基于行为转变理论的抗阻训练对老年下肢骨折术后患者康复情况的影响研究  

Study on the Effect of Resistance Training Based on Behavioral Change Theory on Rehabilitation of Elderly Patients with Lower Limb Fracture after Operation

作　　者：肖维龙 黄雯婷 徐波 XIAO Weilong;HUANG Wenting;XU Bo(Rehabilitation Medicine Department,Putuo People's Hospital Affiliated to Tongji University,Shanghai 200060,China;Rehabilitation Medicine Department,Shanghai Jing'an District Caojiadu Street Community Health Service Center,Shanghai 200040,China;Rehabilitation Medicine Department,Shanghai Kaiyuan Orthopedic Hospital,Shanghai 200120,China)

机构地区：[1]同济大学附属普陀人民医院康复医学科,上海200060 [2]上海市静安区曹家渡街道社区卫生服务中心康复医学科,上海200040 [3]上海市开元骨科医院康复医学科,上海200120

出　　处：《系统医学》2025年第3期36-39,共4页Systems Medicine

摘　　要：目的分析评价基于行为转变理论的抗阻训练对老年下肢骨折术后患者康复状况的影响。方法回顾性选取2022年6月—2023年12月同济大学附属普陀人民医院收治的70例老年下肢骨折手术患者的临床资料,根据干预方案不同分为两组,各35例。对照组采用弹力带常规抗阻训练,观察组采用基于行为转变理论的抗阻训练。比较两组肌力康复状况、下肢功能、生活能力。结果干预前两组患者肌力康复状况比较,差异无统计学意义(P均>0.05)。康复治疗3个月后,观察组屈曲肌群肌力为(43.50±5.60)N、伸直肌群肌力为(65.50±6.80)N,均大于对照组的(39.60±5.20)N、(60.05±5.50)N,差异有统计学意义(t=3.019、3.687,P均<0.05)。干预前两组患者下肢功能及生活能力评分比较,差异无统计学意义(P均>0.05)。康复治疗3个月后,两组患者评分均升高,且观察组评分均高于对照组,差异有统计学意义(P均<0.05)。结论基于行为转变理论的抗阻训练,干预整体效果好。可促进患者下肢功能恢复,提升生活能力。Objective To analyze and evaluate the effect of resistance training based on behavior change theory on the rehabilitation of elderly patients with lower limb fracture after operation.Methods The clinical data of seventy elderly patients with lower limb fracture surgery admitted to Putuo People's Hospital Affiliated to Tongji University from June 2022 to December 2023 were retrospectively selected and divided into two groups according to different intervention schemes,with thirty-five cases in each group.The control group was trained with conventional elastic band resistance training,and the observation group was trained with resistance training based on behavior change theory.The muscle strength rehabilitation status,lower limb function and living ability of the two groups were compared.Results There were no significant differences in muscle strength rehabilitation between the two groups before intervention(both P>0.05).After 3 months of rehabilitation treatment,the muscle strength of the flexion muscle group in the observation group was(43.50±5.60)N,and the muscle strength of the extension muscle group was(65.50±6.80)N,which were higher than(39.60±5.20)N,(60.05±5.50)N in the control group,the differences were statistically significant(t=3.019,3.687,both P<0.05).There was no significant difference in the scores of lower limb function and living ability between the two groups before intervention(both P>0.05).After 3 months of rehabilitation treatment,the scores of the two groups increased,and the scores of the observation group were higher than those of the control group,the differences were statistically significant(both P<0.05).Conclusion Resistance training based on behavioral change theory has a good overall effect.It can promote the recovery of lower limb function and improve the living ability of patients.

关 键 词：行为转变 抗阻训练 骨折 肌群肌力 下肢功能 生活能力 锻炼积极性 

分 类 号：R4[医药卫生—临床医学]