摘要
目的探讨自助式下肢功能锻炼鞋在老年全膝关节置换术(total knee arthroplasty,TKA)术后患者中的应用效果。方法选取2017年9月—2018年9月温州医科大学附属第二医院收治的行TKA的膝关节骨性关节炎患者58例,随机分为对照组(n=28)和观察组(n=30)。对照组采用常规功能锻炼方法,观察组患者应用自制下肢功能锻炼鞋进行功能锻炼。比较两组患者对掌握功能锻炼指导所需的时间、进行功能锻炼的依从性和术后膝关节活动度。结果观察组患者掌握功能锻炼指导所需时间(4.3±1.5)min,较对照组短,差异有统计学意义(t=4.87,P<0.01)。观察组中27例患者功能锻炼依从性高,对照组15例依从性高,差异有统计学意义(χ^2=9.62,P<0.05)。术后3个月观察组患者的膝关节活动度(115.3±11.3)°,优于对照组,差异有统计学意义(t=2.45,P<0.05)。结论使用自助式下肢功能锻炼鞋可以帮助老年TKA患者更快掌握功能锻炼方法,提高术后功能锻炼依从性,提高术后康复锻炼效果,促进患肢功能早日恢复。
Objective To explore the application effect of self-help lower limb functional exercise shoes in elderly patients after total knee arthroplasty (TKA). Methods A total of 58 patients with knee osteoarthritis who underwent TKA in the Second Affiliated Hospital of Wenzhou Medical University from September of 2017 to September 2018 were selected and randomly divided into the control group (n=28) and observation group (n=30). Routine functional exercise method was adopted in the control group while self-help lower limb functional exercise shoes were applied in the observation group. The time needed to master the functional exercise instruction, compliance with the functional exercise and knee joints activity post-operation in the two groups were compared. Results The time needed to master the functional exercise instruction in the observation group was (4.3±1.5) min, shorter than the control group with statistical significance (t=4.87, P<0.01). In the observation group there were 27 patients who had high compliance with the functional exercise, while 15 patients in the control group had high compliance, the difference was statistically significant (χ2=9.62, P<0.05). Three months after operation, the knee joint activity of the observation group was better than that of the control group (115.3±11.3)°, the difference was statistically significant (t=2.45, P<0.05). Conclusions The use of self-help lower limb functional exercise can help the elderly TKA patients to master the functional exercise method faster, improve their compliance with postoperative functional exercise, improve postoperative rehabilitation exercise effects and promote early recovery of the affected limb functional.
作者
陈和珍
夏玉秀
朱菁菁
叶杨
蔡程芳
张倩倩
淦细红
Chen Hezhen;Xia Yuxiu;Zhu Jingjing;Ye Yang;Cai Chengfang;Zhang Qianqian;Gan Xihong(Department of Orthopedics, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China)
出处
《中华现代护理杂志》
2019年第28期3658-3661,共4页
Chinese Journal of Modern Nursing
关键词
老年人
关节成形术
置换
膝
全膝关节置换术
康复
功能锻炼鞋
依从性
Aged
Arthroplasty, replacement, knee
Total knee replacement
Rehabilitation
Functional exercise shoes
Compliance
