摘要
目的 讨论在膝关节骨性关节炎（OA）患者护理中应用康复护理（以行为转变理论为指导）的临床效果。方法 选取2021年10月-2022年10月本院收治的OA患者54例，采用双盲法进行分组，试验组（n=27例，以行为转变理论为指导的康复护理）和对照组（n=27例，常规护理）。对比两组患者在护理第1个月、第3个月和第6个月的膝关节功能（HSS量表），以及比较两组患者护理前后的自我护理能力（ESCA量表）和生活质量（GQOLI-74量表）。结果 试验组在护理的第1、3、6个月这三个时间点的HSS评分均大于对照组（P＜0.05）；护理前，两组患者的ESCA评分、GQOLI-74评分对比均无统计差异（P＞0.05）；护理后，两组患者的ESCA评分、GQOLI-74评分均有明显上升，且试验组的评分高于对照组（P＜0.05）。结论 在OA患者的护理中应用康复护理（以行为转变理论为指导）可以显著改善患者的膝关节功能，提高患者自我管理水平，促进患者生活质量的提高。
关键词： 膝关节骨性关节炎；行为转变理论；康复护理；膝关节功能
Abstract
Objective To discuss the clinical effects of applying rehabilitation nursing (guided by behavioral transformation theory) in the care of patients with knee osteoarthritis (OA). Methods 54 patients with OA admitted to our hospital from October 2021 to October 2022 were selected and divided into two groups using a double blind method. The experimental group (n=27 cases, rehabilitation nursing guided by behavior change theory) and the control group (n=27 cases, routine nursing) were selected. Compare the knee joint function (HSS scale) of two groups of patients at the first, third, and sixth months of care, as well as compare their self-care ability (ESCA scale) and quality of life (GQOLI-74 scale) before and after care. Results The HSS scores of the experimental group were higher than those of the control group at the first, third, and sixth months of nursing care (P<0.05); Before nursing, there was no statistical difference in the ESCA score and GQOLI-74 score between the two groups of patients (P>0.05); After nursing, the ESCA score and GQOLI-74 score of both groups of patients significantly increased, and the score of the experimental group was higher than that of the control group (P<0.05). Conclusion The application of rehabilitation nursing (guided by behavioral change theory) in the care of OA patients can significantly improve their knee joint function, enhance their self-management level, and promote the improvement of their quality of life.
Key words： Knee osteoarthritis; Behavior Transformation Theory; Rehabilitation care; Knee joint function
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