Effect of evidence-based and Delphi method-constructed proprioceptive rehabilitation nursing program on patients after anterior cruciate ligament reconstruction
循证和德尔菲法构建的本体康复护理方案对前交叉韧带重建术后患者的影响

摘要

目的 分析讨论循证和德尔菲法构建的本体康复护理方案对前交叉韧带重建术后患者的影响效果。方法 选择我院2023.01-2024.06所接收的80例前交叉韧带重建术后患者为研究对象，平均分为观察组（循证和德尔菲法构建的本体康复护理方案）与对照组（常规康复护理方案），比较两组护理前后肢体功能恢复情况（肌力分级标准表、BERG平衡量表、Holden步行功能分级表）、疼痛度（NRS）和生活质量。结果 1.护理前（P＞0.05）；护理后观察组肌力恢复、平衡能力以及步行能力（4.67±0.41分，41.63±6.71分，5.14±0.47分）均优于对照组（P<0.05）；2.护理后观察组NRS评分（3.76±1.11分）比对照组低，（P<0.05）；3.观察组生活质量（40.32±4.43）高于对照组（P<0.05）。结论 循证和德尔菲法构建的本体康复护理方案对前交叉韧带重建术后患者的康复护理效果（肢体功能恢复情况、疼痛度（NRS）和生活质量）明显，预后与远期效果均较可，有重要的临床应用价值，得广泛推广与应用。

Abstract

Objective To analyze and discuss the effect of evidence-based and Delphi method-constructed proprioceptive rehabilitation nursing program on patients after anterior cruciate ligament reconstruction.
Methods A total of 80 patients after anterior cruciate ligament reconstruction admitted to our hospital from January 2023 to June 2024 were selected as the research subjects and divided into an observation group (proprioceptive rehabilitation nursing program constructed by evidence-based and Delphi method) and a control group (conventional rehabilitation nursing program). The limb function recovery (muscle strength grading standard table, BERG balance scale, Holden walking function grading table), pain level (NRS) and quality of life before and after nursing were compared between the two groups.
Results 1. Before nursing (P＞0.05); after nursing, the observation group had better muscle strength recovery, balance ability and walking ability (4.67±0.41 points, 41.63±6.71 points, 5.14±0.47 points) than the control group (P<0.05); 2. After nursing, the NRS score of the observation group (3.76±1.11 points) was lower than that of the control group (P<0.05); 3. The quality of life of the observation group (40.32±4.43) was higher than that of the control group (P<0.05).
Conclusion   The proprioceptive rehabilitation nursing program constructed by evidence-based and Delphi method has obvious rehabilitation nursing effect (limb function recovery, pain degree (NRS) and quality of life) on patients after anterior cruciate ligament reconstruction, and the prognosis and long-term effects are relatively good. It has important clinical application value and should be widely promoted and applied.