[1]叶赛赛,陈可英,周黎辉.行走与站立平衡训练方案对全髋关节置换术患者术后早期康复的影响[J].军事护理,2022,39(10):25-28.[doi:10.3969/j.issn.2097-1826.2022.10.007]
 YE Saisai,CHEN Keying,ZHOU Lihui.Effect of Walking and Standing Balance Training Program on the Early Rehabilitation of Patients Undergoing Total Hip Arthroplasty[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):25-28.[doi:10.3969/j.issn.2097-1826.2022.10.007]
点击复制

行走与站立平衡训练方案对全髋关节置换术患者术后早期康复的影响
分享到:

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年10期
页码:
25-28
栏目:
论著
出版日期:
2022-10-15

文章信息/Info

Title:
Effect of Walking and Standing Balance Training Program on the Early Rehabilitation of Patients Undergoing Total Hip Arthroplasty
文章编号:
2097-1826(2022)10-0025-04
作者:
叶赛赛陈可英周黎辉
(宁波市象山县第一人民医院医疗健康集团 骨科,浙江 宁波 315700)
Author(s):
YE SaisaiCHEN KeyingZHOU Lihui
(Orthopedics Department,Medical Health Group of First People's Hospital of Xiangshan County,Ningbo 315700,Zhejiang Province,China)
关键词:
全髋关节置换术 早期康复 平衡能力 护理
Keywords:
total hip replacement early rehabilitation balance training nursing
分类号:
R473.6
DOI:
10.3969/j.issn.2097-1826.2022.10.007
文献标志码:
A
摘要:
目的 探讨行走与站立平衡训练方案对全髋关节置换术患者术后早期康复的影响,为改善患者术后平衡能力、髋关节功能提供帮助。方法 2019年1月至2020年12月,采用便利抽样选取某三级医院骨科行全髋关节置换术(total hip arthroplasty,THA)患者139例为研究对象。按随机数字表将其分为对照组(n=69)和观察组(n=70)。对照组给予常规护理与康复; 观察组在常规护理与康复基础上进行早期行走与站立平衡训练。干预8周后,比较两组患者平衡能力与髋关节功能。结果 干预前,两组患者患者平衡能力与髋关节功能的差异均无统计学意义(均P<0.05)。干预后,两组平衡能力与髋关节功能较干预前有所提升(均P<0.05),且观察组平衡能力与髋关节功能优于对照组,差异均有统计学意义(均P<0.05)。结论 行走与站立平衡训练方案能提高全髋关节置换术患者术后平衡能力与髋关节功能,建议推广。
Abstract:
Objective To explore the effect of walking and standing balance training program on the early postoperative rehabilitation of patients undergoing total hip arthroplasty(THA)and to provide help for improving postoperative balance ability and hip function of patients.Methods From January 2019 to December 2020,139 patients who underwent THA in the Department of Orthopedics of a tertiary A hospital were selected as the research objects by convenience sampling method.According to the random number table,they were divided into control group(n=69)and observation group(n=70).The control group received routine nursing and rehabilitation.The observation group received early walking and standing balance training on the basis of routine nursing rehabilitation.After 8 weeks of intervention,the balance ability and hip joint function were compared between the two groups.Results Before intervention,there was no significant difference in patient balance ability and hip joint function between the two groups(all P<0.05).After intervention,the balance ability and hip joint function of the two groups were improved compared with those before intervention(all P<0.05),and the balance ability and hip joint function of the observation group were better than those of the control group.The differences were statistically significant(all P<0.05).Conclusions Walking and standing balance training program can improve the balance ability and hip function of patients undergoing THA,which has certain clinical signficance.

参考文献/References:

[1] CARKCI E,POLAT A E,OZTURKMEN Y,et al.Long-term results of total hip arthroplasty performed using a cementless expansive acetabular cup and spotorno femoral stem[J].Pak J Med Sci,2021,37(1):52-58.
[2] STMART J P,GOH E L,SHAH Z,et al.Robotics in total hip arthroplasty:a review of the evolution,application and evidence base[J].EFORT Open Rev,2020,5(12):866-873.
[3] SNELL D L,JERRAM K A S,DUNN J A,et al.Use of rehabilitation after hip and knee replacement in New Zealand:a national survey[J].N Z Med J,2020,133(1510):45-55.
[4] RITTER S,DANNENMAIER J,JANKOWIAK S,et al.Total hip and knee arthroplasty - utilization of postoperative rehabilitation[J].Rehabilitation(Stuttg),2018,57(4):248-255.
[5] 周宗科,翁习生,曲铁兵,等.中国髋、膝关节置换术加速康复——围术期管理策略专家共识[J].中华骨与关节外科杂志,2016,9(1):1-9.
[6] BERG K O,WOOD-DAUPHINEE S,WILLIAMS J T,et al.Measuring balance in the elderly:preliminary evelopment of an instrument[J].Physiother Can,1989(41):304-311.
[7] 金冬梅,燕铁斌.Berg平衡量表及其临床应用[J].中国康复理论与实践,2002,8(3):155-157.
[8] DAWSON J,FITZPATRICK R,CATT A,et al.Questionnaire on the perception of patients about total hip replacement[J].J Bone Joint Surg Br,1966,78(2):185-190.
[9] 夏振兰,郭达,范梅霞,等.不同时期全髋关节置换术患者髋关节功能及生存质量比较[J].中国护理管理,2012,12(5):40-43.
[10]夏振兰,何冰,范梅霞,等.中文版牛津髋关节功能量表信效度评价[J].护理学报,2012,19(3A):23-25.
[11]KLEIN G R,POSNER J M,LEVINE H B,et al.Same day total hip arthroplasty performed at an ambulatory surgical center:90-day complication rate on 549 patients[J].J Arthroplasty,2017,32(4):1103-1106.
[12]COLIBAZZI V,COLADONATO A,ZANAZZO M,et al.Evidence based rehabilitation after hip arthroplasty[J].Hip Int,2020,30(2):20-29.
[13]SNELL D L,HIPANGO J,SINNOTT K A,et al.Rehabilitation after total joint replacement:a scoping study[J].Disabil Rehabil,2018,40(14):1718-1731.
[14]NAYLOR J M,FROST S,FARRUGIA M,et al.Patient factors associated with referral to inpatient rehabilitation following knee or hip arthroplasty in a public sector cohort:a prognostic factor study[J].J Eval Clin Pract,2021,27(4):809-816.
[15]赵改云,许燕玲.人工关节置换术后康复训练依从性影响因素研究现状 [J].解放军护理杂志,2018,35(16):41-45.

相似文献/References:

[1]徐芸,盛丽娟,张海燕,等.乳腺癌患者术后上肢三阶段康复方案的应用研究[J].军事护理,2022,39(10):9.[doi:10.3969/j.issn.2097-1826.2022.10.003]
 XU Yun,SHENG Lijuan,ZHANG Haiyan,et al.Application of Three-stage Upper Limb Rehabilitation Program for Postoperative Breast Cancer Patients[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):9.[doi:10.3969/j.issn.2097-1826.2022.10.003]
[2]王海青,刘莹莹,杨富,等.重症监护室医护人员实施早期康复行为意向问卷的编制及信效度检验[J].军事护理,2023,40(06):13.[doi:10.3969/j.issn.2097-1826.2023.06.004]
 WANG Haiqing,LIU Yingying,YANG Fu,et al.Development of Behavioral Intention Questionnaire for Intensive Care Unit Medical Staff to Implement Early Rehabilitation Protocols and its Validity and Reliability Test[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(10):13.[doi:10.3969/j.issn.2097-1826.2023.06.004]

备注/Memo

备注/Memo:
【 收稿日期 】 2021-10-31 【 修回日期 】 2022-07-26
【 基金项目 】 宁波市卫生健康委员会科研课题(2018A63)
【 作者简介 】 叶赛赛,本科,主管护师,从事骨科护理工作
【 通信作者 】 陈可英,电话:0574-65001234
更新日期/Last Update: 2022-10-15