自我管理模式在膝关节骨性关节炎病人运动疗法中的应用

Application of self-management mode in exercise therapy of knee osteoarthritis patients

[目的]探讨自我管理模式在膝关节骨性关节炎病人运动疗法中的应用。[方法]将62例膝关节骨性关节炎病人随机分为两组,对照组和观察组各31例,对照组采取常规健康教育,观察组应用自我管理模式进行干预,比较治疗前和治疗6个月后两组病人运动依从性和骨关节炎指数(WOMAC)评分。[结果]两组干预前各项指标比较差异无统计学意义;治疗6个月后,观察组病人运动依从性明显高于对照组(P<0.05),膝WOMAC评分明显低于对照组(P<0.05)。[结论]采用自我管理模式可以消除膝关节骨性关节炎病人对运动疗法认识上的误区,提高病人的运动依从性,在一定程度上促进膝关节功能的康复。

Objective： To probe into the application of self - management mode in exercise therapy of knee osteo- arthritis patients. Methods：A total of 62 knee osteoarthritis patients were randomly divided into control group and observation group, 31 cases in each. The patients in control group received the routine health education, while the patients in observation group received intervention by applying self - management mode, then to com- pare the patients＇exercise compliance and Xi^an Western Ontario and McMaster University Osteoarthritis In- dex （WOMAC） score between both groups before treatment and after 6 months of treatment. Results： There was no statistically significant difference in the indicators between both groups before intervention;the patients＇ exercise compliance in observation group was significantly higher than that in control group （P〈0.05） ,after 6 months of treatment,the patients＇ knee WOMAC score in observation group was significantly lower than that in control group （P〈0.05）. Conclusion：The self- management mode can eliminate the knee osteoarthritis pa- tients＇ misunderstanding of exercise therapy,improve the patients＇ exercise compliance and promote the reha- bilitation of knee joint function in a certain extent.