methods:A simple random sampling was used to select 84 patients who underwent total knee arthroplasty in Lishui Municipal Central Hospital from June 2020 to June 2021. The patients were divided into observation group and control group with 42 cases each by random number table. The patients in the control group were given routine rehabilitation nursing before discharge, and the patients in the observation group were given rehabilitation nursing based on the dynamic and static complementary balance theory before discharge. At the time of discharge and one and three months after discharge, the functional exercise compliance (score of the Out-of-hospital Functional Rehabilitation Exercise Compliance Questionnaire), knee joint function score and balance ability score of the two groups of patients were compared, and the hospital stay and complication incidence of the two groups of patients within three months after discharge were recorded and compared.Results:Within three months after discharge, the scores of Out-of-hospital Functional Rehabilitation Exercise Compliance Questionnaire in the two groups decreased, knee joint function scores and balance ability scores of patients in the two groups increased, and the scores in the observation group were higher than those in the control group one and three months after discharge, with statistically significant differences ( P<0.05). The hospital stay of patients in the observation group was shorter than that in the control group, and the total incidence of complications within three months after discharge was lower than that in the control group, with statistically significant differences ( P<0.05) . Conclusions:Rehabilitation nursing based on the dynamic and static complementary balance theory can effectively promote the recovery of knee joint function of patients after total knee replacement, improve the compliance of patients with functional exercise, and reduce the occurrence of complications.

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栏目名称 临床研究
DOI 10.3760/cma.j.cn115682-20220524-02481
发布时间 2025-02-25
基金项目
丽水市科技计划项目 Science and Technology Planning Project of Lishui City
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