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基于健康赋权理论的并轨护理模式在门诊膝关节炎患者关节腔穿刺治疗后的应用

Application of integrated in-hospital and discharge care model based on health empowerment theory in patients with knee osteoarthritis after intra-articular injection

    摘要
  • 摘要:
    目的 探讨基于健康赋权理论的并轨护理模式在门诊膝关节炎患者关节腔穿刺治疗后的应用效果。
    方法 选取行膝关节穿刺治疗的160例患者为研究对象，并根据随机数字表法分为对照组80例和观察组80例。对照组采用传统护理模式，观察组在对照组基础上实施基于赋权理论的院内-院外并轨护理模式。比较2组患者的健康赋权水平(老年慢性病患者健康赋权量表)、自我护理能力自我护理能力量表(ESCA)和膝关节疼痛程度视觉模拟评分法(VAS)评分、Lysholm评分。比较2组治疗后的并发症发生情况。
    结果 观察组健康赋权量表的获取支持、责任信念、参与治疗、增长知识、重建自我维度评分及总分均高于对照组，差异有统计学意义(P < 0.05)。治疗后, 2组VAS评分低于治疗前，且观察组低于对照组，差异有统计学意义(P < 0.05);2组Lysholm评分高于治疗前，且观察组高于对照组，差异有统计学意义(P < 0.05)。观察组治疗1、2、3个疗程后的自我护理能力评分高于对照组，差异有统计学意义(P < 0.05)。治疗后，观察组并发症总发生率低于对照组，差异有统计学意义(P < 0.05)。
    结论 基于健康赋权理论的并轨护理模式可提高患者健康赋权水平及自我护理能力，可改善膝关节功能，减轻膝关节疼痛，并降低患者治疗后的并发症发生率。

     

    Abstract:
    Objective To investigate the effect of integrated in-hospital and discharge care model based on the health empowerment theory in patients with knee osteoarthritis after intra-articular injection.
    Methods A total of 160 patients undergoing knee joint puncture treatment were selected as the study objects, and were divided into control group (80 cases) and observation group (80 cases) according to random number table method. The control group received traditional nursing care, while the observation group received an integrated in-hospital and discharge care model based on the health empowerment theory in addition to the traditional care. The health empowerment level (Chronic Disease Health Empowerment Scale for the Elderly), self-care ability Exercise of Self-Care Agency (ESCA) Scale and knee pain severity Visual Analogue Scale (VAS) and Lysholm score were compared between the two groups. The incidence of complications after treatment was compared between the two groups.
    Results The scores for the dimensions of support acquisition, responsibility belief, participation in treatment, knowledge enhancement as well as self-reconstruction and the total score of the health empowerment scale were significantly higher in the observation group than those in the control group (P < 0.05). After treatment, VAS scores in two groups were significantly lower than before treatment, and observation group was significantly lower than the control group (P < 0.05); the Lysholm scores in two groups were significantly higher than before treatment, and the observation group was significantly higher than the control group (P < 0.05). The self-care ability scores after 1 course, 2 and 3 courses of treatment were significantly higher in the observation group than those in the control group (P < 0.05). The overall incidence of complications after treatment was significantly lower in the observation group than that in the control group (P < 0.05).
    Conclusion The integrated in-hospital and discharge care model based on the health empowerment theory can improve patients' health empowerment levels and self-care abilities, enhance knee function, relieve knee pain, and decrease the incidence of complications after treatment.

     

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