摘要
目的探讨基于微信指导的量化康复训练在胫骨平台骨折(tibial plateau fractures,TPF)患者中的应用效果。方法选择2020年4月—2022年4月医院收治的TPF患者120例,按照组间基本特征具有可比性的原则分为对照组和观察组,每组60例。对照组采用常规康复训练,观察组采用基于微信指导的量化康复训练,两组均训练6个月。比较两组患者训练前后美国特种外科医院膝关节功能(HSS)评分、视觉模拟疼痛评分法(VAS)评分、胫骨平台内翻角及后倾角、训练依从性。结果训练前,两组患者膝关节功能、VAS评分和胫骨平台内翻角及后倾角的比较,差异无统计学意义(P>0.05);训练后,观察组患者膝关节功能评分高于对照组,胫骨平台后倾角大于对照组,而VAS评分低于对照组,胫骨平台内翻角小于对照组,组间比较差异均有统计学意义(P<0.05);观察组康复训练依从性高于对照组,组间比较差异有统计学意义(P<0.05)。结论基于微信指导的量化康复训练能够有效提高TPF患者训练依从性,改善其胫骨平台内翻角及后倾角,缓解疼痛,加快膝关节功能康复。
Objective To explore the application effect of quantitative rehabilitation training based on WeChat guidance in patients with tibial plateau fractures(TPF).Methods 120 cases of TPF patients admitted to the hospital from April 2020 to April 2022 were selected and divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 60 cases in each group.The control group used conventional rehabilitation training,and the observation group used quantitative rehabilitation training based on WeChat guidance,both groups were trained for 6 months.Before and after training,the two groups were compared in terms of Hospital of Special Surgery(HSS)scores,Visual Analogue Pain Scale(VAS)scores,tibial plateau inversion angle and posterior inclination angle,and training adherence.Results Before training,there was no statistically significant difference in knee function,VAS score and tibial plateau inversion angle and posterior tilt angle between the two groups(P>0.05).after training,the knee function score of the patients in the observation group was higher than that of the control group,and the tibial plateau posterior tilt angle was greater than that of the control group,while the VAS score was lower than that of the control group,and the tibial plateau inversion angle was smaller than that of the control group,and the diff erence between the groups was statistically significant(P<0.05).rehabilitation of the observation group was more diffi cult than that of the control group(P<0.05);rehabilitation training compliance of the observation group was higher than that of the control group,and the diff erence between the groups was statistically significant(P<0.05).Conclusion The quantitative rehabilitation training based on WeChat guidance can effectively improve the training compliance of TPF patients,improve the tibial plateau internal rotation angle and posterior tilt angle,relieve pain,and accelerate the functional rehabilitation of the knee joint.
作者
王俊杰
张俊娟
张红梅
寇洁
邓莹
李珂
贾曼
李佳佳
WANG Junjie;ZHANG Junjuan;ZHANG Hongmei;KOU Jie;DENG Ying;LI Ke;JIA Man;LI Jiajia(Henan Provincial People's Hospital,Zhengzhou,450000,China)
出处
《护理实践与研究》
2023年第17期2640-2644,共5页
Nursing Practice and Research
基金
河南省医学科技攻关计划(联合共建)项目(编号:LHGJ20190604)
关键词
胫骨平台骨折
微信
量化康复训练
功能康复
训练依从性
疼痛程度
Tibial plateau fracture
WeChat
Quantitative rehabilitation training
Functional rehabilitation
Training compliance
Pain level
