Application Of Human Holistic Nursing In Adult Patient With Kbd After Total Knee Arthroplasty

ObjectiveObservation standard whole nursing model in adult patients with kaschin-beck clinical effect of patients with knee arthroplasty rehabilitation, to explore standard overall nursing in the treatment effect of joint motion, joint pain, muscle strength, the influence of the complications, etc. methodsWill since January 2012- December 2013 Xian Yang Shi central hospital orthopedic adults admitted kaschin-beck disease(KBD) artificial knee replacement(TKA) in 40 patients were randomly divided into two groups, each group 20 cases, surgery done all by surgery operation skilled surgeons to complete. Control system adopts disease standard function of nursing, the experimental group USES the standard:(namely, health assessment, treatment, disposal, holistic nursing care care, life care, psychological nursing, guiding of education, and timely follow-up function training and professional services. Observation two nursing mode of adult patients with kashin-beck knee arthroplasty, muscle and joint pain, joint mobility postoperative complications such as clinical curative effect. results1. The comparison of the general conditions, two groups of patients in the observation group can be seen that the experimental group patients for the enthusiasm of postoperative exercise more, swelling, absorb quickly, from the overall situation was restored in the well;2. Joint movement, after two weeks of motion was significantly increased in the experimental group, in the direction of the bend and stretch both statistically difference, group activity is greater than the control group;3. Joint pain, respectively compared to 2 h, 6 h and 24 h after two groups of patients with pain index, the experimental results show that the experimental group than the control group at three time points after light, pain index significantly reduced;4. Muscle, the experimental group than the control group of muscle recovery after the experiment, also statistically difference, muscle strength recovery of experimental group is better than the control group;5. The index of lower limb venous thrombosis occurs no statistical difference, the vein thrombosis of lower limbs showed that’s standard for holistic nursing care protection temporarily in this study did not show advantage; conclusion1.the joint movementTwo weeks after the experimental joint motion of flexion and extension is greater than the control group, joint activities better functional recovery.2. joint pain,Experimental group patients pain index 2 h, 6 h and 24 h after surgery were significantly lower than the control group, showed that comprehensive humanistic care can relieve the clinical effect of postoperative pain.3, muscle strengthGroup of patients with muscle recovery is better than the control group.4, limb deep vein thrombusLower limb venous thrombosis did not differ between the two groups.Standard reduce joint pain in patients with general nursing, buckling deformation, stability, postoperative complications, such as clinical curative effect, increase the joint activity and muscle, played a positive role for the recovery, the treatment effect,improved the patients to improve the patient’s comfort, improve the satisfaction of the patients and their families; Patients with postoperative patients recover faster, significantly lower hospitalization days and total hospitalization cost reduction, improve the nursing safety and economic benefits; Standard to holistic nursing care to patients as the center, implement the responsibility system, strengthen the care team. Manage staff to have a more profound connotation of nursing care professional understanding, and show in nursing work; Nursing managers in nursing reform and development of scientific management continuously improved. These are to ensure the high quality nursing really has practical guiding significance to the ground, can promote the use.