Influencing factors and nursing of limb swelling among patients with total knee arthroplasty
10.3760/j.issn.1674-2907.2015.04.015
- VernacularTitle:全膝关节置换术患者术后肢体肿胀的影响因素及护理
- Author:
Jianmei LIU
1
;
Jian WANG
;
Meng FAN
;
Fuqiang GAO
Author Information
1. 100029 北京，中日友好医院骨科
- Keywords:
Nursing;
Total knee arthroplasty;
Limb swelling;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2015;21(4):414-416,417
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the nursing strategy and related factors for limb swelling after total knee arthroplasty ( TKA) for furtherly guiding and improving rehabilitation of patients in our clinical work. Methods A total of 183 patients, who underwent TKA during April to October 2013, were retrospective analysis and compared gender, ages, body mass index ( BMI ) , diagnosis before operation, the method of anesthesia, anticoagulation method, the using time of tourniquet, perioperative change of hemoglobin and type of prosthesis impacting on limb swelling after operation. All data were analyzed by SPSS 16. 0. Results Compared patients with BMI≤25 kg/m2 and those with BMI >25 kg/m2 , there was statistical difference on patients′circumference of 10 cm above knee (t= -0. 270,P<0. 05), but no significant differences among patients <60 years, 60 - 70 years and > 70 years ( P > 0. 05 ), the same as gender, the method of anesthesia, anticoagulation method having no impact on limb swelling (P>0. 05). The time of using tourniquet had no correlation with limb swelling by Pearson correlation analysis (P >0. 05). By two variable linear regression analysis, it represented that the effects of limb swelling including BMI, perioperative hemoglobin values and prosthesis type (P<0. 05). Conclusions Limbs swelling is easy to occur within the early postoperative period of TKA. Lower extremity swelling is related on BMI, perioperative hemoglobin values, and prosthesis type to some extent. Individualized nursing measures should be formulated to reduce postoperative limb swelling, and optimize patient rehabilitation training.
