摘要
目的探讨早期系统康复教育对髋臼骨折术后疗效及生活质量的影响。方法选择124例单侧髋臼骨折患者,随机分为康复组和对照组,每组各62例,康复组采用早期系统康复教育进行干预,对比两组Merled’s Aubigne评分、Barthel指数、欧洲五维健康量表评分。结果康复组术后3、6个月改良Merled’s Aubigne评分总分均显著高于对照组,髋关节功能恢复效果明显优于对照组(P均<0.05)。康复组术后3、6个月改良Barthel指数总分均显著高于对照组,日常生活能力恢复效果明显优于对照组(P均<0.05)。康复组术后3、6个月EQ-5D行动能力、自理能力、日常活动能力、疼痛、焦虑/抑郁评分均显著高于对照组(P<0.05)。结论早期系统康复教育在术前及术后实施健康教育并于术后早期进行系统性康复训练指导有助于髋臼骨折术患者髋关节功能康复,提高日常生活功能和生活质量,改善患者预后。
Objective To investigate the effect of early rehabilitation education system efficacy and quality of life of acetabular fracture surgery. Methods A total of 124 cases of unilateral acetabular fracture patients were randomly divided into rehabilitation group and control group, 62 cases in each group, the rehabilitation group were early intervention system rehabilitation education. two Merled＇s Aubigne score, Barthel index, EQ-5D scores were compared.Results 3,6 months postoperative Merled＇s Aubigne score improved scores hip functional recovery in rehabilitation group were significantly higher than that in the control group（P〈0.05）. 3,6 months postoperative rehabilitation Modified Barthel Index scores were significantly higher, the ability to restore daily life were better than that in the control group（P〈0.05）. Rehabilitation group after 3, 6 months EQ-5D capacity for action, self-care, usual activities, pain, anxiety/depression scores were significantly higher than that in the control group（P〈0.05）. Conclusion Early rehabilitation education system in the preoperative and postoperative health education and training in the early postoperative rehabilitation systematic guidance to help patients with acetabular fractures hip surgery rehabilitation, improving activities of daily living and quality of life, improve prognosis.
出处
《中国现代医生》
2015年第4期141-144,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2009B153)
关键词
髋臼骨折
健康教育
康复训练
生活质量
Acetabular fractures
Health education
Rehabilitation training
Quality of life
