长期强化家庭康复训练法对老年髋部骨折患者术后功能恢复情况的影响

Effect of Long-term Intensive Family Rehabilitation Training on Postoperative Functional Recovery of Elderly Patients with Hip Fracture

目的长期强化家庭康复训练是一种保证患者回归家庭后仍能得到科学、规范的康复训练的一种方式,强化患者及家属对康复训练的了解和掌握,由康复团队及时对患者进行评估和方案调整,可能会提高患者髋关节和步行能力恢复,加快康复进程。故本研究探讨长期强化家庭康复训练法对老年髋部骨折患者术后功能恢复情况的治疗效果。方法将深圳市盐田区人民医院2019年1月-2019年10月期间收治的68例老年髋部骨折患者术后患者作为研究对象,按照计算机分组法分为对照组(33例)和观察组(35例),对照组给予常规康复方案治疗,观察组给予长期强化家庭康复训练法治疗,观察两组髋关节功能、步行能力、日常生活活动能力和并发症情况。结果患者出院随访各时间段(3、6、12个月),观察组Harris髋关节评分、功能性步行能力(FAC)评分、改良Barthel指数(MBI)评分均高于对照组,两组相比差异具有统计学意义(P<0.05);并发症发生率低于对照组(39.39%>5.92%),两组相比差异具有统计学意义(P<0.05)。结论长期强化家庭康复训练法可改善老年髋部骨折患者术后髋关节功能,进而改善其步行能力,提高日常生活活动能力,减少并发症发生。

Objective Long term intensive family rehabilitation training is a way to ensure that patients can still receive scientific and standardized rehabilitation training after returning to the family.Strengthening the understanding and mastery of patients and their families on rehabilitation training,and timely evaluation and scheme adjustment by the rehabilitation team may improve the recovery of hip joint and walking ability of patients and speed up the rehabilitation process.Therefore,this study discusses the therapeutic effect of long-term intensive family rehabilitation training on postoperative functional recovery of elderly patients with hip fracture.Methods 68 elderly patients with hip fracture treated in our hospital from January 2019 to October 2019 were divided into control group(33 cases)and observation group(35 cases)according to the computer grouping method.The control group was treated with routine rehabilitation scheme,and the observation group was treated with long-term intensive family rehabilitation training.The hip joint function,walking ability activities of daily living and complications were compared.Results The Harris hip score,functional walking ability(FAC)score and modified Barthel index(MBI)score in the observation group were higher than those in the control group at each time period of discharge follow-up(3,6 and 12 months).The difference between the two groups was statistically significant(P<0.05).The incidence of complications was lower than that in the control group(39.39%>5.92%).There was significant difference between the two groups(P<0.05).Conclusion Long term intensive family rehabilitation training can improve the hip function of elderly patients with hip fracture,improve their walking ability,improve their activities of daily living and reduce the incidence of complications.