个体化康复训练联合视频教育对老年骨质疏松性股骨粗隆间骨折患者术后恢复的影响  

Effect of individualized rehabilitation training combined with video education on postoperative recovery in elderly patients with osteoporotic intertrochanteric fractures

作　　者：薛春丽[1] 叶菁[1] 王燕[1] Xue Chunli;Ye Jing;Wang Yan(Zhengzhou People's Hospital,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州人民医院,河南郑州450000

出　　处：《临床心身疾病杂志》2021年第1期140-142,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨个体化康复训练联合视频教育对老年骨质疏松性股骨粗隆间骨折患者术后锻炼依从性及髋关节功能的影响。方法将92例老年骨质疏松性股骨粗隆间骨折患者按照随机数字表法分为研究组与对照组,各46例。手术后两组均进行个体化康复训练,研究组在此基础上联合视频教育,观察住院全程。比较两组锻炼依从性及干预前后两组Harris髋关节功能量表评分、关节活动度、Barthel指数。结果研究组锻炼总依从率显著高于对照组(P<0.05);干预后两组Harris髋关节功能量表评分均较干预前显著升高(P<0.05或0.01),研究组较对照组升高更显著(P<0.01);干预后两组关节活动度较干预前显著增大(P<0.01),Barthel指数较干预前显著升高(P<0.01),研究组较对照组变化更显著(P<0.01)。结论个体化康复训练联合视频教育可提高老年骨质疏松性股骨粗隆间骨折患者的锻炼依从性,改善关节活动度及髋关节功能,提高日常生活能力。Objective To investigate the effect of individualized rehabilitation training combined with video education on postoperative exercise compliance and hip function in elderly patients with osteoporotic intertrochanteric fracture of femur(IFF).Methods A total of 92 patients with osteoporotic IFF were divided into the observation group and the control group according to random number table,46 cases each.After the operation,both groups received individualized rehabilitation training,and the observation group was given video education on this basis and observe the entire hospitalization process.The exercise compliance of the two groups was compared.The Harris hip function scale score,joint range of motion,and Barthel index score were compared between the two groups before and after intervention.Results The exercise compliance rate of the observation group was significantly higher than that of the control group(P<0.05).After the intervention,the Harris hip function score scale scores of the two groups were significantly higher than those before the intervention(P<0.05 or 0.01),and the increase in the observation group was more significant than that of the control group(P<0.01).Conclusions Individualized rehabilitation training combined with video education can improve the exercise compliance of elderly patients with osteoporotic IFF,improve joint range of motion and hip joint function,and improve the ability of daily living.

关 键 词：老年 骨质疏松 股骨粗隆间骨折 个体化康复训练 视频教育 髋关节功能 

分 类 号：R683.42[医药卫生—骨科学]