基于压力与应激理论的照护方案在单侧全膝关节置换术患者中的应用效果

doi:10.3969/j.issn.1671-7171.2026.02.015

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Abstract 【Objective】 To explore the application effect of a care plan based on stress and stress theory in patients undergoing unilateral total knee arthroplasty (TKA). 【Methods】 A total of 88 patients undergoing unilateral total knee arthroplasty admitted to our hospital from January 2022 to December 2024 were selected and divided into the observation group and the control group according to the random number table method, with 44 cases in each group. The control group received routine perioperative nursing, while the observation group received a care plan based on stress and stress theory. The serological indicators [cortisol (COR), adrenocorticotropic hormone (ACTH)] at 48 hours after operation, knee joint function [Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score], emotional state [Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)], and quality of life [36-Item Short Form Health Survey (SF-36)] at 3 months after operation were compared between the two groups. 【Results】 At 48 hours after operation, the levels of COR and ACTH in the observation group were lower than those in the control group, with statistically significant differences (P<0.05). At 3 months after operation, the scores of WOMAC, SAS and SDS in the observation group were lower than those in the control group, and the SF-36 score was higher than that in the control group, with statistically significant differences (P<0.05). 【Conclusion】 The care plan based on stress and stress theory can effectively reduce the perioperative stress response of patients undergoing unilateral total knee arthroplasty, improve the postoperative knee joint function, alleviate negative emotions, and improve the quality of life, which has good clinical application value.

Key words： Arthroplasty, Replacement, Knee Nursing Care Stress, Psychological

Received: 04 September 2025

PACS:

R684.76

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	Articles by authors
	SUN Qian
	ZHAO Shuping
	CHAI Xiuwen

Cite this article:

SUN Qian,ZHAO Shuping,CHAI Xiuwen. Application Effect of Care Plan Based on Stress and Stress Theory in Patients Undergoing Unilateral Total Knee Arthroplasty[J]. JOURNAL OF CLINICAL RESEARCH, 2026, 43(2): 231-234.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2026.02.015 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2026/V43/I2/231

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