Jingjing Wu1, Xueyao Gong2, Wei Lu3, Deqing Wang4, Cuilian Tan5, Juanjuan Liao6, Jindong Feng7. 1. Department of Integrated TCM & Western Medicine, Suizhou Hospital, Hubei University of Medicine No. 60, Longmen Street, Suizhou 441300, Hubei Province, China. 2. Department of Psychiatry, Suizhou Hospital, Hubei University of Medicine (Jiliang Hospital Area) No.8 Jishiliang Street, Suizhou 441300, Hubei Province, China. 3. Department of Head, Neck and Abdominal Tumor Area, Suizhou Hospital, Hubei University of Medicine No. 60, Longmen Street, Suizhou 441300, Hubei Province, China. 4. Department of ENT & HN Surgery, Suizhou Hospital, Hubei University of Medicine No. 60, Longmen Street, Suizhou 441300, Hubei Province, China. 5. Department of Colorectal and Anal Surgery, Suizhou Hospital, Hubei University of Medicine No. 60, Longmen Street, Suizhou 441300, Hubei Province, China. 6. Department of Critical Medicine, Suizhou Hospital, Hubei University of Medicine No. 60, Longmen Street, Suizhou 441300, Hubei Province, China. 7. Department of Pain, Suizhou Hospital, Hubei University of Medicine No. 60, Longmen Street, Suizhou 441300, Hubei Province, China.
Abstract
OBJECTIVE: To analyze the effect of comprehensive traditional Chinese medicine (TCM) care on the clinical efficacy and psychological improvement of elderly patients with knee arthritis. METHODS: Retrospective analysis was conducted on 114 patients with knee osteoarthritis who underwent arthroscopic minimally invasive surgery in our hospital from January 2018 to January 2022. Among them, 55 patients received routine nursing served as the control group (CG), and the remaining 59 patients received comprehensive TCM care as the observation group (OG). Patients were re-examined two weeks after discharge from the hospital, and the knee joint function recovery effect, pain score, nursing satisfaction, as well as the changes in adverse mood, hospitalization expenses and length of hospitalization during the treatment were compared between two groups. Logistic regression analysis was used to identify factors affecting the curative effect of patients. RESULTS: Compared with the CG, the OG held a significantly better clinical efficacy and lower knee joint score and visual analogue scale (VAS) score (P<0.05). After intervention, the OG showed markedly higher SF-36 score as well as notably declined scores of anxiety and depression than the CG (P<0.05). Quadriceps peak torque ratio (H/Q), as well as satisfaction of patients on nursing in the OG was comparatively better than those of the CG (P<0.05). For hospitalization costs and length of stay, the OG has proven to be more economical and effective with lower cost in both two indexes (P<0.05). Age, course of disease, and nursing program were risk factors affecting the efficacy of treatment in patients (P<0.05). CONCLUSION: Comprehensive TCM care markedly improved the clinical efficacy of the elderly with knee arthritis, relieved patients' pain, and improved knee function and quality of life, as well as reduced patients' anxiety and economic pressure. AJTR
OBJECTIVE: To analyze the effect of comprehensive traditional Chinese medicine (TCM) care on the clinical efficacy and psychological improvement of elderly patients with knee arthritis. METHODS: Retrospective analysis was conducted on 114 patients with knee osteoarthritis who underwent arthroscopic minimally invasive surgery in our hospital from January 2018 to January 2022. Among them, 55 patients received routine nursing served as the control group (CG), and the remaining 59 patients received comprehensive TCM care as the observation group (OG). Patients were re-examined two weeks after discharge from the hospital, and the knee joint function recovery effect, pain score, nursing satisfaction, as well as the changes in adverse mood, hospitalization expenses and length of hospitalization during the treatment were compared between two groups. Logistic regression analysis was used to identify factors affecting the curative effect of patients. RESULTS: Compared with the CG, the OG held a significantly better clinical efficacy and lower knee joint score and visual analogue scale (VAS) score (P<0.05). After intervention, the OG showed markedly higher SF-36 score as well as notably declined scores of anxiety and depression than the CG (P<0.05). Quadriceps peak torque ratio (H/Q), as well as satisfaction of patients on nursing in the OG was comparatively better than those of the CG (P<0.05). For hospitalization costs and length of stay, the OG has proven to be more economical and effective with lower cost in both two indexes (P<0.05). Age, course of disease, and nursing program were risk factors affecting the efficacy of treatment in patients (P<0.05). CONCLUSION: Comprehensive TCM care markedly improved the clinical efficacy of the elderly with knee arthritis, relieved patients' pain, and improved knee function and quality of life, as well as reduced patients' anxiety and economic pressure. AJTR
Authors: Regina Wing Shan Sit; Keith Kwok Wai Chan; Dan Zou; Dicken Cheong Chun Chan; Benjamin Hon Kei Yip; Daisy Dexing Zhang; Ying Ho Chan; Vincent Chi Ho Chung; Kenneth Dean Reeves; Samuel Yeung Shan Wong Journal: Ann Fam Med Date: 2018-11 Impact factor: 5.166