动机行为转化构建胫腓骨骨折患者术后康复策略的效果

Effect of motivational behavior transformation to construct postoperative rehabilitation strategy for patients with tibiofibular fracture

目的探究动机行为转化构建胫腓骨骨折患者术后康复策略的应用效果。方法选取2020年4月至2021年2月上海交通大学医学院附属新华医院接受外科手术治疗的110例胫腓骨骨折患者,依据随机数字表法分为对照组(55例)与观察组(55例)。对照组给予常规康复干预,观察组实施动机行为转化构建的康复策略干预,两组均干预3个月。比较两组干预前、干预3个月的膝关节功能、心理状况,观察两组的锻炼依从性。结果干预3个月,两组牛津膝关节评分量表各维度及总分较干预前降低,且观察组低于对照组(P<0.05);两组抑郁自评量表及焦虑自评量表评分较干预前降低,且观察组低于对照组(P<0.05)。观察组锻炼依从性评分高于对照组(P<0.05)。结论动机行为转化构建康复策略可提高胫腓骨骨折患者术后膝关节功能,改善心理状态,提高锻炼依从性。

Objective To explore the application effect of motivation behavior transformation on construct postoperative rehabilitation strategy for patients with tibiofibular fracture.Methods From April 2020 to February 2021,110 patients with tibiofibular fractures who underwent surgical treatment in Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine were selected.They were divided into control group(55 cases)and observation group(55 cases)by random number table method.The control group was given routine rehabilitation intervention and observation group received rehabilitation strategy intervention constructed by motivation behavior transformation.Both groups were intervened for three months.The knee function,psychological status of two groups before intervention and three months after intervention were compared,and the exercise compliance of two groups was observed.Results After three months of intervention,the dimensions and total scores of Oxford knee scale in both groups were decreased than those before intervention,and those in observation group were lower than those in control group(P<0.05);the scores of self-rating depression scale and self-rating anxiety scale in both groups were decreased than those before intervention,and those in observation group were lower than those in control group(P<0.05).The exercise compliance score of observation group was higher than that of control group(P<0.05).Conclusion The rehabilitation strategy of motivation behavior transformation can increase the postoperative knee function,improve the psychological state,and enhance the exercise compliance of patients with tibiofibular fracture.