基于BCW理论的早期康复锻炼对老年全髋关节置换术后患者康复效果的影响

Effect of the early rehabilitation exercise based on behavior change wheel theory on rehabilitation effect of the aged patients after total hip replacement

目的探讨基于行为改变轮(BCW)理论的早期康复锻炼对老年全髋关节置换术后患者康复效果影响。方法选择2018年3月~2019年2月遵义医科大学附属医院关节外科行全髋关节置换术的老年患者86例,采用随机数字表法将其分为试验组和对照组,各43例。对照组行关节外科常规康复锻炼,试验组在常规锻炼的基础上实施基于BCW模型的早期康复锻炼干预措施。结果两组患者术后1个月的Harris评分均高于术前,且试验组Harris评分高于对照组,差异有统计学意义(P<0.05);两组术后1 d与术后5 d早期康复锻炼的依从率组内比较,差异均无统计学意义(均P>0.05);术后1、5 d早期康复锻炼的依从率试验组均高于对照组,差异均有统计学意义(均P<0.05);试验组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论基于BCW理论的早期康复锻炼可提高老年全髋关节置换术后患者的锻炼依从性,降低其并发症发生率,并促进髋关节功能的恢复。

Objective To investigate the effect of early rehabilitation exercise based on behavior change wheel(BCW)theory on the rehabilitation effect of elderly patients after total hip replacement.Methods From March 2018 to February 2019,a total of 86 elderly patients underwent total hip replacement in the Department of Joint Surgery,Affiliated Hospital of Zunyi Medical University were selected,the patients were divided into experimental group and control group by random number table method,43 cases in group.The control group received routine rehabilitation exercise in joint surgery.On the basis of routine exercise,the experimental group implemented early rehabilitation exercise intervention measures based on BCW model.Results Both groups had higher Harris function scores 1 month after surgery than before surgery,and the Harris functional score of the experimental group was higher than that of the control group,with statistically significant differences(P<0.05).There were no significant differences between the two groups in the compliance rate of early rehabilitation exercise 1 and 5 days after surgery(all P>0.05).The compliance rate of early rehabilitation exercise 1 and 5 days after surgery were higher in the experimental group than those in the control group,with statistically significant differences(all P<0.05).The incidence of postoperative complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Early rehabilitation exercise based on BCW theory can improve the exercise compliance of elderly patients after total hip replacement,reduce the incidence of complications,and promote the recovery of hip function.