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肩袖损伤患者术后康复锻炼依从性的影响因素

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目的:分析肩袖损伤患者术后康复锻炼依从性的影响因素.方法:选取 2021 年 5 月至 2023 年 5 月该院收治的 126 例肩袖损伤患者进行横断面研究,统计肩袖损伤患者术后康复锻炼依从性情况,采用Logistic回归分析肩袖损伤患者术后康复锻炼依从性的影响因素.结果:126 例肩袖损伤患者中完全依从 28 例,部分依从 56 例,依从性为 66.67%(84/126),设为依从组;不依从 42 例,设为不依从组;不依从组年龄≥60 岁、合并慢性病种类≥2 种、无康复人员帮助、自觉康复锻炼动作难度较大、无家属经常鼓励等占比均高于依从组,差异有统计学意义(P<0.05);经Logistic回归分析结果显示,年龄≥60 岁、合并慢性病种类≥2 种、无康复人员帮助、自觉康复锻炼动作难度较大、无家属鼓励等均为影响肩袖损伤患者术后康复锻炼依从性的危险因素(OR>1,P<0.05).结论:年龄≥60 岁、合并慢性病种类≥2 种、无康复人员帮助、自觉康复锻炼动作难度较大、无家属鼓励等均为影响肩袖损伤患者术后康复锻炼依从性的危险因素.
Influencing factors of postoperative rehabilitation exercise compliance in patients with rotator cuff injuries
Objective:To analyze influencing factors of postoperative rehabilitation exercise compliance in patients with rotator cuff injuries.Methods:A cross-sectional study was conducted on 126 patients with rotator cuff injuries admitted to this hospital from May 2021 to May 2023.The compliance of postoperative rehabilitation exercise in the patients with rotator cuff injuries was statistically analyzed.Logistic regression analysis was used to analyze the influencing factors of the postoperative rehabilitation exercise compliance in the patients with rotator cuff injuries.Results:Among the 126 patients with rotator cuff injuries,28 patients were completely compliant,56 patients were partially compliant,and the compliance rate was 66.67%(84/126),which was set as the compliance group;42 patients of non-compliance were set as non-compliance group.The proportions of the patients with age≥60 years old,type of combined chronic diseases≥2,lack of assistance from rehabilitation personnel,difficulty in conscious rehabilitation exercise,and lack of encouragement from family members in the non-compliance group were higher than those in the compliance group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age≥60 years old,type of combined chronic diseases≥2,lack of assistance from rehabilitation personnel,difficulty in conscious rehabilitation exercise and lack of encouragement from family members were all risk factors affecting the postoperative rehabilitation exercise compliance in the patients with rotator cuff injuries(OR>1,P<0.05).Conclusions:Age≥60 years old,type of combined chronic diseases≥2,lack of assistance from rehabilitation personnel,difficulty in conscious rehabilitation exercise and lack of encouragement from family members are the risk factors affecting the postoperative rehabilitation exercise compliance in the patients with rotator cuff injuries.

Rotator cuff injuryRehabilitation exerciseComplianceInfluencing factor

王凯、胡滨

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郑州市骨科医院运动医学科,河南 郑州 450052

肩袖损伤 康复锻炼 依从性 影响因素

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(8)
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