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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 |
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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.
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