基于动机行为转化的主被动康复锻炼对膝关节置换术后患者功能恢复的影响

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Abstract Objective To investigate the effect of active and passive rehabilitation exercise based on motivational behavior transformation on the functional recovery of patients after knee replacement. Methods The clinical data of 80 patients who underwent knee replacement in the Department of Joint Surgery of Wanbei Coal and Power Group General Hospital in Anhui Province from January 2017 to December 2019 were retrospectively analyzed, according to the time of admission, they were divided into control group (from January 2017 to June 2018) and study group (from July 2018 to December 2019), with 40 cases in each group. Patients in the control group were given routine nursing, and patients in the study group were given active and passive rehabilitation exercises based on the transformation of motivational behavior on the basis of the control group. The hospital for special surgery (HSS) and active joint range of motion (AROM) were compared between the two groups before nursing and at discharge, visual analogue scale (VAS) was compared between the two groups at different postoperative time points, and complications and nursing satisfaction of the two groups were analyzed. Results At discharge, the HSS score and AROM of the two groups were significantly increased, and the HSS score and AROM of the study group were significantly higher than those of the control group (P ＜ 0.05). Comparison of VAS score time, intergroup and interaction at different postoperative time points between the two groups showed statistically significant differences (P ＜ 0.05). Further pairwise comparison was made between the two groups and intra-group comparison, the VAS scores of the two groups at 3 and 7 days after operation were significantly lower than those at one day after operation, the VAS score at 7 days after operation was significantly lower than that at 3 days after operation, and the differences were statistically significant (P ＜ 0.05); the VAS scores the study group were significantly lower than those in the control group (P ＜ 0.05); the total complication rate of the study group was significantly lower than that of the control group (P ＜ 0.05); the nursing satisfaction of the study group was significantly higher than that of the control group (P ＜ 0.05). Conclusion The application of active and passive rehabilitation exercises based on the transformation of motivational behavior in patients after knee replacement can effectively promote the rapid recovery of their knee joint functions, effectively relieve the pain level, and further improve their satisfaction with nursing.

Key words： Knee replacement Motivational behavior transformation Rehabilitation exercise Functional recovery Satisfaction Complications

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	WU Shanshan

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WU Shanshan. Effects of active and passive rehabilitation exercises based on the transformation of motivational behavior on the functional recovery of patients after knee replacement[J]. 中国医药导报, 2021, 18(13): 185-188.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I13/185

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