基于行为转变理论的抗阻训练在老年下肢骨折术后康复中的应用  

Application of resistance training based on behavior change theory in rehabilitation of elderly patients with lower extremity fracture

作　　者：沙伊 王锴 SHA Yi;WANG Kai(Department of Orthopedics,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai200092,China)

机构地区：[1]上海交通大学医学院附属新华医院骨科,上海200092

出　　处：《中国医药导报》2023年第27期100-103,共4页China Medical Herald

摘　　要：目的探讨基于行为转变理论的抗阻训练在老年下肢骨折术后患者康复中的应用情况。方法纳入上海交通大学医学院附属新华医院2021年4月至2022年4月治疗的96例老年下肢骨折患者,以随机数字表法将其分为观察组(48例)和对照组(48例),对照组采用常规抗阻训练干预,观察组采用行为转变理论的抗阻训练干预。两组均干预4周,比较两组干预前后屈曲肌群肌力、伸直肌群肌力。比较两组干预前和随访3个月的下肢功能量表(LEFS)评分,比较两组出院时和随访3个月的躯体生活自理能力量表(PSMS)评分,记录两组并发症发生率。结果干预4周,两组屈曲肌群、伸直肌群肌力均高于干预前,且观察组高于对照组(P<0.05)。随访3个月,两组LEFS评分均高于干预前,且观察组高于对照组(P<0.05)。随访3个月,两组PSMS评分均低于出院时,且观察组低于对照组(P<0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论基于行为转变理论的抗阻训练可改善老年下肢骨折患者下肢功能,提高肌力及患者生活自理能力。Objective To explore the application of resistance training based on behavior change theory in rehabilitation of elderly patients with lower extremity fracture.Methods A total of 96 elderly patients with lower limb fracture treated in Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from April 2021 to April 2022 were included and divided into observation group(48 cases)and control group(48 cases)by random number table method.The control group received conventional resistance training intervention,and the observation group received resistance training intervention based on behavior change theory.After four weeks of intervention,flexor muscle strength and extensor muscle strength were compared between the two groups before and after intervention.The lower extremities function scale(LEFS)scores of the two groups were compared before intervention and after three months of follow-up,and the physical self-maintenance scale(PSMS)scores of the two groups were compared at the time of discharge and three months of follow-up,and the incidence of complications was recorded in two groups.Results After four weeks of intervention,the flexor muscle strength and extensor muscle strength in both groups were higher than those before intervention,and those of observation group were higher than those of control group(P<0.05).After three months of follow-up,LEFS scores in both groups were higher than those before intervention,and those of observation group were higher than those of control group(P<0.05).After three months of follow-up,the PSMS scores of both groups were lower than those at discharge,and those of observation group were lower than those of control group(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Resistance training based on behavior change theory can improve lower limb function,muscle strength,and self-care ability in elderly patients with lower limb fracture.

关 键 词：下肢骨折 老年人 抗阻训练 行为转变理论 

分 类 号：R683.4[医药卫生—骨科学]