微格教学法指导的阶段性康复训练对髋部骨折康复依从性及肢体功能恢复的影响

Effect of staged rehabilitation training guided by microteaching method on rehabilitation compliance of hip fracture and recovery of limb function

目的分析微格教学法指导的阶段性康复训练对髋部骨折术后患者的康复依从性和功能恢复的影响。方法选取2019年12月至2021年6月在江苏省南通市中医院实施手术治疗的90例老年髋部骨折患者,依据随机数字表法将其分为对照组和试验组,每组45例。对照组行传统术后康复护理,试验组在对照组基础上行微格教学法指导阶段性康复训练,比较两组康复锻炼依从性;比较护理前、护理3个月后Harris髋关节功能评分、世界卫生组织生活质量测定量表(WHO QOL-BREF)评分。结果试验组康复锻炼依从率高于对照组(P<0.05)。护理3个月后,两组关节活动、关节功能、疼痛程度、畸形评分均较护理前升高,且试验组高于对照组(P<0.05)。护理3个月后,两组心理、生理、环境及社会关系评分均较护理前升高,且试验组高于对照组(P<0.05)。结论老年髋部骨折术后实施微格教学法指导的阶段性康复训练,能提升其对训练的依从性,促进髋关节功能恢复,改善生活质量。

Objective To analyze the effect of staged rehabilitation training guided by microteaching method on rehabilitation compliance and functional recovery of patients with hip fracture after surgery.Methods From December 2019to June 2021,90 elderly patients with hip fracture who underwent surgical treatment in Nantong Hospital of Traditional Chinese Medicine,Jiangsu Province were selected.They were divided into control group and experimental group,with45 cases in each group.The control group was given traditional postoperative rehabilitation care,while the experimental group was given microteaching method to guide staged rehabilitation training on the basis of the control group.The compliance of rehabilitation exercise was compared between two groups;Harris hip function score and World Health Organization the quality of life-BREF(WHO QOL-BREF)score were compared before nursing and three months after nursing.Results The compliance rate of rehabilitation exercise in experimental group was higher than that in control group(P<0.05).After three months of nursing,the joint activity,joint function,pain degree,and deformity score of two groups were higher than those before nursing,and those in experimental group were higher than those in control group(P<0.05).After three months of nursing,the scores of psychological,physiological,environmental,and social relationship of two groups were higher than those before nursing,and those in experimental group were higher than those in control group(P<0.05).Conclusion The implementation of staged rehabilitation training guided by microteaching method after hip fracture surgery in the elderly can improve their compliance to training,promote the recovery of hip function and improve the quality of life.