CAJ | 학술논문

目的通过对人工全膝关节置换术康复护理及其费用的研究,探讨康复护理的重要作用.方法采用回顾性调查,对2011年至2013年行人工全膝关节置换术的305例患者,按照制定的人工全膝关节置换术前、术后的护理及康复训练要求进行恢复,以2011年为对照,对比术前、术后患者的美国膝关节协会评分标准(KSS)评分、膝关节活动度,同时,对2011年至2013年康复护理相关费用进行统计分析.结果 2011、2012、2013年患者术前、术后KSS评分(t=5.30、7.99、11.20)及膝关节活动度(ROM)评分(t=8.21、4.57、7.86)比较,P＜0.05,差异有统计学意义,总费用、护理费随年度增长而增长,P＜0.05,差异有统计学意义;各年度康复费占比分别为5.77％(3 157/54 679)、4.60％(2 847/61 831)、5.15％(3 341/64930),各年度护理费占比分别为0.51％(280/54 679)、0.64％(393/61 831)、0.52％(338/64 930).结论术前、术后正确的康复锻炼是保障手术疗效的重要条件之一.康复及护理费用在总费用中占比较低,护理人员工作价值未得到充分体现.
목적 통과대인공전슬관절치환술강복호리급기비용적연구,탐토강복호리적중요작용.방법 채용회고성조사,대2011년지2013년행인공전슬관절치환술적305례환자,안조제정적인공전슬관절치환술전、술후적호리급강복훈련요구진행회복,이2011년위대조,대비술전、술후환자적미국슬관절협회평분표준(KSS)평분、슬관절활동도,동시,대2011년지2013년강복호리상관비용진행통계분석.결과 2011、2012、2013년환자술전、술후KSS평분(t=5.30、7.99、11.20)급슬관절활동도(ROM)평분(t=8.21、4.57、7.86)비교,P＜0.05,차이유통계학의의,총비용、호리비수년도증장이증장,P＜0.05,차이유통계학의의;각년도강복비점비분별위5.77％(3 157/54 679)、4.60％(2 847/61 831)、5.15％(3 341/64930),각년도호리비점비분별위0.51％(280/54 679)、0.64％(393/61 831)、0.52％(338/64 930).결론 술전、술후정학적강복단련시보장수술료효적중요조건지일.강복급호리비용재총비용중점비교저,호리인원공작개치미득도충분체현.
Objective To discuss the effect of rehabilitation nursing for total knee arthroplasty by discussing hospitalization expenses and its factors of rehabilitation nursing.Methods 305 patients who were underwent total knee arthroplasty from 2011 to 2013 were recruited and recovered according to rehabilitation nursing and training requirements established by our hospital.Patients admitted in 2011 were designated as control group.The comparison of American knee society knee score and knee rang of motion of patients were made and analyzed.Results The annual comparison of sores of pre-and post-operative KSS (t=5.30,7.99,11.20),and knee ROM of patients (t=8.21,4.57,7.86) showed that the difference was statistically significant (P＜0.05).The total costs and rehabilitation nursing expenses inreased year by year (P＜0.05).The proportion of rehabilitation and rehabilitation nursing expenses each year were 5.77％ (3 157/54 679),4.60％ (2 847/61 831),5.15％ (3 341/64 930) and 0.51％ (280/54 679),0.64％ (393/61 831),0.52 ％(338/64 930),respectively.Conclusions Pre-and post-operative correct rehabilitation exercises are one of the most important guarantee of curative effect.There is a lower percentage of rehabilitation nursing expenses in total costs,and the value of the nursing staff has not been fully reflected.