【摘要】 目的:评价系统护理干预联合连续股神经阻滞镇痛对老年全膝关节置换患者术后心理状况、生活质量及康复功能的影响。方法:选取本院2013年8月-2014年8月期间硬膜外麻醉下行全膝关节置换术的老年患者90例,采用随机数字表法将其分为常规护理组(C组)、常规护理联合连续股神经阻滞镇痛组(D组)及系统护理干预联合连续股神经阻滞镇痛组(E组),每组30例。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价患者术后焦虑、抑郁情况,采用生活质量核心问卷评价患者术后生活质量,同时于术后24、48 h记录患者持续膝关节被动伸屈锻炼(CPM)时关节屈曲角度及静息状态、CPM时VAS疼痛评分。结果:与C组比较,D组和E组患者治疗后SAS、SDS评分降低,生活质量评分升高,膝关节屈曲角度增大,静息状态和CPM时VAS疼痛评分降低(P<0.05),与D组比较,E组患者治疗后SAS、SDS评分降低,生活质量评分升高,膝关节屈曲角度增大,静息状态和CPM时VAS疼痛评分降低(P<0.05)。结论:系统护理干预联合连续股神经阻滞镇痛可改善老年膝关节置换术患者术后心理状况、生活质量及促进膝关节术后功能恢复。更多还原

【Abstract】 Objective:To investigate the effects of systematic nursing intervention combined with continuous femoral nerve block analgesia on aged patients’ psychological conditions,quality of life and function training after total knee arthroplasty.Method:Ninety aged patients who had total knee arthroplasty in our hospital from August 2013 to August 2014 were selected and randomly divided into routine nursing group(group C),routine nursing combined with continuous femoral nerve block group(group D) and systematic nursing intervention combined with continuous femoral nerve block group(group E),with each group 30 patients.The self-assessment lists of anxiety(SAS) and depression self rating scale(SDS) were used to evaluate postoperative anxiety and depression.Quality of life Questionnaire-Core was used to evaluate postoperative quality of life.24 hours and 48 hours after the operation,the knee joint flexion angles were recorded when making the knee-joint had a passive activity of flexion and extension,VAS scores in quiescent condition and continuous passive flexed knee joint exercise were recorded.Result:Compared with group C,the SAS,SDS and VAS scores of group D and group E were significantly decreased,the quality of life Questionnaire-Core scores and knee joint flexion angles were significantly increased in group D and group E(P<0.05).Compared with group D,the SAS、SDS and VAS scores of group E were significantly decreased,the quality of life Questionnaire-Core score and knee joint flexion angle were significantly increased in group E(P<0.05).Conclusion:Applying systematic nursing intervention combined with continuous femoral nerve block analgesia on aged patients can improve psychological conditions,quality of life and promote the functional recovery of knee joint after total knee arthroplasty.更多还原