CAJ | 학술논문

目的：探讨责任康复护理制度对膝关节置换术后患者康复水平的影响。方法选择2012年1月~2014年2月于海南医学院附属医院收治的各类膝关节置换患者76例，将2012年1月~2013年4月收治的42例患者作为常规对照组，将2013年5月~2014年2月收治的34例患者作为责任康复组。常规对照组行常规护理，责任康复组增加责任康复护理措施，比较两组患者术后康复质量。结果责任康复组患者术后至出院期间，膝关节屈伸活动范围显著大于常规对照组，差异有统计学意义(P<0.05)。术后康复水平和生活质量高于常规对照组，差异均有统计学意义(P<0.05)。结论责任康复护理制度对于膝关节置换术后患者的康复进程有积极作用，值得在临床上推广使用。
목적：탐토책임강복호리제도대슬관절치환술후환자강복수평적영향。방법선택2012년1월~2014년2월우해남의학원부속의원수치적각류슬관절치환환자76례，장2012년1월~2013년4월수치적42례환자작위상규대조조，장2013년5월~2014년2월수치적34례환자작위책임강복조。상규대조조행상규호리，책임강복조증가책임강복호리조시，비교량조환자술후강복질량。결과책임강복조환자술후지출원기간，슬관절굴신활동범위현저대우상규대조조，차이유통계학의의(P<0.05)。술후강복수평화생활질량고우상규대조조，차이균유통계학의의(P<0.05)。결론책임강복호리제도대우슬관절치환술후환자적강복진정유적겁작용，치득재림상상추엄사용。
Objective To analyzed the clinical effect of responsibility rehabilitation nursing system in the rehabilitation process of total knee arthroplasty. Methods From February 2012 to February 2014, 76 patients after total knee arthro-plasty in the Affiliated Hospital of Hainan Medical University were selected and divided into two group according to the admission date, from January 2012 to April 2013, 42 patients were as the control group, from May 2013 to Februray 2014, 34 patiens were as the objective group. The conventional nursing plan for the rehabilitation process was used in the control group, and responsibility rehabilitation nursing system was additional used in the objective group. The dif-ference of rehabilitation effect and life quality were compared between the two group. Results Between postoperation and leaving hospital, range knee flexion and extension and function scores in the objective group were better than those in the control group, the differences were statistically significant (P<0.05). The life quality index and the rehabilitation effect were betterr than those in the objective group, the differences were statistically significant (P< 0.05). Conclu-sion It can get positive effect to use responsibility rehabilitation system nursing in the rehabilitation process of total Knee arthroplasty.