Department of Orthopedics, Hangzhou First People's Hospital, China.
Comput Math Methods Med. 2022 Jul 1;2022:7074525. doi: 10.1155/2022/7074525. eCollection 2022.
Total knee arthroplasty is one of the most effective methods for the treatment of end-stage knee osteoarthritis, but 10% of patients still show insufficient function, strength, and mobility. Continuous nursing service plays an important role in the rehabilitation of patients undergoing total knee arthroplasty. For discharged and convalescent patients, the traditional follow-up model cannot solve the nursing problems of discharged patients. How to meet the health needs of discharged patients under the limited nursing resources has become an existing problem.
To explore the effect of proprioception and balance training combined with continuous nursing on Berg balance scale (BBS) score and Hospital for Special Surgery (HSS) score of patients undergoing total knee arthroplasty (TKA) is the objective of this study.
Sixty patients undergoing TKA in our hospital from December 2019 to April 2021 were enrolled. The patients were randomly assigned into the control group and the study group. The control group received continuous nursing, and the study group received proprioception and balance training combined with continuous nursing.
The nursing satisfaction of the study group was higher than that of the control group ( < 0.05). The HSS scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were higher than those in the control group ( < 0.05). It was higher in the study group than in the control group at 1 month, 3 months, and 6 months after discharge ( < 0.05). The pain catastrophizing score of the study group at discharge was lower than that of the control group at 1 month, 3 months, and 6 months after discharge ( < 0.05). The BBS scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were higher than those in the control group ( < 0.05). The Lindmark balance scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were lower than those in the control group ( < 0.05).
Proprioception and balance training combined with continuous nursing can effectively promote the recovery of knee joint function of patients after TKA, enhance patients' pain catastrophizing grade, enhance patients' quality of life, effectively promote patients' knee joint function and BBS score, and promote the improvement of disease.
全膝关节置换术是治疗终末期膝骨关节炎最有效的方法之一,但仍有 10%的患者功能、力量和活动度不足。连续护理服务在全膝关节置换术后患者的康复中起着重要作用。对于出院和康复期患者,传统的随访模式无法解决出院患者的护理问题。在有限的护理资源下,如何满足出院患者的健康需求已成为一个现有问题。
探讨本体感觉和平衡训练联合连续护理对全膝关节置换术(TKA)患者 Berg 平衡量表(BBS)评分和膝关节外科医院(HSS)评分的影响。
选取 2019 年 12 月至 2021 年 4 月在我院行 TKA 的 60 例患者,将患者随机分为对照组和观察组。对照组接受连续护理,观察组接受本体感觉和平衡训练联合连续护理。
观察组护理满意度高于对照组( < 0.05)。观察组出院时、出院后 1 个月、3 个月、6 个月的 HSS 评分均高于对照组( < 0.05)。观察组出院后 1 个月、3 个月、6 个月时的 HSS 评分均高于对照组( < 0.05)。观察组出院时的疼痛灾难化评分低于对照组出院后 1 个月、3 个月、6 个月时的评分( < 0.05)。观察组出院时、出院后 1 个月、3 个月、6 个月的 BBS 评分均高于对照组( < 0.05)。观察组出院时、出院后 1 个月、3 个月、6 个月的 Lindmark 平衡评分均低于对照组( < 0.05)。
本体感觉和平衡训练联合连续护理能有效促进 TKA 后患者膝关节功能的恢复,增强患者的疼痛灾难化程度,提高患者的生活质量,有效促进患者膝关节功能和 BBS 评分的提高,促进疾病的改善。