基于依从性分级的序贯式锻炼在膝关节交叉韧带重建术患者康复中的应用  

Application of compliance-based sequential exercise in the rehabilitation of patients after anterior cruciate ligament reconstruction

作　　者：刘琼[1] 王婕妤 王彦艳[1] 王培霞[1] 李怡飞 Liu Qiong;Wang Jieyu;Wang Yanyan;Wang Peixia;Li Yifei(Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院骨科,郑州450052

出　　处：《中华现代护理杂志》2025年第9期1239-1243,共5页Chinese Journal of Modern Nursing

基　　金：河南省高等学校重点科研项目(23B320008)。

摘　　要：目的探讨基于依从性分级的序贯式康复锻炼模式在膝关节交叉韧带重建术患者中的应用效果。方法采用便利抽样法,选取2022年4月-2023年7月在郑州大学第一附属医院骨科行关节镜下膝关节交叉韧带重建术的104例患者为研究对象,采用随机数字表法将患者分为观察组和对照组,各52例。对照组术后采取院内-居家序贯式康复锻炼,观察组在对照组基础上依据锻炼依从性实施分级,接受分级序贯式康复锻炼,两组均干预3个月。干预前后比较两组患者膝关节功能评分和康复自我效能量表评分的差异。结果干预后两组膝关节功能评分和康复自我效能量表评分均较同组干预前升高,差异有统计学意义(P<0.01);干预后观察组膝关节功能评分和康复自我效能量表评分均高于对照组,差异有统计学意义(P<0.01)。干预后观察组膝关节功能分级优于对照组,差异均有统计学意义(P<0.01)。结论基于依从性分级的序贯式康复锻炼可以有效促进交叉韧带重建术后患者的膝关节功能恢复,提高患者康复自我效能。ObjectiveTo explore the effectiveness of a compliance-based sequential exercise model in the rehabilitation of patients after anterior cruciate ligament(ACL)reconstruction.MethodsA convenience sampling method was used to select 104 patients who underwent arthroscopic ACL reconstruction at The First Affiliated Hospital of Zhengzhou University from April 2022 to July 2023.Patients were randomly divided into an observation group and a control group(52 patients in each group).The control group received in-hospital and home-based sequential rehabilitation exercises,while the observation group followed a compliance-based graded sequential rehabilitation exercise program.Both groups received the intervention for 3 months.The differences in knee function scores and rehabilitation self-efficacy scale scores between the two groups before and after the intervention were compared.ResultsAfter the intervention,both groups showed significant increases in knee function scores and rehabilitation self-efficacy scale scores compared to pre-intervention scores(P<0.01).The observation group had higher knee function scores and rehabilitation self-efficacy scale scores than the control group,with significant differences(P<0.01).Additionally,the knee function grading in the observation group was better than in the control group after the intervention,with significant differences(P<0.01).ConclusionsCompliance-based sequential rehabilitation exercises effectively promote knee function recovery in patients after ACL reconstruction and improve patients'rehabilitation self-efficacy.

关 键 词：康复 膝关节损伤 交叉韧带重建术 序贯式 康复锻炼 依从性 

分 类 号：R47[医药卫生—护理学]