The impact of continuous nursing combined with evidence-based nursing on postoperative patients with knee joint military training injuries
延续护理联合循证护理对膝关节训练伤术后患者的影响

摘要

目的 分析对训练所致膝关节损伤患者术后实施延续护理联合循证护理的效果。方法 抽取2023年4月-2024年4月期间于本院接受手术治疗的训练所致膝关节损伤患者48例，以随机数字表法分组，接受常规护理的30例患者为对照组，接受延续护理联合循证护理的30例患者为观察组，对比膝关节功能[膝关节功能量表（Hospital for Special Surgery, HSS）、平衡量表（Berg Balance Scale, BBS）]、步幅及最大步速。结果 （1）护理前，2组HSS及BBS评分对比差异均无统计学意义（P＞0.05）；护理后，2组HSS及BBS评分较护理前均有所上升，2组间对比，观察组评分均更高，差异有统计学意义（P＜0.05）；（2）护理前，2组步幅及最大步速对比差异无统计学意义（P＞0.05）；护理后，2组步幅及最大步速较护理前均有所提升，2组对比，观察组步幅更大，最大步速更快，差异有统计学意义（P＜0.05）。结论 对于接受手术治疗的训练所致膝关节损伤患者实施延续护理联合循证护理，可改善患者膝关节功能，提高步幅及步速。

Abstract

Objective Analyze the effect of implementing continuous nursing combined with evidence-based nursing for patients with knee joint injuries caused by military training after surgery.
Methods Seventy patients with knee joint injuries caused by military training who received surgical treatment in our hospital from April 2023 to April 2024 were randomly divided into two groups using a random number table method. The control group consisted of 35 patients receiving routine care, while the observation group consisted of 35 patients receiving continued care combined with evidence-based care. The knee joint function [Hospital for Special Surgery (HSS), Berg Balance Scale (BBS)], stride, and maximum pace were compared.
Results (1) Before nursing, there was no statistically significant difference in the HSS and BBS scores between the two groups (P>0.05); After nursing, the HSS and BBS scores of both groups increased compared to before nursing. Compared between the two groups, the observation group had higher scores, and the difference was statistically significant (P<0.05); (2) Before nursing, there was no statistically significant difference in stride and maximum pace between the two groups (P>0.05); After nursing, both groups showed an increase in stride and maximum walking speed compared to before nursing. In the comparison between the two groups, the observation group had a larger stride and a faster maximum walking speed, with a statistically significant difference (P<0.05).
Conclusion   Implementing continuous nursing combined with evidence-based nursing for patients with knee joint injuries caused by military training undergoing surgical treatment can improve knee joint function, increase stride and pace.