同侪互助管理模式在臀肌挛缩术后快速康复中的应用研究

Application Research of Peer Mutual Management Model in Fast Rehabilitation After Gluteal Muscle Contracture

目的探讨同侪互助管理模式对臀肌挛缩术后患者快速康复及功能锻炼的影响.方法选取2018年6—12月北京大学深圳医院运动医学与康复科收治的臀肌挛缩术后患者96例为研究对象,随机分为两组,每组48例.对照组采用常规术后快速康复锻炼,观察组在对照组基础上进行同侪互助管理.评价两组患者的臀肌功能、臀部肿胀程度、疼痛程度、锻炼依从性及心理社会适应性.结果术后2、3 d,两组患者的臀肌功能评分均高于术前及术后1 d,且观察组患者的臀肌功能评分高于对照组,组间差异有统计学意义(P<0.05).观察组患者的臀部肿胀程度显著轻于对照组,差异有统计学意义(P<0.05).术后2、3 d,两组患者的疼痛视觉模拟评分均低于术后1 d,且观察组患者低于对照组,差异有统计学意义(P<0.05).观察组患者的依从性显著高于对照组,差异有统计学意义(P<0.05).干预后,观察组患者的各项创伤后成长评定量表评分显著高于对照组,组间差异有统计学意义(P<0.05).结论同侪互助管理模式可提高臀肌挛缩术后患者的锻炼依从性,减轻疼痛程度,缓解臀部肿胀,康复效果理想,值得临床推广应用.

Objective To explore the influence of peer mutual management model on the rapid recovery and functional exercise of patients after gluteal muscle contracture.Methods From June to December 2018,96 patients after gluteal muscle contracture in the Department of Sports Medicine and Rehabilitation,Peking University Shenzhen Hospital were selected as the research objects,and they were randomly divided into two groups with 48 cases in each group.The control group used routine postoperative fast rehabilitation exercises,and the observation group performed peer mutual management on the basis of the control group.The gluteal muscle function,hip swelling degree,pain degree,exercise compliance and psychosocial adaptability of the two groups of patients were evaluated.Results At 2 and 3 days after surgery,the gluteal muscle function scores of the two groups of patients were higher than that of preoperative and 1 day after surgery,and the gluteal muscle function scores of the observation group were higher than those of the control group,the differences between the groups were statistically significant(P<0.05).The swelling of the buttocks of the observation group was significantly lighter than that of the control group,and the difference was statistically significant(P<0.05).At 2 and 3 days after surgery,the pain visual analogue scores of the two groups of patients were lower than that of the 1 day after surgery,and the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).The compliance of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).After the intervention,the posttraumatic growth inventory scores of the observation group were significantly higher than those of the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion The peer mutual management model can improve the exercise compliance of patients after gluteal muscle contracture,reduce pain,relieve buttock swelling,and have an ideal rehabilitation effect.It is worthy of clinical application.