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目的探讨医护一体化随访管理模式对行人工膝关节置换术患者的影响。方法选取河北工程大学附属医院2013年9月—2015年5月收治的行人工膝关节置换术的患者80例,按照随机数字表法分为试验组与对照组,各40例。试验组给予医护一体化随访管理模式,对照组给予传统随访管理模式。随访6个月,比较两组患者日常生活能力评分、满意度、主观问卷评分、膝关节功能(HSS)评分及并发症发生情况。结果两组患者日常生活能力评分比较,差异无统计学意义(P>0.05)。试验组患者满意度评分高于对照组,主观问卷评分优良率高于对照组(P<0.05)。两组患者总有效率比较,差异无统计学意义(P>0.05)。治疗前后两组患者HSS评分比较,差异无统计学意义(P>0.05);治疗后两组患者HSS评分高于治疗前,差异有统计学意义(P<0.05)。两组患者均未发生严重并发症。结论对行人工膝关节置换术的患者采用医护一体化随访管理模式可改善患者关节功能,提高患者生活质量及满意度。
Objective To investigate the effect of integrated medical follow-up management on patients undergoing knee arthroplasty. Methods Eighty patients with prosthetic knee arthroplasty who were treated in Hebei University of Engineering Hospital from September 2013 to May 2015 were divided into experimental group and control group according to random number table method, 40 cases in each group. The experimental group was given the integrated follow-up management mode of medical care and the control group was given the traditional follow-up management mode. The patients were followed up for 6 months. The scores of daily living ability, satisfaction, subjective questionnaire score, knee function (HSS) score and complication were compared between the two groups. Results There was no significant difference in daily living ability scores between the two groups (P> 0.05). The satisfaction score of patients in experimental group was higher than that of control group, and the excellent and good rate of subjective questionnaire score was higher than that of control group (P <0.05). The total effective rate of two groups of patients, the difference was not statistically significant (P> 0.05). There was no significant difference in HSS score between the two groups before and after treatment (P> 0.05). The HSS score of the two groups after treatment was higher than that before treatment (P <0.05). No serious complications occurred in both groups. Conclusions The integrated medical-follow-up management mode in patients undergoing knee arthroplasty can improve joint function and improve patient’s quality of life and satisfaction.