工作能力强化训练对手外伤患者术后功能恢复、心理状态及日常生活活动能力的影响  

Effects of Intensive Training of Work Ability on Postoperative Functional Recovery,Psychological States and Daily Living Activities of Patients with Hand Injury

作　　者：江少平[1] JIANG Shaoping(Foshan Hospital of TCM,Foshan 528000,China)

机构地区：[1]佛山市中医院,广东佛山528000

出　　处：《中外医学研究》2020年第23期173-175,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究工作能力强化训练对手外伤患者术后功能恢复、心理状态及日常生活活动能力的影响。方法:选取2018年10月-2019年12月笔者所在医院收治的40例手外伤术后患者为受试对象,按照随机数表法均分为研究组与对照组,各20例。对照组采取常规康复治疗,研究组在对照组基础上给予工作能力强化训练。观察治疗前及治疗3个月后两组上肢功能[肌腱总主动活动度(MMDT)、普渡手精细运动评定(PPT)]、日常生活活动能力(Barthel指数)及心理状态[状态焦虑问卷(S-AI)]变化。结果:治疗3个月后,两组MMDT均低于治疗前,PPT均高于治疗前,且研究组MMDT、PPT均优于对照组,差异均有统计学意义(P<0.05);治疗3个月后,两组Barthel指数均高于治疗前,且研究组Barthel指数高于对照组,差异均有统计学意义(P<0.05);治疗3个月后,两组正性情绪评分均高于治疗前,负性情绪评分均低于治疗前,且研究组评分均优于对照组,差异均有统计学意义(P<0.05)。结论:工作能力强化训练可显著提高手外伤术后患者上肢功能及日常生活活动能力,改善患者心理状态。Objective:To explore the effects of intensive training of work ability on postoperative functional recovery,psychological states and daily living activities of patients with hand injury.Method:Forty patients after hand injury surgery from October 2018 to December 2019 who admitted to the author’s hospital were selected as the study subjects,and were divided into the study group and the control group according to the random number table method,with 20 cases in each group.The control group was given conventional rehabilitation treatment,and the study group was given intensive training of work ability on the basis of control group.Before treatment and after 3 months of treatment,the upper limb function[minnesota manual dexterity test(MMDT),purdue pegboard test(PPT)],activities of daily living(Barthel index)and psychological states[state anxiety inventory(S-AI)]were observed in two groups.Result:After 3 months of treatment,the MMDT in both groups were lower than those before treatment,and the PPT in both groups were higher than those before treatment,and MMDT and PPT in the study group were better than those in the control group,the differences were statistically significant(P<0.05).After 3 months of treatment,the Barthel indexes in both groups were higher than those before treatment,and the Barthel index in the study group was higher than that in the control group,the differences were statistically significant(P<0.05).After 3 months of treatment,the scores of positive emotions in both groups were higher than those before treatment,and the scores of negative emotions in both groups were lower than those before treatment,and the scores in the study group were better than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Intensive training of working ability can significantly improve the function of the upper limb and the ability of daily activities of the patients after hand trauma,and improve the psychological state of the patients.

关 键 词：工作能力强化训练 运动功能 生活能力 心理状态 

分 类 号：R473.6[医药卫生—护理学]