循证理念结合多维性功能康复训练在老年全髋关节置换术患者术后的应用分析

Analysis of application of evidence-based concept combined with multi-dimensional functional rehabilitation training in elderly patients after total hip arthroplasty

中文关键词: 老年  全髋关节置换术  循证理念  康复训练  生活质量  疼痛

英文关键词: elderly  total hip arthroplasty  evidence-based concept  rehabilitation training  quality of life  pain

中文摘要:

      目的 探究循证理念结合多维性功能康复训练在老年全髋关节置换术患者术后的应用分析,为治疗该病症提供方法.方法 选取2019年7月-2024年7月于成都医学院第三附属医院·成都市郫都区人民医院就诊的老年全髋关节置换术患者106例,采用简单化随机分组(单双号法)分为常规组(单号)和循证组(双号),每组53例.常规组予以常规康复训练及护理干预,循证组在与常规组相同干预的基础上予以循证理念的多维性功能康复训练干预.比较2组在干预前后的恐动症TSK-11评分、疼痛NRS评分、康复锻炼依从性、膝关节KSS评分、Harris髋关节功能评分及生活质量量表(SF-36)评分;记录并比较2组干预后的并发症发生情况.结果 干预后,2组TSK-11评分及NRS评分均降低(P＜0.05),KSS评分升高(P＜0.05),循证组TSK-11评分及NRS评分低于常规组(P＜0.05),KSS评分高于常规组(P＜0.05);2组各维度Harris髋关节功能评分均提高(P＜0.05),循证组评分高于常规组(P＜0.05);2组康复锻炼依从性和生活质量评分均提高(P＜0.05),循证组生活质量评分高于常规组(P＜0.05);2组并发症差异无统计学意义(P＞0.05).结论 基于循证理念的多维性功能康复训练有助于降低老年全髋关节置换术患者恐动情况和疼痛程度,提高生活质量和康复锻炼依从性,进而利于术后关节功能恢复,具有一定的临床应用价值.

英文摘要:

      Objective To explore the application effects of evidence-based concept combined with multi-dimensional functional rehabilitation training in elderly patients after total hip arthroplasty(THA),and provide methods for the treatment of this condition.Methods 106 elderly THA patients treated in People's Hospital of Pidu District/Third Affiliated Hospital of Chengdu Medical College from July 2019 to July 2024 were selected.They were divided into conventional group(odd number)and evidence-based group(even number)by simplified random grouping method(odd-even number method),with 53 cases in each group.The conventional group received conventional rehabilitation training and nursing intervention,while the evidence-based group received multi-dimensional functional rehabilitation training intervention based on the evidence-based concept on the basis of the same intervention as the conventional group.The Tampa Scale for Kinesiophobia-11(TSK-11)score,pain Nu-merical Rating Scale(NRS)score,compliance with rehabilitation exercise,Knee Society Score(KSS)score,Harris Hip Function score and 36-Item Short Form Health Survey(SF-36)score were compared between the two groups before and after the intervention.The occurrence of complications after the intervention in the two groups were recorded and compared.Results After intervention,the TSK-11 score and NRS score decreased significantly in both groups(P＜0.05),and the KSS score increased significantly(P＜0.05).The TSK-11 score and NRS score in the evidence-based group were lower than those in the conventional group(P＜0.05),and the KSS score in the evidence-based group was higher than that in the conventional group(P＜0.05).The scores of each dimension in Harris Hip Function score in both groups increased significantly(P＜0.05),and the score in the evidence-based group was significantly higher than those in the conventional group(P＜0.05).The compliance of rehabilitation exercise and the scores of quality of life in both groups increased significantly(P＜0.05),and the score of quality of life in the evidence-based group was higher than that in the conventional group(P＜0.05).There were no statistical differences in the incidence of complications between the two groups(P＞0.05).Conclusion Multi-dimensional functional rehabilitation training based on the evidence-based concept is helpful to reduce the kinesiophobia and pain degree in elderly patients after THA,improve the quality of life and compliance of rehabilitation exercise,and then facilitate the recovery of postoperative joint function.It has certain clinical application value.