踝关节骨折术后患者反刍性沉思与功能康复锻炼依从性相关性研究  

Correlation between rumination and compliance of functional rehabilitation exercise in patients with ankle fracture after operation

作　　者：张凤梅 Zhang Fengmei

机构地区：[1]河南省南阳市中心医院,473000

出　　处：《中国疗养医学》2022年第6期569-572,共4页Chinese Journal of Convalescent Medicine

基　　金：河南省医学科技攻关项目(19210321016)。

摘　　要：目的探讨踝关节骨折术后患者反刍性沉思与功能康复锻炼依从性的相关性。方法采用便利抽样法,选取2019年3月至2021年8月在南阳市中心医院接受手术治疗的113例踝关节骨折患者作为研究对象,均使用中文版事件相关反刍性沉思问卷(ERRI-C)和康复锻练依从性量表(EAQ)对所有研究对象的反刍性沉思水平及康复锻炼依从性进行评价;采用双变量Pearson直线相关检验患者的反刍性沉思与康复锻炼依从性的相关性。结果踝关节骨折术后患者反刍性沉思总分为(34.82±8.67)分,康复锻炼依从性得分为(37.29±9.05)分。经双变量Pearson直线相关检验显示,踝关节骨折术后患者康复锻炼依从性与反刍性沉思总分及目的性反刍性沉思维度得分呈正相关(r=0.395,r=0.415,P<0.05),与侵入性反刍性沉思维度得分呈负相关(r=-0.337,P<0.05)。结论踝关节骨折术后患者康复锻炼依从性与反刍性沉思显著相关,临床应尽早开展相关预防性干预措施,提高目的性反刍性沉思,降低侵入性反刍性沉思,从而提升康复锻炼依从性,加速关节功能康复。Objective To investigate the correlation between rumination and compliance with functional rehabilitation exercise in patients with ankle fracture after operation.Methods 113 patients with ankle fracture who underwent surgery in Nanyang Central Hospital from March 2019 to August 2021 were selected as the research objects by convenient sampling method.The rumination level and rehabilitation exercise compliance of all subjects were evaluated by Chinese Version of the Event Related Rumination Inventory(ERRI-C)and rehabilitation exercise adherence questionnaire(EAQ);Bivariate Pearson linear correlation was used to test the correlation between rumination and rehabilitation exercise compliance.Results The total score of rumination was(34.82±8.67),and the compliance score of rehabilitation exercise was(37.29±9.05).The bivariate Pearson linear correlation test showed that the compliance of rehabilitation exercise after ankle fracture surgery was positively correlated with the total score of rumination and the score of purposeful rumination(r=0.395,r=0.415,P<0.05),and negatively correlated with the score of invasive rumination(r=-0.337,P<0.05).Conclusion The compliance of rehabilitation exercise of patients with ankle fracture after operation is significantly related to rumination.Clinical preventive intervention measures should be carried out as soon as possible to improve purposeful rumination and reduce invasive rumination,so as to improve the compliance of rehabilitation exercise and accelerate the rehabilitation of joint function.

关 键 词：踝关节骨折 反刍性沉思 康复锻炼 依从性 相关性 

分 类 号：R687.3[医药卫生—骨科学]