| Objective:(1)Health education and evaluation were conducted in the response level,learning level,behaviour level,and outcome level of patients undergoing knee arthroscopy based on the Kirkpatrick’s model to provide the basis for nurses to conduct health education effectively.(2)To evaluate the effectiveness of a health education program based on the Kirkpatrick’s model in early rehabilitation training for patients undergoing arthroscopic knee surgery through empirical study.Methods:This study was designed as a quasi-experimental study.The subjects were 41 patients admitted to the Department of Orthopedic Surgery of the Second Affiliated Hospital of Shantou University Medical School from August 2020 to July 2021.The contents of the study include :(1)The response level of patients was evaluated by a questionnaire survey after nurses’ health education.Patients evaluated the health education of nurses by using the Questionnaire on the effect of nursing and rehabilitation education and analyzed their responses to the health education of nurses.(2)The learning level of patients was evaluated by knowledge test and rehabilitation action assessment,and the influence of early rehabilitation education on patients’ cognitive level and motor skills was analyzed.(3)The practical exercise supervision table method was used to evaluate the behavioural level of patients and analyze the influence of early rehabilitation education on the establishment of rehabilitation training behaviour of patients.(4)At the results level,outpatient follow-up,telephone interview,and We Chat follow-up were used for discharge follow-up,and patients’ recovery progress was analyzed.At the same time,the two groups of patients were compared before surgery,the first day after surgery,the third day after surgery,the day of discharge,three weeks after surgery,six weeks after surgery,three months after surgery,knee joint activity,muscle strength of affected limb,knee function,ability to assess daily living activities,rehabilitation exercise compliance and other rehabilitation effect indicators,to evaluate the patients’ rehabilitation training effect.Results:1.Evaluation results of rehabilitation health education process in experimental group In the response level questionnaire,the overall approval degree of nurses’ rehabilitation education was high,and the approval degree of nurses’ rehabilitation education attitude,content and skills was 95%,85.8% and 85%,respectively.Item 9,"I can do the nurse-directed rehabilitation." The average score was the lowest,3.70±0.571,and the average score of item 7,"what the nurse explains is what I want to know",was 3.80±0.523.In terms of cognitive evaluation of learning level,the correct rate of each question of mission patients was 5%-15%,and the correct rate of each question answered by nurses after mission education was 90%-100%.The difference in the correct rate of each question before and after mission education was statistically significant(P<0.05).In terms of pre-rehabilitation movement assessment,7 cases,13 cases and 14 cases were required to correct the errors of quadriceps muscle isometric contraction,hamstring muscle isometric contraction and straight leg elevation in 20 patients after the nurses’ education,and the accuracy of the three movements was only 65%,35% and 30%.At the level of behavioural rehabilitation training evaluation,19 patients underwent high-pressure straight knee pad training on the day of surgery,with an average duration of 21.32±7.79 minutes.Twenty patients underwent quadriceps femoris contraction training with a training frequency of 32.25±12.30 times.Eighteen patients underwent hamstring contraction training with a frequency of 32.50±13.42 times.On the first day after surgery,17 patients received active/passive straight leg raising training with a frequency of 48.53±25.36 times.On the second day after surgery,17 patients underwent active/passive leg raising training with a frequency of37.35±10.17 times.Fourteen patients underwent a range of motion training,and the training frequency was 37.85±18.47 times.Thirteen patients underwent standing training,and the average training time was 4.00±0.91 minutes.On the third day after surgery,18 patients received walking training with walking aids,and the average training time was 8.44±1.83 minutes.At the evaluation level of results level,the elongation of the experimental group was not significantly improved within three weeks after surgery(P>0.05);The flexion of the experimental group improved significantly within three weeks after surgery(P<0.05);The muscle strength of the affected limb in the experimental group was significantly enhanced within three weeks after surgery(P<0.05);The knee function of the experimental group was significantly improved within three months after surgery(P< 0.05);There was no significant change in functional exercise compliance of the experimental group within three months after surgery(P>0.05);The ability of daily living activities of the experimental group was significantly improved from postoperative to discharge(P<0.05).2.Comparison results of indicators between the two groups after intervention3.1 Comparison of knee motion and muscle strength between the two groups:compared with the control group,the effect of knee elongation in the experimental group was not evident within three weeks after surgery(P>0.05);The knee flexion of the experimental group was better than that of the control group within three weeks after surgery(P<0.05).The muscle strength of the affected limb in the experimental group was better than that in the control group within three weeks after the operation(P<0.05).3.2 Comparison of knee function between the two groups: the knee function score of the experimental group was better than that of the control group within three months after surgery(P<0.05).3.3 Comparison of rehabilitation exercise compliance between the two groups:functional exercise compliance of the experimental group was superior to that of the control group within three months after surgery(P<0.05).3.4 Comparison of daily living activities between the two groups: Daily living activities of the experimental group from postoperative to discharge were better than those of the control group(P<0.05).Conclusion:1.Kirkpatrick’s model can be used to reflect the problems existing in the rehabilitation health education of patients undergoing knee arthroscopy surgery and the patients’ mastery of the knowledge and skills related to rehabilitation and can dynamically evaluate the effectiveness of health education.2.Health education based on the Kirkpatrick’s model can improve the range of motion and muscle strength of arthroscopic knee surgery patients,improve their rehabilitation exercise compliance and ability of daily living activities,and promote the recovery of knee function. |
PDF Full Text Request