探讨健康教育互动模式对全膝置换术后患者早期膝关节功能锻炼及功能恢复的影响。

选取2016年1月至2016年12月的西安交通大学第二附属医院骨科113例住院行全膝关节置换术患者，使用随机数字对照法分为实验组59例和对照组54例。实验组在医护全程诊疗模式的基础上成立健康教育互动模式小组，制定人工全膝关节置换术系统性、规范化术后早期功能锻炼护理路径表并按路径表实施一对一互动功能锻炼指导。对照组则采用传统健康宣教方法。应用t检验分别比较两组患者在术前、术后3、7、14 d的特种外科医院(HSS)评分。

通过健康互动模式制定早期功能锻炼路径计划表在人工全膝置换术后早期功能锻炼中的应用，使用HSS膝关节功能评分表对两组患者的术前、术后3 d、术后7 d及术后14 d的患肢功能锻炼效果进行评价，实验组患者的HSS评分在术后优于对照组(术后3 d t＝0.67，术后7 d t＝4.78，术后14 d t＝3.63，均为P<0.05)。

健康教育互动模式在全膝置换术后早期功能锻炼中应用，提高了患者进行术后锻炼的依从性，促进了膝关节功能的恢复，提高了患者的生活质量。

To investigate the effect of health education interaction pattern on the early functional exercise and recovery after total knee arthroplasty (TKA).

From January 2016 to December 2016, 113 patients who underwent TKA in the Second Affiliated Hospital of Xi 'an Jiaotong University were selected and divided into experimental group (59 cases) and control group (54 cases) by the random number control method. In the experimental group, a health education interactive pattern group was set up on the basis of consecutive medical diagnosis-treatment mode, and a nursing path table of early postoperative functional exercise was systematically and standard developed, and one-to-one interactive rehabilitation guidance was implemented according to the nursing path table. The control group was given the traditional health education method. The Hospital of Special Surgery (HSS) scores of the two groups before operation and three, seven and 14 days after operation were compared by t test.

The application of early rehabilitation nursing path through healthy interaction pattern in the early rehabilitation after TKA, the HSS score was used to evaluate the effect of functional exercise before operation and three, seven and 14 days after operation between the two groups. The HSS score of the experimental group was higher than that of the control group (3 d t=0.67, 7 d t=4.78, 14 d t=3.63; all P<0.05).

The healthy interaction pattern in the early rehabilitation after TKA could improve the exercise compliance, promote the recovery of knee joint function and improve the life quality of patients.