正念干预联合目标导向式功能训练对髋关节镜下髋臼盂唇损伤手术患者的影响

Effect of mindfulness intervention combined with goal-oriented functional training in patients with acetabular glenoid labial injury undergoing hip arthroscopy

【目的】探讨正念干预联合目标导向式功能训练对髋关节镜下髋臼盂唇损伤手术患者的影响。【方法】选取2018年1月至2019年1月就诊的髋关节镜下髋臼盂唇损伤手术患者46例,依据护理干预方案的不同将其分为2组,对照组接受常规护理干预,研究组在对照组基础上增加正念干预联合目标导向式功能训练。对比正念注意觉知量表(mindful attention awareness scale,MAAS)评分、一般自我效能感量表(general self efficacy scale,GSES)评分、配合度、功能独立性测量量表(functional independence measure,FIM)评分。【结果】干预后两组患者MAAS评分、GSES评分与干预前相比明显上升(P<0.05),且干预后研究组患者MAAS评分、GSES评分明显高于对照组(P<0.05);研究组患者配合度明显高于对照组(P<0.05);干预后研究组患者不同维度FIM评分与干预前相比明显上升(P<0.05),且干预后研究组患者不同维度FIM评分明显高于对照组(P<0.05)。【结论】正念干预联合目标导向式功能训练有助于提升髋关节镜下髋臼盂唇损伤手术患者的正念水平,增强一般自我效能,促进功能恢复与配合度提高。

【Objective】To explore the effect of mindfulness intervention combined with goal-oriented functional training in patients with acetabular glenoid labial injury undergoing hip arthroscopy.【Methods】A total of 46 patients with acetabular glenoid labial injury undergoing hip arthroscopy from January 2018 to January 2019 were selected in our hospital and divided into two groups according to different nursing intervention schemes.The patients in the control group received routine nursing intervention,while those in the study group received mindfulness intervention combined with goal-oriented functional training on the basis of the treatment in the control group.The scores of mindfulness attention awareness scale(MAAS),general self-efficacy scale(GSES),coordination degree and functional independence measurement scale(FIM)were compared.【Results】The MAAS score and GSES score of the two groups were significantly higher than those before intervention(P<0.05),and the MAAS score and GSES score in the study group were significantly higher than those in the control group(P<0.05).The cooperation degree in the study group was significantly higher than that in the control group(P<0.05).After intervention,the FIM scores in different dimensions in the study group were significantly higher than those before intervention(P<0.05),and the FIM scores in different dimensions in the study group were significantly higher than those in the control group(P<0.05).【Conclusion】Mindfulness intervention combined with goal-oriented functional training can improve the mindfulness level,enhance general self efficacy and promote functional recovery and cooperation in patients with acetabular glenoid labial injury undergoing hip arthroscopy.