Effect of Proprioception and Balance Training Combined with Continuous Nursing on BBS Score and HSS Score of Patients Undergoing Total Knee Arthroplasty

Abstract

Background. Total knee arthroplasty is one of the most effective methods for the treatment of end-stage knee osteoarthritis, but 10% of patients still show insufficient function, strength, and mobility. Continuous nursing service plays an important role in the rehabilitation of patients undergoing total knee arthroplasty. For discharged and convalescent patients, the traditional follow-up model cannot solve the nursing problems of discharged patients. How to meet the health needs of discharged patients under the limited nursing resources has become an existing problem. Objective. To explore the effect of proprioception and balance training combined with continuous nursing on Berg balance scale (BBS) score and Hospital for Special Surgery (HSS) score of patients undergoing total knee arthroplasty (TKA) is the objective of this study. Methods. Sixty patients undergoing TKA in our hospital from December 2019 to April 2021 were enrolled. The patients were randomly assigned into the control group and the study group. The control group received continuous nursing, and the study group received proprioception and balance training combined with continuous nursing. Results. The nursing satisfaction of the study group was higher than that of the control group ( $P<0.05$ ). The HSS scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were higher than those in the control group ( $P<0.05$ ). It was higher in the study group than in the control group at 1 month, 3 months, and 6 months after discharge ( $P<0.05$ ). The pain catastrophizing score of the study group at discharge was lower than that of the control group at 1 month, 3 months, and 6 months after discharge ( $P<0.05$ ). The BBS scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were higher than those in the control group ( $P<0.05$ ). The Lindmark balance scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were lower than those in the control group ( $P<0.05$ ). Conclusion. Proprioception and balance training combined with continuous nursing can effectively promote the recovery of knee joint function of patients after TKA, enhance patients’ pain catastrophizing grade, enhance patients’ quality of life, effectively promote patients’ knee joint function and BBS score, and promote the improvement of disease.