互动达标模式康复训练对胫骨平台骨折患者膝关节功能恢复及康复积极性的影响  

Effects of rehabilitation training based on interaction standard mode on the recovery of knee function and reha⁃bilitation enthusiasm in patients with tibial plateau fractures

作　　者：吴小山 梁伶俐 林梦情 楼超 李丹丹 WU Xiaoshan;LIANG Lingli;LIN Mengqing(Department of Rehabilitation,Lishui Second People’s Hospital,Lishui 323000,China.)

机构地区：[1]丽水市第二人民医院康复科,浙江丽水323000

出　　处：《全科医学临床与教育》2021年第6期531-534,共4页Clinical Education of General Practice

基　　金：浙江省科技计划项目(2018C37099)。

摘　　要：目的探究互动达标模式康复训练对胫骨平台骨折患者膝关节功能恢复及康复积极性的影响。方法选择胫骨平台骨折患者96例,随机分成对照组和观察组各48例。对照组采用常规干预,观察组采用互动达标模式康复训练,两组均干预6个月。比较两组干预后膝关节功能、Lysholm评分、关节活动度(ROM)、康复积极性、并发症发生率、患者的护理满意度,比较两组干预前后的焦虑(HAMA)、抑郁(HAMD)评分。结果干预后,观察组的膝关节功能优良率为93.75%,高于对照组的75.00%,差异有统计学意义(χ^(2)=6.40,P<0.05);干预后,观察组的Lysholm评分、ROM及康复积极性均高于对照组,差异均有统计学意义(t分别=13.04、5.43、5.48,P均<0.05);干预后观察组HAMA及HAMD评分均低于对照组,差异有统计学意义(t分别=7.53、13.67,P均<0.05);干预后,观察组的并发症发生率为4.17%,低于对照组的18.75%,差异均有统计学意义(χ^(2)=5.03,P<0.05);干预后,观察组的专业知识、护理技术、护理态度、出院指导评分均高于对照组,差异有统计学意义(t分别=6.54、4.66、3.95、11.29,P均<0.05)。结论采用互动达标模式康复训练对胫骨平台骨折患者进行干预能够有效提高患者康复积极性,改善其不良情绪,降低并发症的发生,有助于患者膝关节功能恢复,护理满意度更高。Objective To explore the effects of rehabilitation training based on interaction standard mode on the recovery of knee function and rehabilitation enthusiasm in patients with tibial plateau fractures. Methods A total of 96 patients with tibial plateau fractures were enrolled and randomly divided into control group and observation group,48 cases in each group.The control group was treated with routine intervention,while observation group was treated with interaction standard mode rehabilitation training.Both groups were intervened for 6 months.The knee function,Lysholm score,range of motion(ROM),rehabilitation enthusiasm,incidence of complications and nursing satisfaction of patients after intervention,and scores of Hamilton anxiety scale(HAMA) and Hamilton depression scale(HAMD) before and after intervention were compared between the two groups. Results After intervention,the excellent and good rate of knee function in observation group was higher than that in control group(93.75% vs.75.00%)(χ2=6.40,P<0.05),Lysholm score,ROM and rehabilitation enthusiasm were higher than those in control group(t=13.04,5.43,5.48,P<0.05).After intervention,HAMA and HAMD scores were lower in observation group than control group(t=7.53,13.67,P<0.05).After intervention,incidence of complications in observation group was lower than that in control group(4.17% vs.18.75%)(χ2=5.03,P<0.05),and scores of professional knowledge,nursing technology,nursing attitude and discharge guidance were higher than those in control group(t=6.54,4.66,3.95,11.29,P<0.05). Conclusion The application of interaction standard mode rehabilitation training in patients with tibial plateau fractures can effectively increase rehabilitation enthusiasm,improve unhealthy emotions,and reduce the occurrence of complications,which is conductive to the recovery of knee function,and with higher nursing satisfaction.

关 键 词：互动达标模式 康复训练 胫骨平台骨折 膝关节恢复 

分 类 号：R473.6[医药卫生—护理学]