Effect of the early rehabilitation exercise based on behavior change wheel theory on rehabilitation effect of the aged patients after total hip replacement
XIE Qianqian1 ZHANG Yongmei1 SONG Lingxia2 LIU Hanmei1
1.Nursing College, Zunyi Medical University, Guizhou Province, Zunyi 563000, China;
2.Department of Joint Surgery, the Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China
Abstract:Objective To investigate the effect of early rehabilitation exercise based on behavior change wheel (BCW) theory on the rehabilitation effect of elderly patients after total hip replacement. Methods From March 2018 to February 2019, a total of 86 elderly patients underwent total hip replacement in the Department of Joint Surgery, Affiliated Hospital of Zunyi Medical University were selected, the patients were divided into experimental group and control group by random number table method, 43 cases in group. The control group received routine rehabilitation exercise in joint surgery. On the basis of routine exercise, the experimental group implemented early rehabilitation exercise intervention measures based on BCW model. Results Both groups had higher Harris function scores 1 month after surgery than before surgery, and the Harris functional score of the experimental group was higher than that of the control group, with statistically significant differences (P < 0.05). There were no significant differences between the two groups in the compliance rate of early rehabilitation exercise 1 and 5 days after surgery (all P > 0.05). The compliance rate of early rehabilitation exercise 1 and 5 days after surgery were higher in the experimental group than those in the control group, with statistically significant differences (all P < 0.05). The incidence of postoperative complications in the experimental group was lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion Early rehabilitation exercise based on BCW theory can improve the exercise compliance of elderly patients after total hip replacement, reduce the incidence of complications, and promote the recovery of hip function.
谢倩倩1 张咏梅1 宋凌霞2 刘汉梅1. 基于BCW理论的早期康复锻炼对老年全髋关节置换术后患者康复效果的影响[J]. 中国医药导报, 2020, 17(7): 181-184.
XIE Qianqian1 ZHANG Yongmei1 SONG Lingxia2 LIU Hanmei1. Effect of the early rehabilitation exercise based on behavior change wheel theory on rehabilitation effect of the aged patients after total hip replacement. 中国医药导报, 2020, 17(7): 181-184.
[1] Cheng SY,Levy AR,Lefaivre KA,et al. Geographic trends in incidence of hip fractures:a compre-hensive literature review [J]. Osteoporos Int,2011,22(10):2575-2586.
[2] Wu JQ,Mao LB,Wu J. Efficacy of exercise for improving functional outcomes for patients undergo-ing total hip arthroplasty:A meta-analysis [J]. Medicine (Baltimore),2019, 98(10):1-10.
[3] Annet W,Bouma SE,Seeber GH,et al. The therapeutic validity and effectiveness of physiothera-peutic exercise following total hip arthroplasty for osteoarthritis:A systematic review [J]. PLoS One,2018,13(3):1-21.
[4] Zhang P,Li JF,Wang X. Combined versus single application of tranexamic acid in total knee and hip arthroplasty:A meta-analysis of randomized controlled trials [J]. Int J Surg,2017,43:171-180.
[5] Moyer R,Ikert K,Long K,et al. The Value of Preoperative Exercise and Education for Patients Undergoing Total Hip and Kn4ee Arthroplasty [J]. JBJS Reviews,2017,5(12):1-15.
[6] Chanseok R,Lynn L,Glen R,et al. Risk factors for infection,revision,death,blood transfusion and longer hospital stay 3 months and 1 year after primary total hip or knee arthroplasty [J]. Can J Surg,2018,61(3):165-176.
[7] JImai N,Ito T,Suda K,et al. Manual calf massage and passive ankle motion reduce the incidence of deep vein thromboembolism after total hip arthroplasty [J]. J Orthopaed Sci,2017,4(22):726-730.
[8] Deng QF,Gu HY,Peng WY. Impact of enhanced recovery after surgery on postoperative recovery after joint arthroplasty:results from a systematic review and meta-analysis [J]. Postgrad Med J,2018,94(1118):678-693.
[9] Cnudde PHJ,Nemes S,Bülow E,et al. Risk of further surgery on the same or opposite side and mortality after primary total hip arthroplasty:A multi-state analysis of 133,654 patients from the Swedish Hip Arthroplasty Register [J]. Acta Orthop,2018,89(4):386-393.
[10] 陈昊.老年髋部骨折患者THA术后并发症危险因素相关性分析[D].长春:吉林大学,2017.
[11] Michie S,van Stralen,West R. The behaviour change wheel:A new method for characterising and designing behaviour change interventions [J]. Implement Sci,2011,6(1):42-53.
[12] 苏丹,赖玉婵,缪娟.全髋关节置换术住院患者健康教育需求的调查分析[J].当代护士,2018,25(5):169-171.
[13] Harris WH. Traumatic Arthritis of the Hip After Dislocation and Acetabular Fractures:Treatment by Mold Arthroplasty. An End-Result Study Using a New Method of Result Evaluation [J]. J Bone Joint Surg Am,1969,51(4):737-755.
[14] Chan D,Can F. Patients adherence/compliance to physical therapy home exercises [J]. Fizyoterapi Rehabilitasyon,2010,21(3):132-139.
[15] 周宗科,翁习生,曲铁兵,等.中国髋、膝关节置换术加速康复-围术期管理策略专家共识[J].中华骨与关节外科杂志,2016,9(1):10-15.
[16] 庄正陵,丁俊辉,柳洪周,等.早期康复锻炼联合硬膜外镇痛对髋关节置换术老年病人肢体功能和免疫功能的影响[J].安徽医药,2019,23(1):102-106.
[17] 赵改云,许燕玲.人工关节置换术后康复训练依从性影响因素研究现状[J].解放军护理杂志,2018,35(16):41-45.
[18] 何云月.信息及动机护理干预对老年全髋关节置换术患者髋关节功能及生活质量的影响[J].现代中西医结合杂志,2019,28(4):440-443.
[19] 赵改云,许燕玲.人工关节置换术后康复训练依从性测量工具的研究现状[J].护理研究,2019,33(2):294-298.
[20] 余金素,董斌.围手术期健康教育路径对髋关节置换术患者早期功能锻炼依从性影响[J].安徽医学,2017,39(3):346-348.
[21] 纪玉桂,罗青,王东亚,等.信息-动机-行为技巧模型在脑卒中病人早期康复护理中的应用研究[J].护理研究,2018,32(12):1870-1873.
[22] Annet W,Bouma SE,Seeber GH,et al. The therapeutic validity and effectiveness of physiothera-peutic exercise following total hip arthroplasty for osteoarthritis:A systematic review [J]. PLoS One,2018,13(3):1-21.
[23] Specht K,Kjaersgaard-Andersen P,Kehlet H,et al. High patient satisfaction in 445 patients who underwent fast-track hip or knee replacement [J]. Acta Orthop,2015,86(6):702-707.
[24] 杨玉霞,倘艳锋,蔡鸿敏,等.路径化康复锻炼对CroweⅣ型髋关节发育不良行全髋关节置换联合转子下短缩截骨手术患者功能康复的影响[J].中国医药导报,2017,14(26):142-145.
[25] 杨莉君,马红波,李娟,等.基于临床路径的优质护理对冠心病患者行冠状动脉支架置入术后康复及并发症发生率的影响[J].中国医药导报,2018,15(1):177-180.
[26] 尹慧珍,山慈明.老年关节置换术后早期活动依从性对关节恢复及深静脉血栓发生的影响[J].中国老年学杂志,2017,37(6):1450-1452