论文部分内容阅读
目的:探究加速康复外科（ERAS）护理对膝关节骨性关节炎患者关节功能、心理状态、治疗依从性的影响。方法:采用便利抽样法，回顾性选取2016年10月—2019年10月于甘肃省庆阳市人民医院骨科行膝关节置换术的200例膝关节骨性关节炎患者为研究对象，随机分为观察组和对照组，每组100例。对照组给予常规护理模式，观察组给予ERAS护理模式，比较两组患者干预前后SAS、SDS、VAS、美国特种外科医院膝关节评分（HSS）得分，比较两组患者的治疗依从性。结果:观察组患者干预后SAS、SDS、VAS得分分别为（51.13±3.17）、（39.34±3.94）、（2.34±0.68）分，低于对照组的（55.78±3.82）、（44.41±4.17）、（3.06±0.87）分，差异有统计学意义（n P<0.01）。观察组患者干预后HSS各维度得分均高于对照组，差异有统计学意义（n P<0.01）。观察组患者治疗依从性优良率高于对照组，差异有统计学意义（n P<0.01）。n 结论:膝关节置换术围手术期应用ERAS护理能够改善患者的心理状态，提高患者对治疗和护理的配合度，值得临床推广应用。“,”Objective:To explore the impact of enhanced recovery after surgery (ERAS) nursing on joint function, mental state, and treatment compliance of patients with knee osteoarthritis.Methods:Convenience sampling was used to retrospectively select 200 patients with knee osteoarthritis who underwent knee arthroplasty in the Department of Orthopedics, Qingyang People's Hospital, Gansu Province from October 2016 to October 2019. Patients were randomly divided into the observation group and the control group, with 100 cases in each group. The control group carried out conventional nursing, while the observation group implemented ERAS nursing. We compared the scores of the Self-rating Anxiety Scale (SAS) , the Self-rating Depression Scale (SDS) , the Visual Analogue Scale (VAS) and the Hospital for Special Surgery Knee Score (HSS) before and after the intervention, and compared the treatment compliance of the two groups of patients.Results:The scores of SAS, SDS, and VAS of the observation group after intervention were (51.13±3.17) , (39.34±3.94) , (2.34±0.68) , respectively, which were lower than those of the control group (55.78±3.82) , (44.41±4.17) , (3.06±0.87) , the differences were statistically significant (n P<0.01) . All dimension scores in the HSS of the observation group were higher than those of the control group after intervention, and the differences were statistically significant (n P<0.01) . The treatment compliance of patients in the observation group was higher than that in the control group, and the difference was statistically significant (n P<0.01) .n Conclusions:The perioperative application of ERAS nursing during knee replacement surgery can improve the patient's mental state and the patient's coordination with treatment and nursing, which is worthy of clinical application.