中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
24期
2921-2924
,共4页
骨关节炎,膝%系统性康复护理指导%康复效果
骨關節炎,膝%繫統性康複護理指導%康複效果
골관절염,슬%계통성강복호리지도%강복효과
Osteoarthritis,knee (KOA)%Rehabilitation nursing guidance%Recovery effects
目的 观察系统性康复护理指导对膝关节骨性关节炎患者康复效果的影响.方法 将78例膝关节骨性关节炎患者利用随机数字表随机分为康复组和对照组各39例,两组均给予高频热疗、中频脉冲及蜡疗治疗,并给予常规健康教育.康复组在以上物理因子治疗基础上给予早期、系统化的康复护理指导.两组患者分别于治疗前和治疗3个疗程后进行日常生活活动能力(ADL)及膝关节功能评定.结果 治疗前两组患者ADL能力及膝关节功能比较差异无统计学意义(P＞0.05)；治疗3个疗程后,康复组患者ADL评分与膝关节功能评分分别为(9.52±0.46)分,(68.82±0.74)分,对照组患者分别为(8.71±0.66)分,(62.06±1.25)分,两组患者ADL能力及膝关节功能恢复均有明显改善,且康复组改善程度优于对照组,组间差异有统计学意义(=7.200,P=0.015;t=13.800,P=0.044).对于两组治疗效果,康复组优良率(89.7％)高于对照组(58.9％),组间差异有统计学意义(x2 =11.631,P=0.009).结论 系统性康复护理指导联合物理因子治疗能明显改善膝关节骨性关节炎患者的膝关节功能及ADL能力.
目的 觀察繫統性康複護理指導對膝關節骨性關節炎患者康複效果的影響.方法 將78例膝關節骨性關節炎患者利用隨機數字錶隨機分為康複組和對照組各39例,兩組均給予高頻熱療、中頻脈遲及蠟療治療,併給予常規健康教育.康複組在以上物理因子治療基礎上給予早期、繫統化的康複護理指導.兩組患者分彆于治療前和治療3箇療程後進行日常生活活動能力(ADL)及膝關節功能評定.結果 治療前兩組患者ADL能力及膝關節功能比較差異無統計學意義(P＞0.05)；治療3箇療程後,康複組患者ADL評分與膝關節功能評分分彆為(9.52±0.46)分,(68.82±0.74)分,對照組患者分彆為(8.71±0.66)分,(62.06±1.25)分,兩組患者ADL能力及膝關節功能恢複均有明顯改善,且康複組改善程度優于對照組,組間差異有統計學意義(=7.200,P=0.015;t=13.800,P=0.044).對于兩組治療效果,康複組優良率(89.7％)高于對照組(58.9％),組間差異有統計學意義(x2 =11.631,P=0.009).結論 繫統性康複護理指導聯閤物理因子治療能明顯改善膝關節骨性關節炎患者的膝關節功能及ADL能力.
목적 관찰계통성강복호리지도대슬관절골성관절염환자강복효과적영향.방법 장78례슬관절골성관절염환자이용수궤수자표수궤분위강복조화대조조각39례,량조균급여고빈열료、중빈맥충급사료치료,병급여상규건강교육.강복조재이상물리인자치료기출상급여조기、계통화적강복호리지도.량조환자분별우치료전화치료3개료정후진행일상생활활동능력(ADL)급슬관절공능평정.결과 치료전량조환자ADL능력급슬관절공능비교차이무통계학의의(P＞0.05)；치료3개료정후,강복조환자ADL평분여슬관절공능평분분별위(9.52±0.46)분,(68.82±0.74)분,대조조환자분별위(8.71±0.66)분,(62.06±1.25)분,량조환자ADL능력급슬관절공능회복균유명현개선,차강복조개선정도우우대조조,조간차이유통계학의의(=7.200,P=0.015;t=13.800,P=0.044).대우량조치료효과,강복조우량솔(89.7％)고우대조조(58.9％),조간차이유통계학의의(x2 =11.631,P=0.009).결론 계통성강복호리지도연합물리인자치료능명현개선슬관절골성관절염환자적슬관절공능급ADL능력.
Objective To observe the effect of system rehabilitation nursing guidance on the recovery of patients with knee osteoarthritis (KOA).Methods Seventy-eight patients with KOA were randomly divided into rehabilitation group and control group,with 39 cases of each group.All groups had been given high-frequency hyperthermia,intermediate-frequency pulse,wax treatment and routine health education.Based on these physical factors treatment,the patients in the rehabilitation group were given early and systematic rehabilitation nursing guidance.The activity of daily living (ADL) and knee function of all cases were observed before the treatment and after three courses of treatment.Results Before the treatment,no significant difference was found in the ADL and knee function between two groups (P ＞ 0.05).After three courses of treatment,ADL and knee function of two groups were improved when compared with that before the treatment,ADL score and knee function score of rehabilitation group respectively were (9.52 ± 0.46) and (68.82 ± 0.74),and those of control group were (8.71 ± 0.66) and (62.06 ± 1.25),and the differences were statistically significant ( t =7.200,13.800,respectively;P ＜0.05).The good rate of treatment effect of rehabilitation group was 89.7％,while that of the control group was 58.9％,with significant difference ( x2 =11.631,P ＜ 0.05 ).Conclusions System rehabilitation nursing guidance combining with physical factors treatment can significantly improve knee function and ADL of patients with knee osteoarthritis.
