Intervention Effect Study of Aerobic Exercise Scheme Based on COM-B Model for Patients After total Hip Replacement Surgery
Objective To construct an aerobic exercise scheme for patients after total hip arthroplasty based on COM-B model and apply it to clinical practice with a small sample size.Methods The paper developed a suitable aerobic exercise scheme for patients after total hip arthroplasty through literature search and expert group meetings,and divided them into intervention group and control group with block randomization combined with random number table method.Control group was treated with routine rehabilitation methods after total hip arthroplasty,while intervention group with aerobic exercise scheme.Effect of aerobic exercise scheme in improving hip joint function,self-care ability,and reducing postoperative complications within 3 months was explored.Results The paper included 120 patients with total hip arthroplasty for study,and compared general information,hip joint function before intervention,self-care ability before intervention between two groups,there was no statistically significant difference(P>0.05).After postoperative aerobic exercise scheme,intervention group had better hip joint function and self-care ability at discharge,1 month and 3 months after discharge,incidence of complications within 3 months of discharge was significantly lower than control group,with statistical significance(P<0.05).Conclusion Aerobic exercise scheme based on COM-B model can improve Harris Hip Joint Function Scale scores and Barthel Index scores of patients after total hip arthroplasty at discharge,1 month and 3 months after discharge,with positive significance for incidence of complications within 3 months after discharge,which is worthy of promotion in clinical practice.
COM-B modelAerobic exercisetotal hip arthroplastySelf care ability in daily lifeComplications
万方数据
维普
