摘要

【摘要】
目的：探讨全膝关节置换术患者实施家属同步教育的延续性护理的临床价值及对患者情绪及心理的改善效果。

方法：遴选时段2019年5月-2021年5月内全膝关节置换术患者92例，根据随机数字表法分2组，实施常规护理46例（记对照组），实施家属同步教育的延续性护理46例（记观察组）。对比指标：患者心理及情绪状态、康复锻炼治疗依从性、膝关节功能评分（纽约特种外科医院膝关评分，HSS）、生活质量评分。

结果：相较对照组

结果，观察组患者康复锻炼依从率明显高，膝关节功能HSS评分显著高，生活质量SF-36评分均更高（P＜0.05）；且观察组干预后SAS、SDS评分较对照组显著低（P＜0.05）。

结论：实施家属同步教育的延续性护理，有利于改善全膝关节置换术患者不良心理情绪及康复锻炼依从性，以加快膝关节功能康复速率，实现提高患者预后的价值。

关键词：【关键词】：家属同步教育；延续性护理；全膝关节置换术；负面情绪

ABSTRACT

[Abstract]
Objective: To explore the clinical value of continuous nursing care of patients undergoing total knee arthroplasty (TKA) with simultaneous family education and its effect on improving patients' emotion and psychology.

Methods: 92 patients with total knee arthroplasty from May 2019 to may 2021 were selected and randomly divided into two groups, with 46 cases in the control group receiving routine nursing and 46 cases in the observation group receiving family synchronous education. Comparative indicators: psychological and emotional state, rehabilitation treatment compliance, knee function score (New York Special Surgery Hospital knee score, HSS), quality of life score.

Results: compared with the control group, the compliance rate of rehabilitation exercise, HSS score of knee joint function and SF-36 score of quality of life in the observation group were significantly higher (P < 0.05); The SAS and SDS scores of the observation group were significantly lower than those of the control group after intervention (P < 0.05).

Conclusion  : the implementation of family synchronous education continuity nursing, is conducive to improve the total knee arthroplasty patients' bad psychological mood and rehabilitation exercise compliance, in order to speed up the recovery rate of knee joint function, realize the value of improving the prognosis of patients.

Key words: [Key words]: simultaneous education of family members; Continuous nursing; Total knee arthroplasty; Negative emotions