家庭康复教育对老年髋部骨折术后日常生活能力及患者功能的影响

Influence of family rehabilitation education on daily living abilities and function of elderly patients after hip fracture surgery

目的探讨实施家庭康复教育对老年髋部骨折术后患者功能及日常生活能力的影响。方法选择73例髋部骨折手术老年患者,随机分为干预组37例和对照组36例,对照组采用常规出院指导和随访,干预组采用家庭康复教育,出院后对干预组患者实施家庭康复教育并随访至少12个月,观察患者髋关节功能、日常生活能力及生活质量改善情况。结果两组在术后12个月内Harris髋关节评分均显著提高(P<0.05),髋关节功能得到显著恢复,干预组术后3个月、6个月、12个月Harris髋关节评分均显著高于对照组(P<0.05)。干预组术后3个月、6个月、12个月FIM量表评分均显著高于对照组(P<0.05),干预组在术后3个月、6个月、12个月GH、PF、RP、BP、MH、VT、RE评分均显著高于对照组(P<0.05),术后6个月、12个月SF评分则显著高于对照组(P<0.05)。结论家庭康复是老年髋部骨折患者术后功能康复的重要阶段,实施出院后家庭康复教育有利于患者持续正确康复训练,提高髋关节功能康复及日常生活能力恢复,促进患者生活质量提高。

Objective To investigate the influence of family rehabilitation education on the daily living abilities and pa-tient function of elderly patients after hip fracture surgery. Methods Seventy-three elderly patients who received hip fracture surgery were selected and randomly divided into the intervention group with 37 patients and the control group with 36 patients. The control group received conventional hospital discharge guidance and follow-up visits and the in-tervention group received family rehabilitation education;The intervention group was given family rehabilitation educa-tion and followed up for at least 12 months after hospital discharge. The patients ’ joint function, daily living activities and life quality improvement situation were observed. Results Within 12 months after surgery, the Harris hip joint scores of both groups improved significantly （P〈0.05） and the hip joint function recovered remarkably; The Harris hip joint scores of intervention group were significantly higher than the control group in 3 months, 6 months and 12 months after the surgery （P〈0.05）. The FIM scores of intervention group were significantly higher than the control group in 3 months, 6 months and 12 months after the surgery （P〈0.05）; The GH, PF, RP, BP, MH, VT and RE scores of in-tervention group were significantly higher than the control group in 3 months, 6 months and 12 months after the surgery （P〈0.05） and the SF scores was significantly higher than the control group in 6 months and 12 months after the surgery （P〈0.05）. Conclusion Family rehabilitation is an important step of postoperative function rehabilitation for the el-derly patients after hip facture surgery and the implementation of family rehabilitation education after hospital dis-charge, can help the patients maintain right rehabilitation training, improve hip joint function rehabilitation, daily living abilities recovery and promote the patients ’ life quality.