核心稳定性训练和健康信念模式在全膝关节置换术后的应用效果

Effects of core stability training and health belief model after total knee arthroplasty

  • 摘要:
    目的 探讨核心稳定性训练联合健康信念模式护理干预在全膝关节置换术(TKA)后患者中的应用效果。
    方法 选取210例行TKA治疗患者为研究对象, 随机分为对照组和观察组,每组105例。对照组采用常规护理,观察组在对照组基础上应用核心稳定性训练联合健康信念模式护理干预。2组患者均连续干预3个月,比较干预前后膝关节功能、下肢运动功能及功能锻炼依从性。
    结果 干预后, 2组患者美国特种外科医院膝关节评分(HSS)及膝关节活动度(ROM)均较干预前提高,且观察组患者均高于对照组,比较差异有统计学意义(P < 0.05); 干预后, 2组患者改良步态效能评分(mGES)、标准化步幅及坐站转换时间(STS)均较干预前改善,且观察组均优于对照组,差异有统计学意义(P < 0.05); 观察组锻炼依从性优于对照组,差异有统计学意义(P < 0.05)。
    结论 核心稳定性训练联合健康信念模式护理干预有利于改善TKA患者术后膝关节功能及下肢运动功能,提高患者功能锻炼依从性,促进患者康复。

     

    Abstract:
    Objective To explore the application effects of core stability training combined with health belief model nursing intervention in patients after total knee arthroplasty (TKA).
    Methods A total of 210 patients who underwent TKA treatment were selected as study subjects, and were randomly divided into control group and observation group, with 105 cases in each group. The control group received routine nursing, while the observation group received core stability training combined with health belief model nursing intervention on the basis of the control group. Both groups received continuous intervention for 3 months. The knee joint function, lower limb motor function, and functional exercise compliance before and after intervention were compared.
    Results After intervention, the Hospitalfor Special Surgery (HSS) for knee score and the range of motion (ROM) of the knee joint in both groups improved, and the observation group were higher than those in the control group (P < 0.05). After intervention, the modified Gait Efficacy Scale (mGES), standardized stride length, and sit-to-stand transition time (STS) in both groups improved compared to intervention before, and the observation group showed better results than the control group (P < 0.05). The exercise compliance in the observation group was better than that in the control group (P < 0.05).
    Conclusion Core stability training combined with health belief model nursing intervention is beneficial for improving knee joint function and motor function of lower limb in patients after TKA, thereby enhancing patients' functional exercise compliance, and promoting patient rehabilitation.

     

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