基于赋能理论的居家康复方案在老年膝骨关节炎患者膝关节功能锻炼中的应用  

Application of a Home-based Rehabilitation Program Based on Empowerment Theory in Knee Joint Functional Exercise for Elderly Patients with Knee Osteoarthritis

作　　者：吴欣育 彭玮 王雪松 陈静 WU Xinyu;PENG Wei;WANG Xuesong;CHEN Jing(Affiliated Hospital of Jiangnan University,Wuxi,Jiangsu 214122)

机构地区：[1]江南大学附属医院,江苏无锡214122

出　　处：《上海护理》2024年第5期6-10,共5页Shanghai Nursing

基　　金：无锡转化医学研究专项项目(2020ZHYB05)。

摘　　要：目的探讨基于赋能理论的居家康复锻炼方案对改善老年膝骨关节炎患者膝关节功能的效果。方法采取便利抽样法,选取2020年6月至2022年6月收治于江南大学附属医院骨科的老年膝骨关节炎患者100例为研究对象。根据入院先后顺序分别进入2个病区,病区1中的50例患者作对照组,出院后进行常规康复训练;病区2中的50例患者作观察组,出院后采取赋能理论指导下的居家康复锻炼方案。干预12周后,采用西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、康复自我效能量表(SER)、美国特种外科医院(HSS)膝关节评分和Lysholm膝关节评分量表对两组患者进行测评,同时比较两组患者下肢肌力水平。结果观察组患者WOMAC得分低于对照组,而其SER、HSS膝关节评分及Lysholm膝关节评分量表得分均高于对照组患者(P<0.05);且观察组患者双下肢的肌力水平均高于对照组(P<0.05)。结论对老年膝骨关节炎患者予以赋能理论指导下的居家康复锻炼方案可取得显著效果,不仅能增强其康复自我效能,还能促进患者下肢肌力水平提高,并且改善膝关节功能。Objective To explore the effect of a home-based rehabilitation exercise program based on empowerment theory on improving knee joint function in elderly patients with knee osteoarthritis.Methods A total of 100 elderly patients with knee osteoarthritis were selected by convenience sampling who were admitted to the Orthopedics Department of the Affiliated Hospital of Jiangnan University from June 2020 to June 2022.These patients were divided into the control group(n=50,in ward 1)and the observation group(n=50,in ward 2)by order of admission.The control group was given a routine rehabilitation exercise program after discharge;the observation group was given a home-based rehabilitation exercise program under the guidance of empowerment theory after discharge.After 12 weeks of intervention,the patients were scored using the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Self-Efficacy for Rehabilitation Outcome Scale(SER),Hospital for Special Surgery(HSS)Knee-Rating Scale and Lysholm Knee Scoring Scale,and evaluated for the lower extremity muscle strength.Then,the results were compared between groups.Results The WOMAC scores of the observation group were lower than those of the control group,and the SER,HSS and Lysholm knee scores were higher than those of patients in the control group(P<0.05).Besides,the lower extremity muscle strength in the observation group was higher than that in the control group(P<0.05).Conclusion The home-based rehabilitation exercise program under the guidance of empowerment theory has been shown to yield significant benefits to elderly patients with knee osteoarthritis.This program can not only enhance their rehabilitation self-efficacy,but also improve their lower extremity muscle strength and knee joint function.

关 键 词：老年膝骨关节炎 赋能理论 居家康复锻炼 下肢肌力 膝关节功能 

分 类 号：R473.6[医药卫生—护理学]