SystemCHANGE模式的功能康复训练在踝关节骨折术后患者中的应用效果

doi:10.3969/j.issn.1671-7171.2025.08.023

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摘要【目的】探讨SystemCHANGE模式的功能康复训练在踝关节骨折术后患者中的应用效果。【方法】选取2019年5月至2022年6月就诊于本院的82例踝关节骨折患者,按照随机数字表法分为观察组(接受SystemCHANGE模式的功能康复训练)和对照组(接受常规康复干预模式),每组41例。比较两组踝关节功能、疼痛情况、康复训练依从性、日常生活自理能力。【结果】干预后,两组踝关节功能评分均干预前(P<0.05),且观察组高于对照组(P<0.05)。干预7 d后,两组视觉模拟评分法(VAS)评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05)。干预后,观察组康复训练依从性为92.68%,显著高于对照组的75.61%,差异有统计学意义(P<0.05)。出院时,两组Barthel指数评分均高于入院时(P<0.05),且观察组高于对照组(P<0.05)。【结论】SystemCHANGE模式的功能康复训练应用于踝关节骨折术后患者中,效果显著,可改善患者踝关节功能,减轻疼痛,提高日常生活自理能力和康复训练依从性。

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	张学军
	陈良超
	李浩月

关键词 ：踝骨折, 运动疗法, 骨折固定术

Abstract：【Objective】To explore the application effect of functional rehabilitation training based on the SystemCHANGE model in patients after ankle fracture surgery. 【Methods】Eighty-two patients with ankle fractures treated in our hospital from May 2019 to June 2022 were selected and divided into an observation group (receiving functional rehabilitation training under the SystemCHANGE model) and a control group (receiving conventional rehabilitation intervention) via the random number table method, with 41 patients in each group. Ankle joint function, pain condition, rehabilitation training compliance, and activities of daily living (ADL) ability were compared between the two groups. 【Results】 After intervention, ankle joint function scores in both groups improved compared to baseline (P<0.05), with the observation group demonstrating significantly higher scores than the control group (P<0.05). Seven days after intervention, Visual Analogue Scale (VAS) scores decreased in both groups (P<0.05), with the observation group showing lower scores than the control group (P<0.05). Rehabilitation training compliance in the observation group was 92.68%, significantly higher than 75.61% in the control group (P<0.05). At discharge, Barthel Index scores increased in both groups compared to admission (P<0.05), with the observation group achieving higher scores than the control group (P<0.05).【Conclusion】Functional rehabilitation training based on the SystemCHANGE model effectively improves ankle joint function, reduces pain, enhances ADL ability, and increases rehabilitation compliance in patients after ankle fracture surgery.

Key words： Ankle Fractures Exercise Therapy Fracture Fixation

收稿日期: 2024-08-22

中图分类号:

R684.77

引用本文:

张学军, 陈良超, 李浩月. SystemCHANGE模式的功能康复训练在踝关节骨折术后患者中的应用效果[J]. 医学临床研究, 2025, 42(8): 1374-1377.
ZHANG Xuejun, CHEN Liangchao, LI Haoyue. Application Effect of Functional Rehabilitation Training Based on System CHANGE Model in Patients after Ankle Fracture Surgery. JOURNAL OF CLINICAL RESEARCH, 2025, 42(8): 1374-1377.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.08.023 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I8/1374

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