基于症状管理理论的分期康复指导对老年髋关节置换术患者功能康复及生活质量的影响

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Yunwei Xu, Lvtian Chen
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引用次数: 0

摘要

目的:髋关节置换术后的物理康复对改善患者的功能预后和生活质量至关重要。本研究旨在探讨基于症状管理理论(SMT)的分阶段康复指导对老年HA患者功能康复和生活质量的影响。方法:采用回顾性病例对照分析,选取宁波大学附属阳明医院2023年1月至2024年4月间接受基于smt的分期康复指导的患者60例为研究对象。SMT组患者与接受常规护理的患者(对照组)进行1:1匹配。比较干预后髋关节功能、运动功能、生活质量和生活自理能力的恢复情况。结果:干预4周和12周后,SMT组患者Harris髋关节评分(HHS)、功能独立性测试(FIM)评分、6分钟步行测试(6MWT)、Berg平衡量表(BBS)评分、QLQ-C30、Barthel指数(BI)评分显著高于对照组,站立至步行时间显著低于对照组(p)。基于SMT原则的分阶段康复指导对老年HA患者髋关节功能、运动功能、生活质量和生活自理能力均有潜在的积极影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of staged rehabilitation guidance based on symptom management theory on functional rehabilitation and quality of life of elderly patients undergoing hip replacement surgery.

Objective: Physical rehabilitation after hip arthroplasty (HA) is crucial for improving patients' functional outcomes and quality of life (QOL). This study aimed to explore the impact of staged rehabilitation guidance based on symptom management theory (SMT) on functional rehabilitation and QOL in elderly patients undergoing HA.

Methods: This retrospective case-control analysis included a cohort of 60 patients who received SMT-based staged rehabilitation guidance between January 2023 to April 2024 at The Affiliated Yangming Hospital of Ningbo University. Patients of the SMT group were matched 1:1 with patients who received routine care (the control group). The recovery of hip joint function, motor function, QOL, and self-care ability after intervention was compared.

Results: After four and 12 weeks of intervention, the Harris hip score (HHS), functional independence measure (FIM) score, 6-minute walk test (6MWT), Berg balance scale (BBS) score, QLQ-C30, and Barthel index (BI) score of the SMT group were significantly higher, while the standing to walking time was significantly lower than that of the control group (P<0.05).

Conclusions: The staged rehabilitation guidance based on SMT principles has potentially positive effects on the hip joint function, motor function, QOL, and self-care ability of elderly patients undergoing HA.

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来源期刊
Pakistan Journal of Medical Sciences
Pakistan Journal of Medical Sciences 医学-医学:内科
CiteScore
4.10
自引率
9.10%
发文量
363
审稿时长
3-6 weeks
期刊介绍: It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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