赋能理论下的居家康复锻炼模式对老年膝骨关节炎患者运动自我效能感及功能康复的影响  

Effects of home rehabilitation exercise model under empowerment theory on exercise self-efficacy and functional rehabilitation of elderly patients with knee osteoarthritis

作　　者：于建 李鹏博 秦文涛 董全迪 YU Jian;LI Pengbo;QIN Wentao;DONG Quandi(Baoji High-tech Hospital,Baoji 721000;Baoji Third Hospital,Baoji 721000;the 947th Hospital of PLA,Kashgar 844200,China)

机构地区：[1]宝鸡高新医院,陕西宝鸡721000 [2]宝鸡第三医院,陕西宝鸡721000 [3]新疆喀什地区疏勒县陆军第九四七医院,新疆喀什844200

出　　处：《临床医学研究与实践》2024年第29期139-142,共4页Clinical Research and Practice

基　　金：宝鸡市卫生健康委员会2023年度科研计划立项课题(No.2023-044);宝鸡市卫生健康委员会2021年度科研计划立项课题(No.2021-074)。

摘　　要：目的探讨赋能理论下的居家康复锻炼模式在老年膝骨关节炎(KOA)患者中的应用效果。方法选择2020年3月至2022年12月收治的100例老年KOA患者作为研究对象,按照随机数字表法将其分为对照组(n=50)与观察组(n=50)。对照组予以常规康复锻炼方案,观察组行赋能理论下的居家康复锻炼模式。比较两组的疼痛程度、运动自我效能感、锻炼依从性以及功能康复情况。结果干预后,观察组的疼痛程度明显轻于对照组(P<0.05)。干预后,观察组的运动自我效能量表(ESES)与骨科患者功能锻炼依从性量表评分均高于对照组(P<0.05)。干预后,观察组的奎森功能演算指数(Lequesne评分)各维度评分均低于对照组(P<0.05)。结论赋能理论下的居家康复锻炼模式可降低老年KOA患者的疼痛程度,提高其运动自我效能感及功能锻炼依从性,有助于患者功能康复。Objective To explore the application effect of home rehabilitation exercise model under empowerment theory in elderly patients with knee osteoarthritis(KOA).Methods A total of 100 elderly KOA patients admitted from March 2020 to December 2022 were selected as the research objects and divided into control group(n=50)and observation group(n=50)according to the random number table method.The control group was given routine rehabilitation exercise program,and the observation group was given home rehabilitation exercise model under empowerment theory.The degree of pain,exercise self-efficacy,exercise compliance and functional rehabilitation were compared between the two groups.Results After intervention,the pain degree of the observation group was significantly lighter than that of the control group(P<0.05).After intervention,the scores of the Exercise Self-Efficacy Scale(ESES)and the functional exercise compliance scale of orthopedic patients in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of Lequesne score in the observation group were lower than those in the control group(P<0.05).Conclusion The home rehabilitation exercise model under empowerment theory can reduce the pain degree of elderly KOA patients,improve their exercise self-efficacy and functional exercise compliance,and contribute to the functional rehabilitation of patients.

关 键 词：膝骨关节炎 赋能理论 居家康复锻炼 运动自我效能感 功能康复 依从性 

分 类 号：R473[医药卫生—护理学]