引导式康复在老年髋部骨折患者术后髋关节功能康复中的应用  

Application of Guided Rehabilitation in Hip Function Rehabilitation of Elderly Patients After Hip Fracture Surgery

作　　者：姜玮玮 孟丹丹 张燕[1] 李煦 Jiang Weiwei;Meng Dandan;Zhang Yan;Li Xu Fuyang(Peoples Hospital,Fuyang 236000)

机构地区：[1]阜阳市人民医院,阜阳236000

出　　处：《国际老年医学杂志》2023年第5期561-564,共4页International Journal of Geriatrics

基　　金：安徽省科技攻关项目(1901041132)。

摘　　要：目的 探究引导式康复在老年髋部骨折术后患者髋关节功能康复中的应用价值。方法选取阜阳市人民医院骨科关节及创伤病区住院的140例老年髋部骨折患者作为研究对象,2021年2~6月入院的患者作为对照组(70例),2021年7~11月入院的患者作为观察组(70例)。对照组实施常规康复方式,观察组在对照组基础上实施引导式康复。采用中文版恐动症评分量表(TSK)、中文版牛津髋关节评分量表(OHS)、Tinetti平衡与步态量表(TPOMA)观察两组术后1 d、术后1周、术后1个月的恐动症、髋关节功能及平衡功能情况。结果 两组术后1 d的TSK评分、OHS评分及TPOMA评分比较,差异均无统计学意义(P>0.05),两组术后1周、术后1个月的TSK评分及OHS评分低于同组术后1 d时(P<0.05),TPOMA评分高于同组术后1 d时(P<0.05);且观察组术后1周、术后1个月的TSK评分及OHS评分均低于同期对照组(P<0.05),TPOMA评分高于同期对照组(P<0.05)。结论 引导式康复能够有效降低老年髋部骨折患者术后恐动严重程度,提高身体平衡能力,起到促进髋关节功能康复的效果。Objective To investigate the potential value of guided rehabilitation in elderly patients following hip fracture surgery.Methods A total of 140 elderly patients who underwent hospitalization at the orthopedic joint and trauma department of Fuyang People's Hospital were enrolled.The control group comprised 70 patients admitted between February and June 2021,while the observation group included 70 patients admitted from July to November 2021.The control group received standard routine rehabilitation,while the observation group received guided rehabilitation based on the treatment provided to the control group.The assessment of kinesiophobia was performed using the Chinese version of the Tampa Scale for Kinesiophobia(TSK),whereas hip function and balance function were evaluated using the Oxford Hip Rating Scale(OHS)and the Tinetti Balance and Gait Scale(TPOMA),respectively.The assessments were conducted at 1 day,1 week,and 1 month after surgery to evaluate the progress in kinesiophobia,hip function,and balance function in both groups.Results There were no statistically significant differences(P>0.05)in the TSK score,OHS score,and TPOMA score at 1 day post-surgery between the two groups.However,at 1 week and 1 month post-surgery,significant improvements were observed in the TSK score and OHS score,with lower scores in the observation group compared to the control group(P<0.05).Additionally,the TPOMA score showed a significant increase in the observation group compared to the control group at both time points(P<0.05).These findings indicate that guided rehabilitation implemented in the observation group led to reduced kinesiophobia,improved hip function,and enhanced balance function compared to the control group,highlighting the effectiveness of guided rehabilitation in elderly patients after hip fracture surgery.Conclusion Guided rehabilitation demonstrates notable efficacy in mitigating the intensity of kinesiophobia among elderly patients recovering from hip fracture surgery.Moreover,it exhibits favorable outcomes

关 键 词：引导式康复 髋部骨折 恐动症 髋关节评分 跌倒 

分 类 号：R687.3[医药卫生—骨科学] R49[医药卫生—外科学]