基于动机行为转化的渐进性康复训练在膝关节置换术患者中的应用效果  

Application Effect of Progressive Rehabilitation Training based on Motivational Behavior Transformation in Patients undergoing Knee Arthroplasty

作　　者：周洁 ZHOU Jie(Department of Traumatology,the Second Affiliated Hospital of University of South China,Hengyang 421001,China)

机构地区：[1]南华大学附属第二医院创伤骨科,湖南衡阳421001

出　　处：《中国医学创新》2025年第7期89-93,共5页Medical Innovation of China

摘　　要：目的:探讨膝关节置换术后患者采用基于动机行为转化的渐进性康复训练的效果。方法:选取南华大学附属第二医院收治的行膝关节置换术患者120例,选取时间为2022年3月—2023年8月,随机分为试验组和参照组,各60例。参照组采用术后常规护理措施,试验组在参照组基础上给予基于动机行为转化的渐进性康复训练。比较两组干预前后膝关节功能、膝关节疼痛和平衡功能、膝关节活动度,记录两组并发症发生情况。结果:干预后试验组美国特种外科医院(hospital for special surgery,HSS)膝关节评分和Lysholm膝关节评分均明显高于参照组,差异均有统计学意义(P<0.05)。相比参照组,干预后试验组视觉模拟评分法评分低,Berg平衡量表评分高,差异均有统计学意义(P<0.05)。相比参照组,干预后试验组膝关节伸直度小,屈曲度大,差异均有统计学意义(P<0.05)。试验组并发症发生率(3.33%)明显低于参照组(16.67%),差异有统计学意义(χ^(2)=5.926,P=0.015)。结论:膝关节置换术后患者采取基于动机行为转化的渐进性康复训练可促进膝关节功能恢复,减轻疼痛,减少并发症发生。Objective:To investigate the effect of progressive rehabilitation training based on motivational behavior transformation in patients after knee arthroplasty.Method:A total of 120 patients underwent knee arthroplasty admitted to the Second Affiliated Hospital of University of South China from March 2022 to August 2023 were randomly divided into experimental group and reference group,with 60 cases in each group.The reference group was given routine nursing measures after surgery,and the experimental group was given progressive rehabilitation training based on motivational behavior transformation on the basis of the reference group.Knee joint function,knee joint pain and balance function,and knee joint range of motion were compared between the two groups before and after intervention,and the complications of the two groups were recorded.Result:After intervention,the hospital for special surgery(HSS)knee joint scores and Lysholm knee joint scores of the experimental group were significantly higher than those of the reference group,the differences were statistically significant(P<0.05).Compared with the reference group,the visual analogue scale scores of the experimental group after intervention was lower,and the Berg balance scale scores was higher,the differences were statistically significant(P<0.05).Compared with the reference group,the knee straightness of the experimental group after intervention was smaller,and the knee flexion was larger,the differences were statistically significant(P<0.05).The complication rate of experimental group(3.33%)was significantly lower than that of reference group(16.67%),the difference was statistically significant(χ^(2)=5.926,P=0.015).Conclusion:Progressive rehabilitation training based on motivational behavior transformation in patients after knee arthroplasty can promote knee joint function recovery,alleviate pain,and reduce the occurrence of complications.

关 键 词：动机行为转化 渐进性康复训练 膝关节置换术 

分 类 号：R473.6[医药卫生—护理学]