阶梯式模拟居家康复训练在髋关节置换术后患者中的应用效果  

The effects of a home rehabilitation training through stepwise teaching in patients after Total Hip Arthroplasty

作　　者：包良笑[1] 李婧[1] 张洋[1] 史占军[1] BAO Liangxiao;LI Jing;ZHANG Yang;SHI Zhanjun(Nanfang Hospital affiliated to Southern Medical University,Guangzhou,510515,China)

机构地区：[1]南方医科大学南方医院关节与骨病外科护理,广州市510515

出　　处：《中国护理管理》2022年第1期142-146,共5页Chinese Nursing Management

摘　　要：目的:评价阶梯式模拟居家康复训练在髋关节置换术(THA)患者中的应用效果。方法:采用便利抽样法选择广州市某三级甲等医院首次行单侧全髋关节置换术患者共210例为研究对象,其中2019年4月至11月入组的105例患者设为对照组,采用常规护理及康复锻炼方法;2019年12月至2020年9月入组的105例患者设为观察组,在常规护理及康复锻炼基础上增加阶梯式模拟居家康复训练。随访并比较患者入院时、出院前、出院后1个月两组患者的髋关节功能评分量表(Harris Hip Score,简称Harris评分)、日常生活能力评定量表(Barthel指数)、生活质量调查表(SF-36)的评分。结果:对照组患者入院时的Harris评分(P=0.108)、Barthel指数(P=0.055)及SF-36评分(P=0.161)和观察组比较,差异无统计学意义(P>0.05)。出院前及出院后1个月两个时间段,观察组患者的Harris评分、Barthel指数、SF-36评分均高于对照组(P<0.001)。结论:阶梯式模拟居家康复训练能帮助患者有效掌握康复及日常生活能力训练的方法,促进关节功能恢复,提高日常生活能力及生活质量。Objective:To explore the effects of a home rehabilitation training through stepwise teaching in patients undergoing Total Hip Arthroplasty(THA).Methods:A total of 210 patients undergoing THA for the first time were recruited.The 105 patients admitted from April to November,2019 were assigned to the control group,and routine care and training were provided to them.Another 105 patients recruited from December,2019 to September,2020 were assigned to the experimental group and the home rehabilitation training through stepwise teaching was used in this group.The score of Harris Hip Score,the Barthel index of ADL,and the MOS item Short From health survey of the two groups were compared at the time of admission,before discharge and one month after discharge.Results:On admission,there were no significant differences regarding the score of Harris Hip Score(P=0.108),the Barthel index of ADL(P=0.055)and the score of the MOS item Short From health survey(P=0.161)between the two groups.The score of Harris Hip Score,the Barthel index of ADL,and the MOS item Short From health survey of patients in the experimental group were higher than those in the control group before discharge and one month after discharge(P<0.001).Conclusion:The home rehabilitation training through stepwise teaching can facilitate patients'postoperative rehabilitation and daily activities,and promote physical and psychological recovery.

关 键 词：阶梯式 模拟训练 居家康复 髋关节置换术 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]