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

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (1241 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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

Received: 22 August 2024

PACS:

R684.77

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Xuejun
	CHEN Liangchao
	LI Haoyue

Cite this article:

ZHANG Xuejun,CHEN Liangchao,LI Haoyue. Application Effect of Functional Rehabilitation Training Based on System CHANGE Model in Patients after Ankle Fracture Surgery[J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(8): 1374-1377.

URL:

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

[1] CHONG H H, HAU M, MISHRA P, et al. Patient outcomes following ankle fracture fixation[J].Foot Ankle Int,2021,42(9):1162-1170.
[2] LOPEZ-CAPDEVILA L, RIOS-RUH J M, FORTUNO J, et al. Diabetic ankle fracture complications: a meta-analysis[J].Foot Ankle Surg,2021,27(7):832-837.
[3] GITAJN I L, NATOLI R M, SPITLER C A, et al. Radiographic assessment of ankle fracture displacement: a validation study[J].Foot Ankle Int,2022,43(10):1269-1276.
[4] 屈婧,肖美慧,舒玲,等. SystemCHANGE模式在耐多药肺结核患者服药管理中的应用[J].预防医学情报杂志,2021,37(2):190-194.
[5] PLOW M, MOORE S M, CHANG J, et al. Randomized controlled trial of SystemCHANGE weight management intervention in neurological conditions[J].Patient Educ Couns,2020,103(1):112-119.
[6] KITAOKA H B, MEEKER J E, PHISITKUL P, et al. AOFAS position statement regarding patient-reported outcome measures[J].Foot Ankle Int,2018,39(12):1389-1393.
[7] CHIAROTTO A, MAXWELL L J, OSTELO R W, et al. Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the brief pain inventory in patients with low back pain: a systematic review[J].J Pain,2019,20(3):245-263.
[8] 余晶晶,王娟,胡晨辰. 优化护理对创伤性骨折患者早期康复训练的依从性的影响及应用效果观察[J].实用临床医药杂志,2017,21(14):199-200.
[9] STRINI V, PIAZZETTA N, GALLO A, et al. Barthel Index: creation and validation of two cut-offs using the BRASS Index[J].Acta Biomed,2020,91(2-S):19-26.
[10] HALLER J M, ROSS H, JACOBSON K, et al. Supination adduction ankle fractures: Ankle fracture or pilon variant?[J].Injury,2020,51(3):759-763.
[11] MOSCA M, BUDA R, CECCARELLI F, et al. Ankle joint re-balancing in the management of ankle fracture malunion using fibular lengthening: prospective clinical-radiological results at mid-term follow-up[J].Int Orthop,2021,45(2):411-417.
[12] O'CALLAGHAN W B, NIELSEN D, HOPE M J, et al. Ankle fracture management using smartphone multimedia messaging service (MMS) imaging-How reliable and to what point?[J].Foot Ankle Surg,2022,28(1):20-24.
[13] 刘少群,饶娟娟,林勇,等. 踝关节骨折术后患者应用奥马哈系统联合医护康一体化管理模式的临床效果观察[J].齐鲁护理杂志,2021,27(12):31-33.
[14] WANG J, STRIDE D, HORNER N S, et al. The role of deltoid ligament repair in ankle fractures with syndesmotic instability: a systematic review[J].J Foot Ankle Surg,2021,60(1):132-139.