前交叉韧带重建术后患者家庭康复现状调查

Study on status of home-based rehabilitation after anterior cruciate ligament reconstruction

目的调查前交叉韧带重建术后患者家庭康复情况。方法对行关节镜下交叉韧带单束重建的102例患者采用一般情况调查表、前交叉韧带重建术后康复现状调查表及社会支持量表进行问卷调查,并评定膝关节Lysholm评分。结果仅53.92%的患者按家庭康复锻炼计划进行功能锻炼;理解康复锻炼目的和掌握正常康复锻炼方法的患者数均不足50.00%;得到医务人员康复督促指导者仅占5.88%;患者客观支持和对支持的利用度得分均高于常模(P<0.01);不同文化程度和家庭康复锻炼患者的膝关节Lysholm评分差异具有统计学意义(P<0.05)。结论前交叉韧带重建术后患者家庭康复现状不满意,应定期门诊或电话随访,对患者进行个性化康复指导。

Objective To investigate the status of home-based rehabilitation of patients with anterior cruciate ligament （ACL） reconstruction.Methods Totally,102 patients treated by ACL reconstruction were investigated by general information questionnaire,Perceived Social Support Scale and questionnaires of rehabilitation after ACL reconstruction,and their knee joint functions were accessed by Lysholm Score.Results Only 53.92% of patients carried out the rehabilitation plan,and less than 50.00% of patients understood the aim and could do the excise exactly.Only 5.88% of the patients could receive advices from medical staff.There were significant differences of the Lysholm scores in patients with different education degree and adherence （P 〈 0.05）.Conclusion The status of home-based rehabilitation of patients with ACL reconstruction is not optimistic.Nurses should provide regular telephone or outpatient follow-up to offer individualized rehabilitation guidance for the patients after discharge.