认知行为疗法联合修订版奥塔戈运动对老年髋部骨折术后患者行走能力和跌倒恐惧的影响  

Effects of Cognitive Behavioral Therapy Combined with Modified Otago Exercise Programme on Walking Ability and Fear of Falling in Elderly Patients after Hip Fracture Surgery

作　　者：倪萍 耿珮铨 NI Ping;Geng Peiquan(Department of Traumatic Orthopaedics,Lanling People’s Hospital,Linyi,Shandong 277700,China;Dezhou University Health School,Dezhou 253000,China)

机构地区：[1]山东省兰陵县人民医院创伤骨科,山东临沂276000 [2]德州学院健康医学院,山东德州253000

出　　处：《中国伤残医学》2024年第24期136-139,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨认知行为疗法(CBT)联合修订版奥塔戈运动(mOEP)对老年髋部骨折术后患者行走能力和跌倒恐惧的影响。方法:选择2020年12月—2023年12月兰陵县人民医院收治的90例老年髋部骨折术后患者为研究对象,按照随机数字表法将其分为观察组和对照组,各45例。观察组采用CBT联合mOEP干预,对照组采用常规康复训练干预。两组均干预6个月。比较两组行走能力、跌倒恐惧、跌倒风险。结果:干预1、3、6个月后,两组起立-行走计时测试时间均短于干预前,且观察组均短于对照组,差异均有统计学意义(P<0.05)。干预1、3、6个月后,两组修订版老年人活动和害怕跌倒量表评分均低于干预前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。干预1、3、6个月后,两组修订版跌倒效能量表评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论:CBT联合mOEP可有效提升老年髋部骨折术后患者的行走能力,缓解患者跌倒恐惧,降低跌倒风险。Objective:To explore the effects of cognitive behavioral therapy(CBT)combined with modified Otago exercise programme(mOEP)on walking ability and fear of falling in elderly patients after hip fracture surgery.Methods:A total of 90 elderly patients with hip fracture after operation in Lanling People’s Hospital from December 2020 to December 2023 were selected as the research object,and they were randomly divided into the observation group and the control group,with 45 cases in each group.The observation group received CBT combined with mOEP intervention,and the control group received routine rehabilitation training intervention.Both groups were treated for 6 months.The walking ability,fear of falling and risk of falling were compared between the two groups.Results:After 1,3 and 6 months of intervention,the Timed Up and Go Test time in both groups was shorter than before intervention,and the observation group was shorter than the control group,the differences were statistically significant(P<0.05).After 1,3 and 6 months of intervention,the scores of modified Survey of Activity and Fear of Falling in the Elderly in both groups were lower than before intervention,and the observation group was lower than the control group,with statistical significance(P<0.05).After 1,3 and 6 months of intervention,the scores of the Modified Fall Effcacy Scale in both groups were higher than before intervention,and the scores in the observation group were higher than those in the control group,with statistical significance(P<0.05).Conclusion:CBT combined with mOEP can effectively improve the walking ability of elderly patients after hip fracture surgery,alleviate the fear of falling and reduce the risk of falling.

关 键 词：髋部骨折 认知行为疗法 修订版奥塔戈运动 老年 行走能力 跌倒 

分 类 号：R68[医药卫生—骨科学]