| 李燕华,彭翠香,梁杰.阶段性功能锻炼对全髋关节置换术病人功能恢复及生活质量的影响.骨科,2017,8(3): 233-236. |
| 阶段性功能锻炼对全髋关节置换术病人功能恢复及生活质量的影响 |
| Influence of phased functional exercise on functional recovery and quality of life after the total hip arthroplasty |
| 投稿时间：2016-04-07 |
| DOI：10.3969/j.issn.1674-8573.2017.03.016 |
| 中文关键词: 关节成形术，置换，髋 功能锻炼 生活质量 |
| 英文关键词: Arthroplasty, replacement, hip Exercise Quality of life |
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| 中文摘要: |
| 目的 探讨阶段性功能锻炼对全髋关节置换术（total hip arthroplasty, THA）病人术后的功能恢复及生活质量的影响。方法 共纳入120例THA病人，随机分为两组，功能锻炼组病人按照阶段性功能锻炼指导手册内容指导病人进行功能锻炼，常规护理组病人接受常规术后护理。比较两组病人手术前后的髋关节Harris评分、Barthel指数评分以及病人满意度。结果 两组病人术后3个时间点（出院前、术后3个月、术后6个月）的髋关节Harris评分均较术前逐步提高，且功能锻炼组的得分均高于常规护理组，差异均有统计学意义（P均＜0.05）；两组病人术前及出院前的Barthel指数评分差异无统计学意义，但功能锻炼组术后3、6个月的Barthel指数均优于常规护理组，差异均有统计学意义（P均＜0.05）；两组病人对治疗的满意度比较，差异有统计学意义（χ2=11.146，P=0.004）。结论 阶段性功能锻炼对THA病人术后的髋关节功能恢复具有临床指导意义，能提高病人的生活活动能力和对治疗的满意度，具有积极的社会效益。 |
| 英文摘要: |
| Objective To investigate the effect of phased functional exercise on functional recovery and quality of life after total hip arthroplasty (THA). Methods A total of 120 patients with THA were randomly divided into two groups. The patients in the functional exercise group were instructed according to the instruction manual of the functional exercise. The patients in the routine care group received routine nursing care. The hip joint's Harris score, the Barthel index score, and patients' satisfaction with hospitalization were compared between the two groups before and after surgery. Results Harris scores of hip joint were gradually increased at three time points (before discharge, 3 months and 6 months after operation), and the score of functional exercise group was higher than that of routine nursing group (P＜0.05 for all). There was no significant difference in Barthel index between the two groups preoperation and after discharge, but the Barthel index of the functional exercise group was better than routine care group at 3rd and 6th month after operation (P＜0.05 for all). There was significant difference between the two groups in the satisfaction with treatment (χ2=11.146, P=0.004). Conclusion The phased functional exercise, which has clinical significance for the recovery of hip function after THA and can improve the patient's living activity ability and satisfaction with treatment, has positive social benefits. |
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