Volume 22 Issue 9
Sep.  2024
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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.

     

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