Application of Guided Care nursing model intervention in postoperative rehabilitation of total knee arthroplasty patients
10.3760/cma.j.cn115682-20240712-03896
- VernacularTitle:Guided Care护理模式干预在全膝关节置换患者术后康复中的应用
- Author:
Yingchao TANG
1
;
Xuan WEI
1
;
Ruijuan LI
1
;
Fuxiao WANG
1
;
Yanmei ZHENG
1
Author Information
1. 郑州市骨科医院健康城关节病科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Joint replacement surgery;
Rehabilitation nursing;
Guided Care nursing;
Exercise adherence;
Knee joint function
- From:
Chinese Journal of Modern Nursing
2025;31(17):2325-2329
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of the Guided Care nursing model on exercise adherence and knee joint function recovery in patients after total knee arthroplasty (TKA) .Methods:A total of 106 TKA patients from Zhengzhou Orthopedic Hospital, selected by convenience sampling between January 2023 and January 2024, were randomly assigned to the observation group and the control group (53 patients in each group) . The control group received routine nursing care, while the observation group received Guided Care nursing model intervention in addition to the routine care. Exercise adherence (assessed using the Orthopedic Patients' Exercise Adherence Scale) , knee joint function recovery [assessed using the Hospital for Special Surgery Knee Score (HSS) and Range of Motion (ROM) ] , and postoperative complication rates were compared between the two groups.Results:After intervention, the observation group showed significantly higher total scores for exercise adherence, HSS scores, and ROM compared to the control group ( P<0.05) . Additionally, the total postoperative complication rate in the observation group was lower than that of the control group, with statistically significant difference ( P<0.05) . Conclusions:The Guided Care nursing model intervention effectively improves exercise adherence in TKA patients, accelerates knee joint function recovery, and reduces postoperative complications.
