自创可调式弹力球训练法在高龄患者人工髋关节置换术后康复训练中的应用

Application of the Self-made Adjustable Elastic Ball Training Method in the Rehabilitation of Elderly Patients Undergoing Hemiarthroplasty for Hip Fractures

目的观察自创可调式弹力球训练法在高龄髋部骨折患者行人工髋关节置换术后康复训练中的应用效果。方法选择2021年6月至12月收治的接受人工髋关节置换术的高龄患者60例,以随机数字表法分为实验组和对照组,每组各30例。术后实验组接受可调式弹力球康复训练,对照组接受常规康复训练。比较两组术后的临床疗效。结果实验组术后1周自我效能期望评分与结果期望评分、术后1周及3个月Harris评分和日常生活活动能力评分均高于对照组(P<0.05),实验组并发症发生率(肺部感染、下肢深静脉血栓)与对照组比较无统计学差异(P>0.05)。结论高龄患者因髋部骨折行人工髋关节置换术后,采用自创可调式弹力球训练法行康复训练可显著提高患者的依从性及康复自我效能,促进髋关节功能和日常生活能力的恢复,进而提高生活质量。

Objective To observe the effects of self-made adjustable elastic ball training method in the rehabilitation of elderly patients undergoing hip arthroplasty for hip fractures.Methods 60 elderly patients who received total hip replacement from June to December 2021 were randomly divided into the experimental group and the control group,with 30 cases for each.The experimental group received adjustable elastic ball rehabilitation training,and the control group received routine rehabilitation training.The clinical effects of the two groups were compared.Results The scores of self-efficacy expectation and outcome expectation,Harris score and activities of daily living of the experimental group were higher than that of the control group(P<0.05).There was no significant difference in the incidence of complications(pulmonary infection or deep venous thrombosis of lower extremity)between the two groups(P>0.05).Conclusion For the elderly patients undergoing hip arthroplasty for hip fractures,the self-made adjustable elastic ball training method can significantly improve the recovery of hip joint function and daily living ability,promote rapid recovery,and then improve the quality of life.