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当代护理

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Contemporary Nursing. 2026; 7: (2) ; 10.12208/j.cn.20260112 .

Focus on solving the value of the nursing model in the intervention of patients after total knee arthroplasty
聚焦解决护理模式对全膝关节置换术后患者干预的价值

作者: 李敏 *

云南省昆明市石林彝族自治县人民医院 云南昆明

*通讯作者: 李敏,单位:云南省昆明市石林彝族自治县人民医院 云南昆明;

引用本文: 李敏 聚焦解决护理模式对全膝关节置换术后患者干预的价值[J]. 当代护理, 2026; 7: (2) : 178-180.
Published: 2026/2/21 11:10:14

摘要

目的 探讨聚焦解决护理模式在全膝关节置换术(TKA)后患者中的应用价值,为优化术后护理方案提供依据。方法 选取2023年3月-2024年3月在本院收治的60例TKA患者为研究对象,采用随机数字表法分为两组,对照组采用常规术后护理,观察组采用聚焦解决护理模式,两组均干预至术后4周。比较两组康复锻炼依从性及护理满意度。结果 观察组护理满意度显著高于对照组,观察组康复锻炼依从性优良率优于对照组(P<0.05)。结论 聚焦解决护理模式可有效减轻TKA术后患者疼痛,提高康复锻炼依从性,促进膝关节功能恢复,提升护理满意度,具有较高临床应用价值。

关键词: 全膝关节置换术;聚焦解决护理模式;膝关节功能;疼痛管理;康复依从性

Abstract

Objective To explore the application value of the solution-focused nursing model in patients after total knee arthroplasty (TKA), and to provide a basis for optimizing the postoperative nursing plan.
Methods Sixty patients with total knee arthroplasty (TKA) admitted to our hospital from March 2023 to March 2024 were selected as the research subjects. They were divided into two groups by random number table method. The control group received conventional postoperative care, while the observation group adopted the solution-focused care model. Both groups were intervened until 4 weeks after the operation. Compare the compliance of rehabilitation exercise and the satisfaction with nursing between the two groups.
Results The nursing satisfaction of the observation group was significantly higher than that of the control group, and the excellent and good rate of rehabilitation exercise compliance in the observation group (P < 0.05).
Conclusion   The solution-focused nursing model can effectively alleviate the pain of patients after total knee arthroplasty (TKA), improve the compliance of rehabilitation exercises, promote the recovery of knee joint function, and enhance nursing satisfaction. It has high clinical application value.

Key words: Total knee arthroplasty; Focus on solving the nursing model; Knee joint function; Pain management; Rehabilitation compliance

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