Objective. The aim of the study was to explore the application and the effect of the triple prerehabilitation nursing model in the perioperative period of knee arthroplasty in diabetic patients. Methods. The prospectively included 60 patients with diabetes who underwent total knee replacement were admitted from August 2021 to April 2022 and were divided into 2 groups according to the (1 : 1) ratio. The control group was mainly given routine nursing care. On the basis of the control group, the observation group received triple prerehabilitation nursing. The postoperative knee flexion, hospital for the special surgery knee score (HSS), the daily living ability (Barthel) score, the modified fall efficacy scale (MFES) score, the recovery of the lower-limb muscle strength, and the incidence of complications were compared between the two groups. Results. The knee flexion degree and lower-limb muscle recovery of the observation group were better than those of the control group at 3 d, 7 d, and 14 d after operation (). The HSS score, Barthel score, and MFES score of the observation group were higher than those of the control group (). There was no significant difference in postoperative complications between the two groups (). Conclusion. The triple prerehabilitation nursing care for diabetic patients undergoing total knee replacement can promote the recovery of limb function.

中文翻译：

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三重康复前护理模式在糖尿病患者膝关节置换术围手术期的应用及效果


客观的。本研究旨在探讨三重康复前护理模式在糖尿病患者膝关节置换术围手术期的应用及效果。方法。前瞻性纳入2021年8月至2022年4月收治的60例接受全膝关节置换术的糖尿病患者，并根据（1：1）的比例分为2组。对照组主要给予常规护理。观察组在对照组基础上接受三重康复前护理。术后膝关节屈曲、医院特外科膝关节评分（HSS）、日常生活能力（Barthel）评分、改良跌倒疗效量表（MFES）评分、下肢肌力恢复情况及并发症发生情况对两组之间进行了比较。结果。观察组术后3 d、7 d、14 d膝关节屈曲度及下肢肌肉恢复情况均优于对照组（）。观察组的HSS评分、Barthel评分、MFES评分均高于对照组（）。两组术后并发症无显着差异（）。结论。糖尿病全膝关节置换患者的三重康复前护理可促进肢体功能的恢复。