早期分阶段递进训练策略对髋关节置换术后患者本体感觉及生活质量的影响  

Effect of early-phased progressive training strategy on proprioception and quality of life in patients after hip replacement

作　　者：冯亚宇 李群英 李秋菊[2] FENG Yayu;LI Qunying;LI Qiuju(Orthopedics Department of the Third People's Hospital of Henan Province,Zhengzhou450000,Chin;Spine Department of Henan Provincial People's Hospital,Zhengzhou450000,China)

机构地区：[1]河南省直第三人民医院骨科,河南郑州450000 [2]河南省人民医院脊柱科,河南郑州450000

出　　处：《社区医学杂志》2023年第15期796-800,共5页Journal Of Community Medicine

摘　　要：目的分析早期分阶段递进训练策略在髋关节置换术(HR)术后患者中的应用价值。方法选取2021-02-01-2022-07-31河南省直第三人民医院HR术后患者117例,依照随机数字表法分为2组,对照组(58例)接受常规骨科基础护理干预,观察组(59例)在对照组基础上接受早期分阶段递进训练策略干预。比较2组锻炼依从性、干预前后Harris髋关节功能评分、本体感觉、生活质量。结果与对照组(77.59%)相比,观察组锻炼依从性(94.92%)更高,差异有统计学意义,χ2=7.440,P=0.006;干预后,观察组疼痛维度评分(41.25±2.37)分、功能维度评分(43.16±2.72)分、畸形维度评分(2.93±0.41)分、活动度维度评分(3.14±0.39)分均较对照组(30.60±1.95)、(32.59±3.11)、(1.98±0.33)和(2.78±0.35)分高,差异有统计学意义,F值分别为9.126、14.578、10.793、7.252,均P<0.001;干预后,观察组本体感觉度数(3.28±0.97)°小于对照组(4.57±1.16)°,差异有统计学意义,F=6.830,P<0.001;干预后,观察组躯体功能维度评分(83.41±5.29)分、物质生活状态维度评分(85.26±7.13)分、社会功能维度评分(86.37±6.28)分、心理功能维度评分(82.64±5.91)分较对照组(70.49±6.37)、(79.04±6.25)、(77.54±5.13)和(75.39±6.12)分高,差异有统计学意义,F值分别为10.544、5.029、8.327、6.409,均P<0.001。结论早期分阶段递进训练应用于HR术后患者,能有效提高患者锻炼依从性,改善髋关节功能、本体感觉,提升生活质量。Objective To analyze the application value of early-phased progressive training strategy in patients after hip arthroplasty(HR).Methods Totally 117patients after HR surgery in the Third People's Hospital of Henan Provincial from February 1,2021to July 31,2022were selected and divided into two groups according to a randomized number table method.The control group(58cases)received routine orthopedic basic nursing intervention,and the observation group(59cases)received early-phased progressive training strategy intervention on the basis of the control group.We compared exercise compliance,Harris hip function score,proprioception,and quality of life between the two groups before and after intervention.Results Compared with the control group(77.59%),the observation group had higher exercise compliance(94.92%),and the difference was statistically significant(χ2=7.440,P=0.006);After intervention,the pain dimension score(41.25±2.37)scores,functional dimension score(43.16±2.72)scores,deformity dimension score(2.93±0.41)scores,and activity dimension score(3.14±0.39)scores in the observation group were higher than those in the control group(30.60±1.95)scores,(32.59±3.11)scores,(1.98±0.33)scores,(2.78±0.35)scores,and the difference was statistically significant,with Fvalues of 9.126,14.578,10.793,and 7.252,respectively,P<0.001;After intervention,the proprioception degree in the observation group was(3.28±0.97)°lower than that in the control group(4.57±1.16)°,and the difference was statistically significant(F=6.830,P<0.001);After intervention,the physical function dimension score(83.41±5.29)scores,material life state dimension score(85.26±7.13)scores,social function dimension score(86.37±6.28)scores,and psychological function dimension score(82.64±5.91)scores in the observation group were higher than those in the control group[(70.49±6.37)scores,(79.04±6.25)scores,(77.54±5.13)scores,(75.39±6.12)scores],and the difference was statistically significan,twith Fvalues of 10.544,5.029,8.327,and 6.409,respective

关 键 词：早期 分阶段 递进训练 髋关节置换术 本体感觉 

分 类 号：R473.6[医药卫生—护理学]