Teach Back健康教育下阶段性功能锻炼对全髋关节置换术患者疾病管理参与度及关节功能改善的影响<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2024.02.012

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摘要【目的】探讨Teach Back健康教育下阶段性功能锻炼对全髋关节置换术(THA)患者的预后影响。【方法】80例THA患者随机分为观察组和对照组,每组40例,对照组给予常规护理,观察组在对照组基础上给予Teach Back健康教育下阶段性功能锻炼。于干预前、干预4周后,比较两组患者参与疾病管理积极度、髋关节功能、并发症发生情况等指标。【结果】干预前,两组各项指标比较,差异均无统计学意义(P>0.05)。干预后,两组患者认知、技能、行动、信念等参与疾病管理积极度评分均高于干预前(P<0.05),且观察组各项评分高于对照组(P<0.05);干预后,观察组患者关节畸形、关节功能、关节疼痛、关节活动等髋关节功能评分均高于对照组(P<0.05)。观察组患者压疮、深静脉血栓、下肢水肿、肺部感染等并发症发生率均低于对照组(P<0.05)。【结论】Teach Back健康教育下阶段性功能锻炼有效提高了THA患者的参与疾病管理积极度,改善了髋关节功能,降低了并发症的发生。

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关键词 ：关节成形术,置换,髋, 康复护理, 功能恢复

Abstract：【Objective】To explore the prognostic impact of phased functional exercise under Teach Back health education on patients undergoing total hip arthroplasty (THA). 【Methods】Eighty patients with THA were randomly divided into an observation group and a control group, with 40 cases in each group. The control group received routine care, while the observation group received phased functional exercise under Teach Back health education in addition to the control group. Before and 4 weeks after the intervention, two groups of patients were compared in terms of their participation in disease management, hip joint function, and incidence of complications. 【Results】Before intervention, there was no statistically significant difference in various indicators between the two groups of patients (P>0.05). After intervention, the scores of cognitive, skill, action, and belief participation in disease management in both groups of patients were higher than those before intervention (P<0.05), and the scores of the observation group were higher than those of the control group (P<0.05); After intervention, the hip joint function scores of the observation group were higher than those of the control group in terms of joint deformity, joint function, joint pain, and joint activity (P<0.05); The incidence of complications such as pressure ulcers, deep vein thrombosis, lower limb edema, and pulmonary infection in the observation group was lower than that in the control group (P<0.05).【Conclusion】Stage based functional exercise under Teach Back health education effectively enhances the participation of THA patients in disease management, improves hip joint function, and reduces the incidence of complications.

Key words： Arthroplasty, Replacement, Hip Rehabilitation Nursing Recovery of Function

收稿日期: 2023-05-29

中图分类号:

R684.75

基金资助:*山东省医药卫生科技发展计划项目(202004071153)

通讯作者: **E-mail:710811627@qq.com

引用本文:

梁婷婷, 马春会, 孟飞, 李淑慧, 张晓莹, 尹双双. Teach Back健康教育下阶段性功能锻炼对全髋关节置换术患者疾病管理参与度及关节功能改善的影响^*[J]. 医学临床研究, 2024, 41(2): 199-202.
LIANG Tingting, MA Chunhui, MENG Fei, et al. The Impact of Phased Functional Exercise on Disease Management Participation and Joint Function Improvement in Total Hip Replacement Patients under Teach Back Health Education. JOURNAL OF CLINICAL RESEARCH, 2024, 41(2): 199-202.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.02.012 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I2/199

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