Application of rehabilitation guidance based on discharge preparation service in knee arthroplasty

doi:10.3877/cma.j.issn.1674-134X.2022.02.016

Abstract

Abstract:

Objective

To explore the effect of rehabilitation guidance based on discharge planning, for patients after total knee arthroplasty (TKA).

Methods

From April 2019 to September 2020, a total of 210 patients who underwent primary total knee arthroplasty in Nanfang Hospital of Southern Medical University were prospectively selected. All the cases were divided into two groups according to random number table. The control group (n=105) received routine nursing and rehabilitation interventions, and the observation group (n =105) received continuous nursing mode of rehabilitation guidance based on discharge preparation service. Knee function scale and Bathel index were used to evaluate the joint function and activities of daily living of patients at admission, before discharge, and at one month and three months after discharge. The discharge readiness scale was used to compare the discharge readiness of the two groups. According to the data types, independent sample t test, rank sum test, chi square test and repeated measure ANOVA were used for statistical analysis.

Results

Through the rehabilitation guidance of discharge preparation service for patients undergoing total knee arthroplasty, the patients gradually improved their knee function and activities of daily living from admission to three months after the discharge. The experimental group performed better than the control group in discharge readiness score (t=36.020, P<0.01). No statistically significant difference was found in knee joint function before surgery or discharging(F=1.127, 0.936, both P>0.05). The experimental group showed better knee fucntion one month and three months after the surgery (F=21.069, 10.476, both P<0.01). The daily life activites of the two group showed no remarkable difference at admission or before the discharge(F=0.979, 1.158, both P>0.05), while the experimental group performed better than the control group later in one and three months after the discharge(F=19.463, 33.458, both P<0.01).

Conclusion

Application of rehabilitation guidance based on discharge planning after TKA would effectively improve joint function, daily life activities, thus promoting the patients to return to society.

Key words: Arthroplasty, replacement, knee, Discharge planning, Rehabilitation

Liangxiao Bao, Jing Li, Yang Zhang, Zhanjun Shi. Application of rehabilitation guidance based on discharge preparation service in knee arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(02): 236-240.

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References 15

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组别	例数	性别(例)		年龄[岁，(±s )]	身体质量指数[kg/m²，(±s )]	婚姻状况		平均病程[个月，(±s)]	文化程度(例)
组别	例数	男	女	年龄[岁，(±s )]	身体质量指数[kg/m²，(±s )]	已婚	未婚	平均病程[个月，(±s)]	小学及以下	初、高中	大专及以上
对照组	105	66	39	63±7	23±4	105	0	17±5	33	57	15
观察组	105	64	41	62±11	23±5	105	0	18±8	27	49	29
统计值		χ²＝0.081		t＝1.105	t＝0.309	-		t＝1.370	Z＝1.919
P值		0.776		0.270	0.757	-		0.172	0.055

组别	例数	性别(例)		年龄[岁，(±s )]	身体质量指数[kg/m²，(±s )]	婚姻状况		平均病程[个月，(±s)]	文化程度(例)
组别	例数	男	女	年龄[岁，(±s )]	身体质量指数[kg/m²，(±s )]	已婚	未婚	平均病程[个月，(±s)]	小学及以下	初、高中	大专及以上
对照组	105	66	39	63±7	23±4	105	0	17±5	33	57	15
观察组	105	64	41	62±11	23±5	105	0	18±8	27	49	29
统计值		χ²＝0.081		t＝1.105	t＝0.309	-		t＝1.370	Z＝1.919
P值		0.776		0.270	0.757	-		0.172	0.055

组别	例数	个人状态	适应能力	预期性支持	总分
对照组	105	19±5	38±5	24±4	75±4
观察组	105	24±4	43±5	31±4	98±5
t值		8.912	7.573	13.086	36.020
P值		<0.001	<0.001	<0.001	<0.001

组别	例数	个人状态	适应能力	预期性支持	总分
对照组	105	19±5	38±5	24±4	75±4
观察组	105	24±4	43±5	31±4	98±5
t值		8.912	7.573	13.086	36.020
P值		<0.001	<0.001	<0.001	<0.001

组别		例数	入院时	出院前	出院后1个月	出院后3个月	合计	F值	P值
对照组		105	47±3	63±7	67±7	79±3	64±5	20.136	<0.001
观察组		105	48±5	64±8	77±5	83±5	68±6	33.589	<0.001
合计			48±4	64±7	72±5	81±4	66±5	21.696	<0.001
组间	F值		1.127	0.936	21.069	10.476	16.791
比较	P值		>0.05	>0.05	<0.001	<0.001	<0.001

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