基于动机行为转化的渐进性康复训练对胫腓骨骨折术后患者康复的影响  

Effect of progressive rehabilitation training based on motivational behavior transformation on postoperative rehabilitation of postoperative patients with tibiofibular fractures

作　　者：袁琼 谢洋 刘茜 YUAN Qiong;XIE Yang;LIU Qian(Department of Trauma and Orthopedics,Maanshan People’s Hospital,Anhui Province,Maanshan 243000,China;Department of Arthrology and Orthopedics,Maanshan People’s Hospital,Anhui Province,Maanshan 243000,China;Department of Spinal Orthopedics,Maanshan People’s Hospital,Anhui Province,Maanshan 243000,China)

机构地区：[1]安徽省马鞍山市人民医院创伤骨科,安徽马鞍山243000 [2]安徽省马鞍山市人民医院关节骨科,安徽马鞍山243000 [3]安徽省马鞍山市人民医院脊柱骨科,安徽马鞍山243000

出　　处：《中国医药导报》2024年第5期172-175,共4页China Medical Herald

基　　金：安徽省马鞍山市市级中医发展专项资金项目(2021-M-Z-03)。

摘　　要：目的探讨基于动机行为转化的渐进性康复训练对胫腓骨骨折术后患者康复的影响。方法选择安徽省马鞍山市人民医院2020年3月至2022年12月行内固定术治疗的胫腓骨骨折患者100例,按随机信封法分为两组,每组50例。对照组予以常规护理干预,观察组予以基于动机行为转化的渐进性康复训练,两组均干预12周。比较两组干预12周时的徒手肌力分级(MMT)、功能锻炼依从性;比较两组干预前及干预12周时自我管理能力。结果观察组MMT分级优于对照组(P<0.05)。干预12周时,两组自我管理能力评分均较干预前升高,且观察组高于对照组(P<0.05)。观察组功能锻炼依从性评分高于对照组(P<0.05)。结论胫腓骨骨折患者采用基于动机行为转化的渐进性康复训练可改善肌力分级,提高自我管理能力和功能锻炼依从性。Objective To explore the effect of progressive rehabilitation training based on motivational behavior transformation on the rehabilitation of postoperative patients with tibiofibular fractures.Methods A total of 100 patients with tibiofibular fractures treated at Maanshan People’s Hospital,Anhui Province from March 2020 to December 2022 were selected.They were divided into two groups according to random envelope method,with 50 cases in each group.Routine nursing intervention was given to control group,and progressive rehabilitation training intervention based on motivational behavior transformation was given to observation group.Both groups received 12 weeks of intervention.Manual muscle testing(MMT),and functional exercise compliance between two groups were compared at 12 weeks of intervention;self-management ability between two groups were compared before intervention and at 12 weeks of intervention.Results MMT grade of observation group was better than that of control group(P<0.05).At 12 weeks of intervention,the scores of self-management ability in both groups were higher than those before intervention,and observation group was higher than control group(P<0.05).The functional exercise compliance score of observation group was higher than that of control group(P<0.05).Conclusion Progressive rehabilitation training based on motivational behavior transformation can improve muscle strength grading,self-management ability,and functional exercise compliance in patients with tibiofibular fractures.

关 键 词：胫腓骨骨折 动机行为 渐进性康复训练 肌力 自我管理能力 

分 类 号：R687[医药卫生—骨科学]