摘要
目的观察加速康复外科理念护理干预对半月板部分切除术后患者早期膝关节功能恢复的影响。方法选取2013年1月至8月在国家体育总局运动医学研究所接受膝关节镜下半月板部分切除术的患者73例为研究对象,采用随机分组将研究对象分为试验组与对照组。对照组采用常规传统模式护理,试验组采用加速康复外科(ERAS)理念下的护理干预。比较两组患者术前和术后的VAS评分、膝关节活动度、SF⁃36评分以及护理满意度,评估膝关节功能恢复情况。结果两组患者的年龄、性别等基本资料无统计学差异(P>0.05)。手术后3天、7天和14天,试验组的VAS评分均显著低于对照组(P<0.001)。手术后膝关节活动度分别达到30°、60°和90°所需的时间,试验组患者均快于对照组(P<0.001)。手术后2个月随访显示,试验组患者的SF⁃36评分高于对照组(P<0.001)。试验组患者护理满意度高于对照组(P<0.001)。结论ERAS是一种旨在改善手术后患者恢复的多元化治疗方案,ERAS理念下的护理干预对于半月板部分切除术后患者的早期膝关节功能恢复具有显著的促进作用。
Objective To observe the effect of nursing intervention based on the concept of accelerated rehabilitation surgery on the early recovery of knee joint function in patients after partial meniscectomy.Methods 73 patients who underwent partial menis⁃cectomy under knee arthroscopy at the Sports Medicine Research Institute of the General Administration of Sport of China from Janu⁃ary to August 2023 were selected as the study subjects.The study subjects were randomly divided into the experimental group and the control group.The control group received conventional traditional nursing care,while the experimental group received nursing care under the ERAS concept.Compare the preoperative and postoperative VAS scores,knee range of motion,SF⁃36 scores,and nursing satisfaction between two groups of patients to evaluate the recovery of knee joint function.Results There was no statistically signifi⁃cant difference in basic information such as age and gender between the two groups of patients(P>0.05).At 3 days,7 days,and 14 days after surgery,the VAS scores of the experimental group were significantly lower than those of the control group(P<0.001).The time required for postoperative knee joint mobility to reach 30°,60°and 90°was faster in the experimental group than in the con⁃trol group respectively(P<0.001).Two months of follow⁃up after surgery showed that the SF⁃36 score of the experimental group was higher than that of the control group(P<0.001).The nursing satisfaction of the experimental group patients was higher than that of the control group(P<0.001).Conclusion ERAS is a diversified treatment plan aimed at improving postoperative patient recovery,and nursing interventions under the ERAS concept have a significant promoting effect on early knee joint function recovery in patients after partial meniscectomy.
作者
赵丹丹
原笑捷
任紫茜
宋斌斌
曹彤彤
陈根
丁杰
周敬滨
ZHAO Dandan;YUAN Xiaojie;REN Ziqian;SONG Binbin;CAO Tongtong;CHEN Gen;DING Jie;ZHOU Jingbin(Institute of Sports Medicine,General Administration of Sport of China,Beijing 100061,China)
出处
《中国老年保健医学》
2024年第2期147-150,共4页
Chinese Journal of Geriatric Care
基金
国家重点研发计划(慢性疾病运动干预中心建设模式的集成与示范应用,编号:2020YFC2006705)
国家体育总局运动医学研究所所管课题(康复外科在半月板损伤手术患者围手术期护理中的应用)。
