摘要
目的:探讨基于目标导向的康复训练对髋部骨折患者术后功能恢复的影响。方法:将收治的70例髋部骨折患者分为对照组和观察组,每组各35例。对照组术后予以常规康复训练;观察组术后予以基于目标导向的康复训练,两组均干预至术后4周。比较两组出院时及术后4周康复锻炼依从性、术后各时间点(术后1、2、4周)行走能力[起立-步行计时测试(TUGT)]及平衡能力[Berg平衡量表(BBS)],比较干预前及术后各时间点(术后1、2、4周)日常生活能力[日常生活活动能力评分(MBI)]及髋关节功能[髋关节评分量表(Harris)]。结果:出院时及术后4周,观察组康复锻炼依从性优良率均高于对照组(P<0.05)。随时间推移,两组TUGT评分均下降(P<0.05),且观察组低于对照组(P<0.05)。随时间推移,两组BBS评分、MBI评分及Harris评分均上升(P<0.05),且观察组高于对照组(P<0.05)。结论:对髋部骨折术后患者实施基于目标导向的康复训练效果可显著提升患者康复锻炼依从性,进而促进患者步行能力、平衡能力、日常生活能力及髋关节功能恢复。
Objective:To explore the effect of goal-oriented rehabilitation training on postoperative functional recovery in patients with hip fracture.Methods:70 patients with hip fractures admitted were divided into a control group and an observation group,with 35 cases in each group.The control group was given routine rehabilitation training after operation,and the observation group was given goal-oriented rehabilitation training after operation.Both groups were intervened until 4 weeks after operation.The rehabilitation exercise compliance at discharge and 4 weeks after operation,walking ability[Timed Up and Go Test(TUGT)]and balance ability[Berg Balance Scale(BBS)]at each time point after operation(1 week after operation,2 weeks during operation and 4 weeks after operation)were compared between the two groups,and the daily living ability[Activity of Daily Living Scale(MBI)]and hip function[Hip Score Scale(Harris)]before intervention and at each time point after operation(1 week after operation,2 weeks during operation and 4 weeks after operation)were compared.Results:At discharge and 4 weeks after operation,the excellent and good rate of rehabilitation exercise compliance in the observation group was higher than that in the control group(P<0.05).With the passage of time,the TUGT scores of the two groups decreased(P<0.05),and the observation group was lower than the control group at each time point(P<0.05).With the passage of time,the BBS score,MBI score and Harris score of the two groups increased(P<0.05),and the observation group was higher than the control group at each time point(P<0.05).Conclusion:The effect of goal-oriented rehabilitation training on patients after hip fracture surgery can significantly improve the compliance of patients with rehabilitation exercise,and then promote the recovery of walking ability,balance ability,daily living ability and hip function.
作者
周惠子
余新颜
吴莹莹
ZHOU Hui-zi;YU Xin-yan;WU Ying-ying(Department of Joint Surgery,Hefei First People s Hospital,Hefei Binhu Hospital,Hefei 230092,Anhui,China)
出处
《川北医学院学报》
CAS
2024年第5期712-716,共5页
Journal of North Sichuan Medical College
关键词
髋部骨折
目标导向理论
康复训练
行走能力
平衡能力
日常生活能力
髋关节功能
Hip fracture
Goal-oriented theory
Rehabilitation training
Walking ability
Balance ability
Daily living ability
Hip joint function
