实用临床医药杂志2024,Vol.28Issue(24) :129-132,137.DOI:10.7619/jcmp.20244750

个体阶段化运动康复对全髋关节置换术后患者恢复效果的影响

Effect of individualized and staged exercise rehabilitation on recovery outcomes in patients after total hip arthroplasty

张燕 陈媛 田婕 张微 张玲霞
实用临床医药杂志2024,Vol.28Issue(24) :129-132,137.DOI:10.7619/jcmp.20244750

个体阶段化运动康复对全髋关节置换术后患者恢复效果的影响

Effect of individualized and staged exercise rehabilitation on recovery outcomes in patients after total hip arthroplasty

张燕 1陈媛 1田婕 1张微 1张玲霞2
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作者信息

  • 1. 南京医科大学附属南京医院/南京市第一医院骨科,江苏南京,210006
  • 2. 南京医科大学附属南京医院/南京市第一医院外科,江苏南京,210006
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摘要

目的 探讨个体阶段化运动康复对全髋关节置换术后患者并发症发生率、自我效能、关节功能及生活质量的影响.方法 选取140例行全髋关节置换术治疗患者,随机分为观察组和对照组,每组70例.对照组采用常规康复护理,观察组在常规康复护理基础上接受个体化分阶段式运动康复模式,包括术前以及术后早期(2周)、中期(4周)和晚期(3个月)4个阶段的定制化运动干预.比较2组患者并发症发生情况以及干预前后自我效能、Harris髋关节功能以及简明健康状况问卷(SF-36)评分.结果 观察组并发症总发生率低于对照组,干预后2组自我效能感量表评分、Harris髋关节功能评分、SF-36评分均提高,且观察组各项指标均高于对照组,差异有统计学意义(P<0.05).结论 个体化分阶段式运动康复模式对全髋关节置换术后患者的并发症、自我效能、功能恢复及生活质量具有积极影响,满足了患者个体化的需求,优化了患者术后恢复效果.

Abstract

Objective To investigate the impacts of individualized and staged exercise rehabili-tation on the incidence of complications,self-efficacy,joint function,and quality of life in patients after total hip arthroplasty.Methods A total of 140 patients undergoing total hip arthroplasty were randomly divided into observation group and control group,with 70 patients in each group.The con-trol group received routine rehabilitation nursing,while the observation group received individualized and staged exercise rehabilitation program on the basis of routine rehabilitation nursing,including ex-ercise interventions at preoperative,early postoperative(2 weeks),mid-postoperative(4 weeks),and late postoperative(3 months)stages.The incidence of complications and the scores of self-effica-cy,Harris hip function,and the 36-item Short-form Survey(SF-36)before and after intervention were compared between the two groups.Results The total incidence of complications in the observa-tion group was significantly lower than that in the control group(P<0.05).After the intervention,the scores of the Self-Efficacy Scale,Harris Hip Function Scale,and SF-36 were significantly im-proved in both groups,and all indicators in the observation group were higher than those in the control group(P<0.05).Conclusion Individualized and staged exercise rehabilitation has positive impacts on occurrence of complications,self-efficacy,functional recovery,and quality of life in patients after total hip arthroplasty,thereby meeting the individualized needs of patients and optimizing their postop-erative recovery outcomes.

关键词

个体化康复/分阶段式康复/运动康复/全髋关节置换术/生活质量/关节功能

Key words

individualized rehabilitation/staged rehabilitation/exercise rehabilitation/total hip arthroplasty/quality of life/joint function

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出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
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