基于LEARNS模式的康复训练联合疼痛管理对髋关节置换患者术后康复的影响  

Impact of Rehabilitation Training Combined with Pain Management Based on Learns Mode on Postoperative Rehabilitation of Hip Replacement Patients

作　　者：马亚文 MA Yawen(Department of Osteopathy,Henan Provincial Hospital of TCM,Zhengzhou 450000,China)

机构地区：[1]河南省中医院骨病一科,河南郑州450000

出　　处：《河南医学研究》2025年第3期526-529,共4页Henan Medical Research

摘　　要：目的 探讨基于LEARNS模式的康复训练联合疼痛管理对髋关节置换患者术后康复的影响。方法 回顾性分析,将河南省中医院2021年10月至2023年9月接受术后常规康复训练联合疼痛管理的46例髋关节置换患者纳入对照组,同期接受基于LEARNS模式的康复训练联合疼痛管理的46例髋关节置换患者纳入研究组。比较两组疼痛程度[采用数字等级评分法(NRS)评估]、锻炼依从性、自我管理能力[采用成人健康自我管理能力量表(AHSMSRS)评估]、髋关节功能[采用Harris髋关节评分系统(HHS)评估]。结果 干预后各时点两组NRS评分逐渐下降,且研究组干预后各时点均低于对照组(P<0.05)。研究组整体锻炼依从性优于对照组(P<0.05)。干预后,研究组AHSMSRS、HHS评分高于对照组(P<0.05)。结论 基于LEARNS模式的康复训练联合疼痛管理可缓解髋关节置换患者疼痛,提高术后康复锻炼依从性和自我管理能力,促进髋关节功能恢复。Objective To explore the impact of rehabilitation training combined with pain management based on LEARNS mode on postoperative rehabilitation of hip replacement patients.Methods Retrospective analysis,46 patients with hip replacement who received postoperative routine rehabilitation training combined with pain management in Henan Provincial Hospital of TCM from October 2021 to September 2023 were included in the control group,and 46 patients with hip replacement who received rehabilitation training combined with pain management based on LEARNS model during the same period were included in the study group.The pain degree[assessed by numerical rating scale(NRS)],exercise compliance,self-management ability[assessed by adult health self-management ability scale(AHSMSRS)]and hip joint function[assessed by Harris hip function score(HHS)]were compared between the two groups.Results After the intervention,the NRS scores of both groups gradually decreased at each time point,and the study group was lower than the control group at all time points after the intervention(P<0.05).The overall exercise compliance of the study group was better than that of the control group(P<0.05).After intervention,the scores of AHSMSRS and HHS in the study group were higher than those in the control group(P<0.05).Conclusion Rehabilitation training combined with pain management based on LEARNS mode can alleviate pain in patients with hip replacement,improve postoperative rehabilitation exercise compliance and self-management ability,and promote hip joint function recovery.

关 键 词：髋关节置换术 LEARNS模式 疼痛管理 髋关节功能 

分 类 号：R473.6[医药卫生—护理学]