Effect of nursing path in operating room on joint function recovery in patients undergoing arthroscopic ligament reconstruction
手术室护理路径对膝关节镜韧带重建术患者关节功能恢复的影响

摘要

目的 浅析膝关节镜韧带重建术患者实施手术室护理路径后对其关节功能的影响及价值。方法 设计样本100例，均选至于近五年在我院进行治疗膝关节韧带重建术患者，参考实施护理方案的差异（为患者讲解实验后引导其自行选择）均分所有患者，分别给予常规护理及手术室护理路径措施，对实验涉及膝关节功能评分、疼痛评分、并发症发生率以及手术时间、术后首次下床时间、住院时间数据实施收集记录，统计分析（运用SPSS软件完成）差异所在，验证手术室护理路径可行性。结果 出院时观察组患者膝关节功能评分均优于对照组，疼痛评分低于对照组，手术时间术后首次下床时间及住院时间均明显短于对照组，且并发症发生率数据得到明显控制，显低于对照组，两组间数据对比P值均达到﹤0.05数值，体现出统计学意义。结论 膝关节镜韧带重建术患者实施手术室护理路径，能够明显改善其膝关节功能、缓解疼痛、降低并发症风险，为促进康复奠定良好基础，值得临床借鉴、推广。

Abstract

Objective To analyze the effect and value of surgical nursing path on joint function in patients undergoing arthroscopic ligament reconstruction of knee joint.
Methods A total of 100 patients were selected for knee ligament reconstruction in our hospital in the past five years, and all patients were divided into routine nursing and operating room nursing routes according to the differences in the implementation of nursing plans (after explaining the experiment to the patients, guiding them to choose by themselves). Data related to knee joint function score, pain score, complication rate, operation time, first postoperative getting out of bed time, and hospitalization time were collected and recorded in the experiment, and differences were statistically analyzed (completed with SPSS software) to verify the feasibility of nursing paths in the operating room.
Results At discharge, the knee function score of the observation group was better than that of the control group, the pain score was lower than that of the control group, the operation time was significantly shorter than that of the control group, and the incidence of complications was significantly controlled, significantly lower than that of the control group, and the P value of data comparison between the two groups reached <0.05, reflecting statistical significance.
Conclusion   The operation room nursing path for patients undergoing arthroscopic knee ligament reconstruction can significantly improve their knee function, relieve pain and reduce the risk of complications, laying a good foundation for promoting rehabilitation, which is worthy of clinical reference and promotion.