疼痛护理干预对全膝关节置换术后早期疗效的影响
The Influence of Pain Nursing Intervention on the Early Curative Effect after Total Knee Arthroplasty

目的：探讨疼痛护理干预对接受全膝关节置换术(Total knee arthroplasty, TKA)的患者早期疗效的影响。方法：将2019年1月至5月于我院行TKA手术的100名患者随机分为对照组(A组)和研究组(B组)，A组患者进行常规护理，B组患者在常规护理的基础上增加疼痛护理干预，比较两组患者术后早期VAS评分、膝关节活动度及膝关节功能评分(KSS)。结果：两组患者术后VAS评分差异有统计学差异(P < 0.05)；术后第4天、1周及术后1月ROM差异有统计学意义(P < 0.05)；两组患者术后1周时KSS临床和功能评分差异有统计学差异(P < 0.05)。结论：疼痛护理干预有利于患者术后缓解疼痛、功能恢复、提高患者手术满意度。
Objective: To explore the effect of pain nursing intervention on the early curative effect of patients undergoing total knee arthroplasty (TKA). Method: 100 patients who underwent TKA surgery in our hospital from January to May 2019 were randomly divided into a control group (group A) and a study group (group B). Patients in group A received routine care, and patients in group B received routine care. On the basis of pain nursing intervention, the early postoperative VAS score, knee range of motion and knee function score (KSS) were compared between the two groups. Results: There was a statistically significant difference in VAS scores between the two groups of patients after surgery (P < 0.05); there were statistically significant differences in ROM on the 4th day, 1 week and 1 month after surgery (P < 0.05); there were statistically significant differences in KSS clinical and functional scores at 1 week (P < 0.05). Conclusion: Pain nursing intervention is beneficial to patients’ postoperative pain relief, functional recovery, and improvement of patients' surgical satisfaction.