基于计划行为理论的抗阻训练在髋关节置换术后患者中的应用  

Application of resistance training based on TPB in patients after hip replacement

作　　者：成玲 刘叶荣[2] 吴锦玉 杨泽宇 徐绘雨 肖霞萍 CHENG Ling;LIU Yerong;WU Jinyu;YANG Zeyu;XU Huiyu;XIAO Xiaping(School of Nursing,Gansu University of Traditional Chinese Medicine,Lanzhou 730099,Gansu,China;Gansu Provincial Hospital of Traditional Chinese Medicine Health Management Center,Lanzhou 730050,Gansu,China;Emergency Department of Anning Branch of Maternal and Child Health Care Hospital of Gansu Province,Lanzhou 730071,Gansu,China)

机构地区：[1]甘肃中医药大学护理学院,甘肃兰州730099 [2]甘肃省中医院健康管理中心,甘肃兰州730050 [3]甘肃省妇幼保健院安宁分院急诊科,甘肃兰州7300711

出　　处：《中国现代医生》2024年第29期6-9,14,共5页China Modern Doctor

基　　金：甘肃省自然科学基金项目(22JR5RA631)。

摘　　要：目的旨在以计划行为理论为框架,深入探讨抗阻训练对髋关节置换术后患者康复效果的影响。方法选取甘肃省中医院2022年7月至2023年4月收治的髋部骨折患者85例作为研究对象,采用随机数字表法将患者分为干预组(n=43)和对照组(n=42)。两组均实施常规护理,干预组在此基础上实施基于计划行为理论的抗阻训练,干预时间为3个月。对比两组患者干预前、干预1个月、干预3个月的Harris髋关节评分、健康状况调查简表(36-item short form,SF-36)评分、Barthel指数评分及干预3个月患者的功能锻炼依从性评分。结果干预后1个月和3个月,干预组的Harris髋关节评分、SF-36评分、Barthel指数评分均优于对照组,且干预组患者在功能锻炼的执行力上高于对照组,差异均有统计学意义(P<0.05)。结论计划行为理论指导下的抗阻训练可有效提高全髋关节置换术患者术后功能锻炼的依从性,改善患者的肌肉力量、平衡能力和关节稳定性,提升患者的日常活动能力和生活质量。Objective To investigate the effect of resistance training on the rehabilitation of patients after hip replacement with the framework of the theory of planned behavior(TPB).Methods A total of 85 patients of hip fracture patients in Gansu Provincial Hospital of Traditional Chinese Medicine from July 2022 to April 2023 were selected as research objects.The patients were separated into intervention group(n=43)and control group(n=42)by random sampling.Both groups were treated with routine nursing,and the intervention group was given resistance training based on TPB.The intervention time was 3 months.The Harris hip score(HHS),36-item short form(SF-36)score and Barthel index(BI)scores of the two groups were compared before intervention,1 month and 3 months after intervention,as well as the functional exercise compliance score of the patients 3 months after intervention.Results After 1 month and 3 months of intervention,the HHS,SF-36 score and BI score of intervention group were better than those of control group,and after 3 months of intervention,the executive ability of functional exercise in intervention group was significantly higher than that of control group,and the mean difference was significant(P<0.05).Conclusion Resistance training led by TPB can effectively improve the functional exercise compliance of patients after total hip arthroplasty,improve the muscle strength,balance ability and joint stability of patients,and then improve the daily activity ability and quality of life.

关 键 词：计划行为理论 抗阻训练 髋部骨折 功能锻炼依从性 

分 类 号：R473.6[医药卫生—护理学]