The application effect of rehabilitation nursing based on dynamic static complementary balance theory inpostoperative functional exercise of patients with total knee replacement
基于动静互补平衡论的康复护理在全膝关节置换患者术后功能锻炼中的应用效果

摘要

目的 全膝关节置换患者术后功能锻炼中应用基于动静互补平衡论的康复护理的效果。方法 本次研 究所选取对象为 2022 年 9 月至 2023 年 8 月间我院采用全膝关节置换手术治疗的患者，一共在此阶段患者中选取 98 例并划为对照、观察组，分别应用常规护理模式及基于动静互补平衡论的康复护理。最终患者康复情况差异、 关节功能改善情况以及出现并发症的概率。结果 观察组患者术后康复各项情况时长上均明显低于对照组 （P<0.05）；两组患者护理后，关节功能评分 ROM、HSS 评分均提升，功能恢复较好，同时 ROM 评分降低， HSS 评分提升，且观察组两项评分均明显更好差异明显（P<0.05）；且观察组在并发症发生情况上也显著对于对 照组（P<0.05）。结论 基于动静互补平衡论的康复护理在术后功能锻炼中的应用对于全膝关节置换术患者而言， 提高了恢复的效率，缩短了一些首次进食、下床等时间，同时关节功能改善情况更好，并发症预防效果更佳。

Abstract

Objective To evaluate the effectiveness of rehabilitation nursing based on the theory of dynamic static complementary balance in postoperative functional exercise of patients undergoing total knee arthroplasty. Method The subjects selected for this study were patients who underwent total knee replacement surgery in our hospital from September 2022 to August 2023. A total of 98 patients in this stage were selected and divided into control and observation groups. The nursing mode of the control group was conventional nursing mode, while the nursing mode of the observation group was rehabilitation nursing based on the theory of dynamic static complementary balance. Differences in final patient rehabilitation, improvement in joint function, and probability of complications. Result The observation group had significantly lower postoperative first meal, urination, getting out of bed, straight leg elevation, and total hospital stay compared to the control group (P<0.05); After nursing care for both groups of patients, the joint function scores ROM and HSS were improved, and the function recovery was better. At the same time, the ROM score decreased, and the HSS score increased. The observation group had significantly better scores in both items, and the degree of recovery was significantly higher than the control group, with a significant difference (P<0.05); After more effective rehabilitation nursing interventions, the observation group also showed significantly higher incidence of complications compared to the control group (P<0.05).
Conclusion   The application of rehabilitation nursing based on the theory of dynamic and static complementary balance in postoperative functional exercise has improved the efficiency of recovery for patients undergoing total knee arthroplasty, shortened some first time eating, getting out of bed, and improved joint function, resulting in better prevention of complications.