5A干预对膝关节置换术患者疼痛与自我效能的影响-现代医学

5A干预对膝关节置换术患者疼痛与自我效能的影响

单位：1. 安徽太和县人民医院骨科, 安徽太和 236600;
2. 安徽太和县人民医院手术室, 安徽太和 236600

分类号：R473.6

出版年·卷·期（页码）：2018·46·第八期（966-969）

摘要：

目的：探究应用5A干预对膝关节置换术患者疼痛和自我效能的影响。方法：选取2014年7月-2017年7月于医院接受治疗的膝关节置换术患者86例，按随机数表法将患者分为对照组和观察组，每组各43例。对照组患者接受常规护理干预，观察组患者在对照组的基础上应用5A干预，在干预前后应用自我效能量表对患者自我效能进行测评并比较，干预后对患者疼痛和满意度进行测评并比较。结果：干预前对照组和观察组自我效能量表评分分别为：2.53±0.61、2.55±0.64，干预后两组自我效能量表评分分别为：2.81±0.70、3.36±0.67，干预后两组患者自我效能量表评分比较有统计学意义（P<0.05）；干预后对照组患者疼痛情况：轻度疼痛14例（32.6%）、中度疼痛12例（27.9%）、重度疼痛17例（39.5%）和疼痛量表评分6.95±1.36，观察组患者疼痛情况：轻度疼痛19例（44.2%）、中度疼痛18例（41.9%）、重度疼痛6例（13.9%）和疼痛量表评分4.28±1.53，两组患者疼痛情况比较有统计学意义（P<0.05）；对照组患者满意度情况：对照组患者满意度情况：非常满意8例（18.6%）、比较满意24例（55.8%）、基本满意8例（18.6%）、不满意3例（7.0%）和满意度74.4%，观察组患者满意度情况：非常满意14例（32.6%）、比较满意25例（58.1%）、基本满意4例（9.3%）、不满意0例（0%）和满意度90.7%，两组患者满意度情况比较有统计学意义（P<0.05）。结论：膝关节置换术患者应用5A干预能够有效缓解疼痛，提高患者的自我效能，改善患者满意度。

Objective:To explore the effect of 5A intervene on pain in patients undergoing knee arthroplasty. Methods:86 patients undergoing knee arthroplasty in the hospital from July 2014 to July 2017 were enrolled in this study. The patients were divided into control group and observation group according to the random number table method. The patients in the control group received routine nursing treatment. The patients in the observation group were treated with 5A on top of the routine nursing treatment. The self-efficacy scale was evaluated and compared before and after the intervention, also the pain and satisfaction were evaluated and compared. Results:The patient's self-efficacy was assessed and compared before and after the intervention, also the patient's pain and satisfaction were measured and compared. The self-efficacy scale scores of the control group and the observation group were (2.53±0.61)and (2.55±0.64)respectively. After the intervention, the scores of the self-efficacy scale were (2.81±0.70)and(3.36±0.67)respectively. After the intervention, 14 cases had mild pain (32.6%), 12 cases had moderate pain (27.9%), 17 cases had severe pain (39.5%), pain score was (6.95±1.36). While in the control group:19 cases had mild pain (44.2%), 18 cases had moderate pain (41.9%), 6 cases had severe pain (13.9%) and pain scale score was 4.28 (P<0.05). The satisfaction rate of the patients in the control group was 74.4%, it was 90.7% in the observation group, being statistically significant (P<0.05). Conclusion:Knee arthroplasty patients with 5A intervention can effectively relieve pain, improve patient self-efficacy and patient satisfaction.

参考文献：

[1] 赵昌盛,钟群杰,林剑浩,等.中国膝关节骨关节炎流行病学调查现状[J].广东医学,2016,37(13):2050-2052.
[2] 刘康妍,郑聪,胡海澜,等.骨关节炎流行病学研究[J].中华关节外科杂志:电子版,2017, 11(3):320-323.
[3] 汪听亚,裘敏蕾,樊天佑,等.软骨下骨在骨关节炎发病机制中的研究进展[J].中国骨与关节杂志,2016,14(2):149-153.
[4] FARROKHI S,TASHMAN S, GIL A B,et al.Are the kinematics of the knee joint altered during the loading response phase of gait in individuals with concurrent knee osteoarthritis and complaints of joint instability? A dynamic stereo X-ray study[J]. Clin Biomech,2012,27(4):384-389.
[5] 杨勇,赵良虎,黄金,等.膝关节置换术结合中药疗法对膝关节骨性关节炎的临床疗效研究[J].中国骨质疏松杂志,2016,22(7):837-841.
[6] WORSLEY P, STOKES M, BARRETT D,et al.Joint loading asymmetries in knee replacement patients observed both pre-and six months post-operation[J]. Clin Biomech,2013,28(8):892-897.
[7] 张敏琴,王争.自我效能增强干预对膝关节骨折术后患者功能锻炼康复效果的影响[J].护士进修杂志,2012,27(9):852-853.
[8] 蔡亚萍,王联丽,刘相中,等.5A法随访干预对社区癌症患者自我管理的影响[J].护理与康复,2013,12(12):1184-1186.
[9] 刘鹏,周振宇,陈宏林,等.全膝关节置换术后自我效能训练与康复的效果研究[J].中国全科医学,2012,15(35):4128-4130.
[10] 叶和梅,黄兴兰.红光治疗仪治疗78例膝关节炎患者的效果分析[J].激光杂志,2014,39(7):119-120.
[11] MCGINNIS K, SNYDER-MACKLER L, FLOWERS P, et al.Dynamic joint stiffness and co-contraction in subjects after total knee arthroplasty[J]. Clin Biomech,2013,28(2):205-210.
[12] 尹海波,孙俊英,赵锡江,等.全膝置换术治疗类风湿与退变性膝关节炎的比较研究[J].实用骨科杂志,2017,23(2):128-133.
[13] 曹红,糜丽梅.双膝关节置换术围手术期的护理体会[J].护士进修杂志,2013,28(5):444-446.
[14] 常敏,蔡娟,刘哲,等.疼痛评估及护理对膝关节置换术患者术后活动能力的影响[J].国际护理学杂志,2017,36(10):1340-1342.
[15] 张国莉,张丽敏.应用5A护理模式提高肺癌术后化疗患者自我效能[J].护理学杂志,2016,31(6):91-92.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录