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运用愈合触摸疗法对全膝关节置换术患者进行护理干预:一项随机对照研究方案。

Nursing intervention using healing touch in total knee replacement: A randomized controlled study protocol.

机构信息

Department of nursing.

Department of Pharmacy, Huaihua First People's Hospital, Hunan, China.

出版信息

Medicine (Baltimore). 2021 Jan 22;100(3):e23735. doi: 10.1097/MD.0000000000023735.

Abstract

OBJECTIVE

: To assess the efficacy of healing touch (HT) for reducing pain and promoting wound healing in patients undergoing total knee replacement (TKR).

METHOD

: The experiment will be implemented from December 2020 to December 2021 and was granted through the Research Ethics Committee of Huaihua First People's Hospital (3928/823). 60 patients are included in the study. The recruitment criteria of patients includes: 1. the willingness and ability to finish the anxiety and pain questionnaires; 2. the clinical indication of TKR on the basis of medical history and physical examination; and 3. above the age of 60 years. The exclusionary criteria includes: 1. unable to cooperate with the postoperative evaluation and treatment; 2. revision of TKR; 3. diagnosis of the rheumatoid arthritis; and 4. having surgical complications. The measurement of pain is conducted by the visual analog scale, while the levels of anxiety is measured with the State-Trait Anxiety Inventory. For all data, they are analyzed through using the software of IBM SPSS Statistics for Windows, version 20 (IBM Corp., Armonk, NY, USA).

RESULTS

: Table 1 indicates the comparison of clinical outcomes between the control group and study group.

CONCLUSION

: HT appears to reduce the postoperative pain and improve patient satisfaction after TKR.

摘要

目的

评估愈合触摸(HT)对全膝关节置换术(TKR)患者减轻疼痛和促进伤口愈合的疗效。

方法

该实验将于 2020 年 12 月至 2021 年 12 月进行,并获得怀化市第一人民医院研究伦理委员会的批准(3928/823)。共有 60 名患者纳入研究。患者的纳入标准包括:1. 愿意并有能力完成焦虑和疼痛问卷;2. 基于病史和体检的 TKR 临床指征;3. 年龄在 60 岁以上。排除标准包括:1. 无法配合术后评估和治疗;2. TKR 翻修;3. 类风湿关节炎诊断;4. 有手术并发症。疼痛的测量采用视觉模拟量表,焦虑程度采用状态-特质焦虑量表测量。所有数据均使用 IBM SPSS Statistics for Windows,版本 20(IBM 公司,纽约州阿蒙克)进行分析。

结果

表 1 显示了对照组和研究组之间临床结果的比较。

结论

HT 似乎可以减轻 TKR 术后疼痛,提高患者满意度。

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Pain Control in Total Knee Arthroplasty.全膝关节置换术中的疼痛控制
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A Randomized, Controlled Trial of Total Knee Replacement.随机对照试验全膝关节置换术。
N Engl J Med. 2015 Oct 22;373(17):1597-606. doi: 10.1056/NEJMoa1505467.
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Effects of Healing Touch on Postsurgical Adult Outpatients.愈合触碰对成年外科术后门诊患者的影响。
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