摘要
目的对进行膝关节单踝置换手术的患者实施围术期激励护理干预模式同时联合损害控制在手术中的应用效果分析。方法选取2019年8月-2020年8月就诊治疗的140例行膝关节单踝置换术的膝关节病变患者为研究对象,随机分为实验组和对照组,每组各70人,对照组采取常规护理干预,实验组采取围术期激励护理干预。对两组患者护理前后的情绪状态、术后疼痛评分及治疗情况进行比较。结果手术前对两组患者的情绪状态进行评分,未发现明显差异(P>0.05),手术完成后,实验组的患者在3 d、6 d、9 d的不同时间段内的焦虑自评量表(SAS)与抑郁自评量表(SDS)评分明显均低于对照组(P<0.05);护理后,实验组患者术后在3 d、6 d、9 d的不同时间段内的疼痛评分均低于对照组(P<0.05);护理后,实验组患者的手术时间、术手中的出血量以及手术后的并发症发生率要明显较对照组低(P<0.05)。结论膝关节单髁置换术患者围术期应用激励护理干预模式可以改善患者负面情绪,减轻疼痛,缩短手术时间,减少出血量同时降低并发症发生率,效果良好。
Objective To analyze the application effect of perioperative incentive nursing intervention mode combined with damage control in patients undergoing knee joint single ankle replacement surgery.Method 140 patients with knee joint lesions who underwent knee single ankle replacement surgery and received treatment from August 2019 to August 2020 were selected as the research subjects.They were randomly divided into an experimental group and a control group,with 70 patients in each group.The control group received routine nursing intervention,while the experimental group received perioperative incentive nursing intervention.Compare the emotional state,postoperative pain score,and treatment status of two groups of patients before and after nursing care.Result Before the surgery,no significant difference was found in the emotional status of the two groups of patients(P>0.05).After the surgery,the experimental group of patients had significantly lower scores on the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)at different time periods of 3,6,and 9 days compared to the control group(P<0.05);After nursing,the pain scores of the experimental group patients were lower than those of the control group at different time periods of 3,6,and 9 days after surgery(P<0.05);After nursing,the surgical time,bleeding volume,and incidence of postoperative complications in the experimental group were significantly lower than those in the control group(P<0.05).Conclusion The application of motivational nursing intervention mode during the perioperative period in patients undergoing knee unicompartment replacement surgery can improve negative emotions,alleviate pain,shorten surgical time,reduce bleeding,and lower the incidence of complications,with good results.
作者
张爽
ZHANG Shuang(Central Hospital of Kaifeng,Kaifeng,Henan,475000,China)
出处
《新疆医学》
2024年第4期489-492,共4页
Xinjiang Medical Journal
关键词
膝关节单踝置换术
围术期
激励护理
情绪状态
疼痛
并发症
Unicompartmental knee replacement
Perioperative period
Motivational care
Emotional state
Pain
Complications
