Sun He, Li Yong, Liu Kunmeng, Xin Dasen, Chen Hanwen, Niu Xiaoming, Gao Shuming
Department I of Orthopedics, Cangzhou Central Hospital Cangzhou, China.
Cangxian Hospital Cangzhou, China.
Am J Transl Res. 2021 Sep 15;13(9):10356-10362. eCollection 2021.
To investigate the clinical application of perioperative nursing care for patients with osteosarcoma of the distal femur who received artificial knee replacement.
A total of 80 patients with osteosarcoma of the distal femur admitted to our hospital from March 2019 to March 2020 were selected as research subjects and divided into the control group and the study group according to their admission sequence. The control group was given routine nursing care, while the study group was given perioperative nursing care. The negative emotions, sleep quality, limb function, pain, complication rate, and nursing satisfaction of the two groups of patients after nursing care were analyzed.
After nursing care, (1) the Hamilton depression rating scale (HAMD) and Hamilton anxiety scale (HAMA) scores of the study group were both lower than those of the control group; (2) the sleep quality score of the study group was lower than that of the control group (P < 0.001); (3) the study group obtained higher limb function score and excellent-and-good rate than the control group (P < 0.05); (4) the pain score of the study group was lower than that of the control group (P < 0.05), and the time to functional exercise and length of hospital stay of the study group were shorter than those of the control group (P < 0.05); (5) patients in the study group had a lower complication rate than those in the control group (P=0.02); (6) the nursing satisfaction rating of the study group was higher than that of the control group (P < 0.001).
For patients with osteosarcoma of the distal femur treated by artificial knee replacement, in addition to the amelioration of negative emotions and sleep quality, perioperative nursing also improves the patients' limb function and satisfaction and mitigates pain and complications.
探讨人工膝关节置换术治疗股骨远端骨肉瘤患者围手术期护理的临床应用效果。
选取2019年3月至2020年3月我院收治的80例股骨远端骨肉瘤患者作为研究对象，按照入院顺序分为对照组和研究组。对照组给予常规护理，研究组给予围手术期护理。分析两组患者护理后的负性情绪、睡眠质量、肢体功能、疼痛、并发症发生率及护理满意度。
护理后，（1）研究组汉密尔顿抑郁量表（HAMD）和汉密尔顿焦虑量表（HAMA）评分均低于对照组；（2）研究组睡眠质量评分低于对照组（P<0.001）；（3）研究组肢体功能评分及优良率高于对照组（P<0.05）；（4）研究组疼痛评分低于对照组（P<0.05），功能锻炼时间及住院时间短于对照组（P<0.05）；（5）研究组患者并发症发生率低于对照组（P=0.02）；（6）研究组护理满意度评分高于对照组（P<0.001）。
对于人工膝关节置换术治疗的股骨远端骨肉瘤患者，围手术期护理除改善负性情绪和睡眠质量外，还能提高患者肢体功能和满意度，减轻疼痛及并发症。
