基于MDT协作理念的综合护理干预对膝关节置换患者康复的影响

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Abstract Objective To explore the comprehensive nursing intervention based on the concept of multidisciplinary temwork (MDT) on the rehabilitation of patients with knee replacement and clinical controlled research. Methods From January 2019 to April 2020, a total of 94 patients underwent artificial total knee arthroplasty (TKA) were selected in the Joint Surgery Department of the First People’s Hospital of Lianyungang City, Jiangsu Province. According to the random number method, they were divided into group A (comprehensive nursing after operation, 47 cases) and group B (MDT nursing on the basis of group A, 47 cases). The postoperative rehabilitation indicators, preoperative, 1, 7 d and 14 d postoperatively, American hospital of special surgery (HSS) score and visual analog scale (VAS), knee joint recovery index, postoperative quality of life score, and nursing satisfaction of two groups were observed. Results The number of days of hospitalization and the time of getting out of bed for the first time in group B were shorter than those in group A, while the hospitalization expenses were lower than those in group A, and the differences were statistically significant (P ＜ 0.05). There were statistically significant differences in HSS scoring time, between groups and the interaction between the two groups (P ＜ 0.05). Further pairwise comparisons showed that the HSS scores of the two groups were higher on 1, 7 d and 14 d after operation than before operation, and on 7 d and 14 d were higher than that on 1 d after operation, and the differences were statistically significant (P ＜ 0.05). The HSS scores of group B were lower than those of group A at 7 d and 14 d after operation, and the differences were statistically significant (P ＜ 0.05). There were statistically significant differences in the VAS time, between groups and the interaction between the two groups (P ＜ 0.05). Further comparisons between the two groups showed that the VAS of the two groups were higher on the 7 d and 14 d after the operation than before and 1 d after the operation, and the differences were statistically significant (P ＜ 0.05). The VAS of group B were higher than those of group A at 7 d and 14 d after operation, and the differences were statistically significant (P ＜ 0.05). In the knee joint recovery index of group B, while the time required for knee flexion ＞90° was shorter than that of group A, and the differences were statistically significant (P ＜ 0.05). The maximum flexion, range of motion and knee flexion in group B were greater than those in group A, and the differences were statistically significant (P ＜ 0.05). The physiological function, physical pain, energy, social function, emotional title, mental health, health status and daily activities scores of group B were higher than those of group A, and the differences were statistically significant (P ＜ 0.05). The nursing satisfaction of group B was high in group A, and the difference was statistically significant (P ＜ 0.05). Conclusion The comprehensive intervention based on the MDT collaboration concept can improve the knee joint function of patients with postoperative OA, reduce pain especially at 7 and 14 d after surgery, effectively improve the quality of life and increase nursing satisfaction.

Key words： Multidisciplinary collaboration Comprehensive care Knee osteoarthritis Knee joint function

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	YIN Yuanyuan* HUO Lijuan* CHEN Ying* DONG Yuefu▲ LIU Jian▲

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YIN Yuanyuan* HUO Lijuan* CHEN Ying* DONG Yuefu▲ LIU Jian▲. Effect of comprehensive nursing intervention based on the concept of MDT writing on the rehabilitation of patients with knee replacement[J]. 中国医药导报, 2021, 18(16): 163-167.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I16/163

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