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目的:探讨目标管理在膝关节置换术后患者康复训练管理中的实践效果。方法:选取浙江省温州市中西医结合医院2015年2月~2016年8月收治的48例膝关节置换术后患者作为研究对象,按照随机数字表法将其分成两组,每组24例。观察组给予常规康复训练联合目标管理康复训练模式,对照组给予常规康复训练模式,比较两组患者术后康复训练效果,1周、2周、1个月、3个月、6个月的膝关节活动度(ROM),膝关节评分(HSS)及患者满意度。结果:观察组术后康复训练效果显著优于对照组(P<0.05);观察组术后1周、2周、1个月、3个月、6个月的ROM、HSS及患者满意度较对照组均明显升高(P<0.01)。结论:目标管理在膝关节置换术后患者康复训练管理中效果显著,加快患者康复速度,提高患者满意度。
Objective: To explore the practical effect of target management in rehabilitation training of patients after knee replacement. Methods: Forty-eight patients who undergone knee arthroplasty were enrolled in the Integrative Medicine Hospital of Wenzhou City, Zhejiang Province from February 2015 to August 2016. The patients were divided into two groups (24 cases in each group) according to random number table. The observation group was given routine rehabilitation training combined with target management rehabilitation training mode, while the control group was given conventional rehabilitation training mode. The effects of rehabilitation training were compared between the two groups. One week, two weeks, one month, three months and six months knee ROM, knee score (HSS), and patient satisfaction. Results: The results of postoperative rehabilitation training in observation group were significantly better than those in control group (P <0.05). The ROM, HSS, and patient satisfaction in observation group at 1 week, 2 weeks, 1 month, 3 months and 6 months after operation were significantly higher than those in control group The control group were significantly higher (P <0.01). Conclusion: Objective management has significant effect on the management of rehabilitation training in patients after knee arthroplasty, speeding recovery and improving patient satisfaction.