中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (17): 3057-3061.doi: 10.3969/j.issn.1673-8225.2011.17.006

• 人工假体 artificial prosthesis • 上一篇    下一篇

膝关节置换者的自我管理模式

刘延锦，徐慧萍，赵  辉   

  1. 郑州大学第一附属医院，河南省郑州市  450052
  • 收稿日期:2010-11-19 修回日期:2011-02-14 出版日期:2011-04-23 发布日期:2011-04-23
  • 作者简介:刘延锦★，女，1959年生，河南省新郑市人，汉族，硕士，教授，护理部主任，主要从事护理管理、外科护理学方面的研究。 liu-yanjin@126. com

Self-management approaches following total knee arthroplasty

Liu Yan-jin, Xu Hui-ping, Zhao Hui   

  1. First Affiliated Hospital of Zhengzhou University, Zhengzhou  450052, Henan Province, China
  • Received:2010-11-19 Revised:2011-02-14 Online:2011-04-23 Published:2011-04-23
  • About author:Liu Yan-Jin★, Master, Professor, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China liu-yanjin@126.com

PDF

449

被引次数

28

摘要：

背景：自我管理模式是一种新型的疾病干预模式，可显著改善患者的健康行为及健康状况，同时减少住院天数和次数，降低医疗费用，已日渐成为人工膝关节置换后康复的研究热点，但其研究多集中在西方国家，国内报道较少。
目的：探讨自我管理模式在膝关节置换患者康复中的应用价值。
方法：选择膝关节置换住院患者84例，随机分为对照组和实验组，实验组采取自我管理模式，对照组采取常规教育模式，利用自我管理调查表、膝关节评分、住院时间和膝关节屈曲达90°所需时间来评价干预效果，比较两组干预前后相关参数的变化。
结果与结论：两组患者自我管理得分和膝关节评分均有提高，实验组显著优于对照组(P < 0.05)；住院天数和膝关节屈曲90°所需时间均有缩短，实验组显著低于对照组(P < 0.05)。 结果显示自我管理模式可有效提高膝关节置换患者自我管理能力，改善膝关节功能，提高生活质量。

关键词: 自我管理, 膝关节置换, 康复, 关节功能, 生活质量

Abstract:

BACKGROUND: Self-management is a new mode of disease intervention, and it can significantly improve the patient's health behavior and health status, while reducing the number of hospital days and lowering medical costs, which is becoming a focus for the rehabilitation after total knee arthroplasty. However, more studies are concentrated in the Western countries, and fewer reports in China.
OBJECTIVE: To evaluate the application value of the self-management approaches during rehabilitation exercise for the first total knee arthroplasty.
METHODS: Eighty-four patients with total knee arthroplasty were randomly divided into two groups: Experimental group received the intervention of self-management, and control group received routine care.
RESULTS AND CONCLUSION: The intervention of self-management improved scores on patients’ ability of self-management (P < 0.05) and HSS (P < 0.05), and decreased hospitalization days and days when the knee joints were flexed beyond 90°     (P < 0.05). The self-management approaches can improve the patients’ ability of self-management, and ameliorate the knee function and the quality of life.

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