Volume 22 Issue 9
Sep.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(9): 1619-1622
YAN Nan, FAN Yun. Analysis of special nursing effect and postoperative function after total knee arthroplasty[J]. Chinese Journal of General Practice, 2024, 22(9): 1619-1622. doi: 10.16766/j.cnki.issn.1674-4152.003696
Citation: YAN Nan, FAN Yun. Analysis of special nursing effect and postoperative function after total knee arthroplasty[J]. Chinese Journal of General Practice, 2024, 22(9): 1619-1622. doi: 10.16766/j.cnki.issn.1674-4152.003696
shu

Analysis of special nursing effect and postoperative function after total knee arthroplasty

doi: 10.16766/j.cnki.issn.1674-4152.003696
  • 1.

    Department of Orthopedics (Joint and Trauma Ward), Fuyang People' s Hospital, Fuyang, Anhui 236000, China

Funds:

 1704f0804039

 FK202081030

  • Received Date: 2024-01-26
    Abstract
  •   Objective  Despite the presence of patient dissatisfaction following total knee arthroplasty (TKA), some individuals exhibit suboptimal postoperative functional recovery. Through an assessment of the impact of specialized nursing care on postoperative recuperation and an analysis of key factors influencing postoperative functional recovery, it is possible to enhance postoperative care strategies aimed at facilitating the restoration of knee joint function and enhancing patient satisfaction.  Methods  A retrospective analysis was conducted on 110 patients with knee osteoarthritis admitted to our hospital from February 2022 to July 2022. The patients were divided into a specialized nursing group (52 cases) and a routine nursing group (58 cases) based on different nursing methods. At the last follow-up, comparisons were made between the two groups in terms of visual analogue scale (VAS), hospital for special surgery knee score (HSS score), range of motion (ROM), complication rate, and nursing satisfaction. Patients were further categorized into an excellent group (HSS≥70) or poor group (HSS<70) according to their HSS scores. Multivariate logistic regression analysis was performed to identify risk factors affecting knee joint function after TKA.  Results  (1) Clinical effect: The VAS score in the specialized nursing group was significantly lower than that in the routine nursing group (2.08±0.97 vs. 3.49±1.10). Additionally, HSS scores and knee ROM showed significant improvement in the specialized nursing group compared to the routine nursing group (90.24±9.06 vs. 84.34±7.36; 108.80±8.67 vs. 90.45±6.30, P<0.05). (2) Nursing effect: The anxiety score, patient compliance, and overall satisfaction with care were better in the specialized nursing group compared to those in the routine nursing group (P<0.05). (3) Multivariate logistic regression results: nursing style age, preoperative HSS score, postoperative patient compliance, and postoperative SAS score all emerged as influential factors for functional recovery after TKA (P<0.05).  Conclusion  Specialized nursing can alleviate knee pain after TKA surgery and promote knee function recovery. The postoperative nursing method, age, preoperative HSS score, and patient compliance after surgery are independent influencing factors affecting the efficacy of TKA.

     

    • FullText(HTML)
  • loading
    • References(20)
  • [1]
    赵志, 裴立家, 刘扬, 等. 加速康复外科术前术后干预对老年全膝关节置换术后康复效果及生活质量的影响[J]. 中华全科医学, 2022, 20(11): 1824-1827. doi: 10.16766/j.cnki.issn.1674-4152.002711

    ZHAO Z, PEI L J, LIU Y, et al. Effect of preoperative and postoperative intervention of ERAS on rehabilitation effect and quality of life in elderly patients after total knee arthroplasty[J]. Chinese Journal of General Practice, 2022, 20(11): 1824-182. doi: 10.16766/j.cnki.issn.1674-4152.002711
    [2]
    徐迎春, 郭婕, 王彦斐, 等. 基于多模式护理干预对围术期全膝关节置换术患者的临床效果[J]. 吉林医学, 2023, 44(3): 762-765.

    XU Y C, GUO J, WANG Y F, et al. Clinical effect of multi-mode nursing intervention on patients with total knee arthroplasty during perioperative period[J]. Jilin Medical Journal, 2023, 44(3): 762-765.
    [3]
    胡婷, 林艳, 博查汗. 心理护理协同全科理念下的健康指导对老年患者的影响分析[J]. 心理月刊, 2022, 17(15): 145-147.

    HU T, LIN Y, BO C H. Analysis of the influence of health guidance on elderly patients under the concept of psychological nursing and general practice[J]. Psychologies Magazine, 2022, 17(15): 145-147.
    [4]
    SUN J N, CHEN W, ZHANG Y, et al. Does cognitive behavioral education reduce pain and improve joint function in patients after total knee arthroplasty? A randomized controlled trial[J]. Int Orthop, 2020, 44(10): 2027-2035. doi: 10.1007/s00264-020-04767-8
    [5]
    汤正美, 李慧芹, 胡一平. 新型神经阻滞针对TKA老年患者行CFNB的效果[J]. 贵州医科大学学报, 2022, 47(6): 728-733.

    TANG Z M, LI H Q, HU Y P. Effect of novel nerve block needle on CFNB in elderly patients undergoing TKA[J]. Journal of Guizhou Medical University, 2022, 47(6): 728-733.
    [6]
    赵改云, 钱会娟, 王凡凡, 等. 全膝关节置换术患者居家康复训练依从性量表的编制及信效度检验[J]. 护理学杂志, 2019, 34(12): 94-97.

    ZHAO G Y, QIAN H Q, WANG F F, et al. Development and validation of the home-based rehabilitation adherence scale for patients with total knee arthroplasty[J]. Journal of Nursing Science, 2019, 34(12): 94-97.
    [7]
    谈瑜, 胡铁梅, 周佩. 中老年患者膝关节置换术后开展早期功能锻炼及以健康信念模式护理干预的效果[J]. 川北医学院学报, 2023, 38(6): 850-853.

    TAN Y, HU T M, ZHOU P. Effect of early functional exercise and health belief mode nursing intervention after knee replacement in middle-aged and elderly patients[J]. Journal of North Sichuan Medical College, 2023, 38(6): 850-853.
    [8]
    董艳, 范海涛. 基于BCW理论的护理干预在改善膝关节置换术后恐动症的应用[J]. 蚌埠医学院学报, 2022, 47(5): 688-691.

    DONG Y, FAN H T. Application of nursing intervention based on BCW theory in reducing kinesiophobia after total knee arthroplasty[J]. Journal of Bengbu Medical College, 2022, 47(5): 688-691.
    [9]
    闫丽欣, 张平, 刘晓磊, 等. 加速康复外科理念在膝骨关节炎患者全膝关节置换术后康复护理中的应用[J]. 中国医刊, 2022, 57(5): 575-577.

    YAN L X, ZHANG P, LIU X L, et al. Application of accelerated rehabilitation surgical concepts in postoperative rehabilitation care after total knee arthroplasty in patients with osteoarthritis of the knee[J]. Chinese Journal of Medicine, 2022, 57(5): 575-577.
    [10]
    陈洁, 张琨, 卢梦, 等. 加速康复理论指导下精细化护理对骨性关节炎行膝关节单髁置换术患者的影响[J]. 齐鲁护理杂志, 2023, 29(6): 121-124.

    CHEN J, ZHANG K, LU M, et al. Effect of refined nursing care under the guidance of accelerated rehabilitation theory on patients undergoing unicondylar knee replacement for osteoarthritis[J]. Journal of Qilu Nursing, 2023, 29(6): 121-124.
    [11]
    WYLDE V, DIXON S, BLOM A W. The role of preoperative self-efficacy in predicting outcome after total knee replacement[J]. Musculoskeletal Care, 2012, 10(2): 110-118. doi: 10.1002/msc.1008
    [12]
    房庆鹏, 王鑫, 赵云超, 等. 综合性干预对人工单髁膝关节置换患者术后关节功能恢复及满意度的影响[J]. 河北医药, 2024, 46(6): 950-952, 956.

    FANG Q P, WANG X, ZHAO Y C, et al. Effect of the comprehensive nursing on postoperative recovery of joint function and satisfaction of patients treated with unicompartmental knee replacement[J]. Hebei Medical Journal, 2024, 46(6): 950-952, 956.
    [13]
    SATTLER L N, HING W A, VERTULLO C J. What is the evidence to support early supervised exercise therapy after primary total knee replacement? A systematic review and meta-analysis[J]. BMC Musculoskelet Disord, 2019, 20(1): 42. doi: 10.1186/s12891-019-2415-5
    [14]
    MCDONALL J, DE STEIGER R, REYNOLDS J, et al. Patient participation in postoperative care activities in patients undergoing total knee replacement surgery: multimedia intervention for managing patient experience (MIME). study protocol for a cluster randomised crossover trial[J]. BMC Musculoskelet Disord, 2016, 17: 294. doi: 10.1186/s12891-016-1133-5
    [15]
    ZHANG S Y, HUANG Q, XIE J W, et al. Factors influencing postoperative length of stay in an enhanced recovery after surgery program for primary total knee arthroplasty[J]. J Orthop Surg Res, 2018, 13(1): 29. doi: 10.1186/s13018-018-0729-x
    [16]
    PINTO P R, MCINTYRE T, ARAÚJO-SOARES V, et al. A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty[J]. J Pain Res, 2017, 10: 1087-1098. doi: 10.2147/JPR.S126467
    [17]
    陈杰, 吴丹冬, 白定群, 等. 全髋膝关节置换术后本体感觉康复训练研究进展[J]. 保健医学研究与实践, 2023, 20(11): 145-150.

    CHEN J, WU D D, BAI D Q, et al. Progress in rehabilitation of proprioceptive training after total hip and knee arthroplasty[J]. Health Medicine Research and Practice, 2023, 20(11): 145-150.
    [18]
    TEKIN F, FINDIK U Y. Level of perception of individualized care and satisfaction with nursing in orthopaedic surgery patients[J]. Orthop Nurs, 2015, 34(6): 371-374. doi: 10.1097/NOR.0000000000000194
    [19]
    丁韶龙, 康波, 李志军. 膝骨关节炎患者全膝关节置换后关节功能恢复影响因素分析[J]. 新乡医学院学报, 2020, 37(6): 563-565.

    DING S L, KANG B, LI Z J. Influence factors of knee joint function rehabilitation after total knee arthroplasty in patients with knee osteoarthritis[J]. Journal of Xinxiang Medical University, 2020, 37(6): 563-565.
    [20]
    朱旭, 张林, 赵增同, 等. 中国患者全膝关节置换术后运动障碍的发生率及相关危险因素分析[J]. 中华骨与关节外科杂志, 2021, 14(2): 116-120.

    ZHU X, ZHANG L, ZHAO Z T, et al. Incidence and risk factors of dyskinesia after total knee arthroplasty in Chinese patients[J]. Chinese Journal of Bone and Joint Surgery, 2021, 14(2): 116-120.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(6)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (116) PDF downloads(3) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return