居家跟进督导式功能性体能锻炼对老年膝关节炎患者康复活动依从性及膝关节功能的影响

Effects of Supervised Functional Physical Exercise on Rehabilitation Compliance and KneeI Function in Elderly Patients with Knee Arthritis

目的:探讨居家跟进督导式功能性体能锻炼方案对改善老年膝关节炎患者康复依从性及膝关节功能的作用。方法:选择我院2021年1-12月收治的老年膝关节炎患者80例,随机分为对照组(n=40,常规护理)与观察组(n=40,采用居家跟进督导式功能性体能锻炼方案干预),干预前后采用功能性体力测评量表评估患者训练效果,以骨关节炎指数量表评估患者膝关节功能,另自制依从性问卷评估患者康复依从性。结果:干预后观察组功能性体力测评结果:力为(4.19±0.46)分、届膝为(4.25±0.44)分、柔软度为(4.10±0.45)分,均高于对照组;骨关节炎指数量表评估结果:疼痛为(4.51±1.10)分、硬为(1.99±0.17)分、日常生活为(15.6±13.07)分,均高于对照组;观察组康复活动依从性为95.00%,高于对照组的77.50%,差异有统计学意义(P<0.05)。结论:对老年膝关节炎患者采用居家跟进督导式功能性体能锻炼能改善患者功能性体力以及膝关节功能,可提高其康复活动依从性,值得推广。

Objective:To investigate the effect of home follow-up supervised functional physical exercise program on improving rehabilitation compliance and knee function in elderly patients with knee arthritis.Methods:A total of 80 elderly patients with knee arthritis admitted to the hospital from January to December 2021 were randomly divided into the conventional nursing control group(n=40)and the intervention observation group with home follow-up supervised functional physical exercise program(n=40).Before and after the intervention,the functional physical strength assessment scale was used to evaluate the training effects of the patients,and the knee function of the patients was assessed by the osteoarthritis index scale.A separate compliance questionnaire was made to evaluate the rehabilitation compliance of the patients.Results:After intervention,the functional physical strength of the observation group was higher than that of the control group:muscle strength(4.19±0.46)points,bending knees(4.25±0.44)points and flexibility(4.10±0.45)points.The results ofosteoarthritis index scale:pain(4.51±1,10)score,stifness(1.99±0.17)score,daily life(15.61±3.07)score,all higher than the control group;The compliance of rehabilitation activities in the observation group was 95.00%,which was higher than that in the control group77.50%,and the diference was statistically significant(P<0.05).Conclusion:Home follow-up supervised functional physical exercise for elderly patients with knee arthritis can improve the functional physical strength and knee function of patients,and improve their compliance with rehabilitation activities,which is worthy of promotion.