健康赋权理论结合Otago运动对膝骨关节炎患者膝关节功能的影响

Effect of Health Empowerment Theory Combined with Otago Exercise on Knee Joint Function in Patients with knee Osteoarthritis

目的:研究健康赋权理论结合Otago运动对膝关节骨关节炎患者术后膝关节功能的影响。方法:本研究对象为我院骨科门诊2020年2月-2022年12月治疗的100例膝关节骨关节炎患者,按照随机数字表法分组,随机分为对照组和观察组,各50例,对照组采用常规护理模式,观察组采用健康赋权理论结合Otago运动的干预模式。对2组患者的膝关节症状(WOMAC评分)、膝关节功能(HSS评分)和运动功能评价(Fugl-Meyel评分)、自我效能(SER评分)、跌倒效能(MFES评分)及患者康复积极度(PAM评分)和护理满意度进行评估。结果:于预前,2组患者膝关节症状、功能和运动功能、自我效能、跌倒效能及患者康复积极度比较无显著差异(P>0.05)。干预后,对照组患者的WOMAC评分高于观察组,HSS评分和Fugl-Meyel评分低于观察组,2组差异具有统计学意义(P<0.05);此外观察组患者的自我效能、跌倒效能及康复积极度评分及患者护理满意度均高于对照组,2组差异具有统计学意义(P<0.05)。结论:与常规的护理干预模式比较,健康赋权理论结合Otago运动的干预模式的护理效果明显优于常规护理组,一方面可以提高膝关节功能和患者的自我效能,另一方面还会提高患者的治疗积极性及患者满意度,具有显著的临床应用价值。

Objective:Study the influence of intervention mode based on health empowerment theory and Otago exercise on knee joint function of patients with knee osteoarthritis after operation.Methods:The subjects of this study were 100 patients with knee osteoarthritis who came to our orthopaedic clinic for treatment from February 2020 to December 2022.According to the random number grouping method,they were randomly divided into the control group and the observation group with 50 patients each.The control group adopted the conventional nursing mode,and the experimental group adopted the intervention mode of health empowerment theory combined with Otago exercise.The knee joint symptoms(WOMAC score),Knee function(HSS score),motor function evaluation(Fugl-Meyel score),self-efficacy(SER score),fall efficacy(MFES score),patient rehabilitation(PAM score)and nursing satisfaction of the two groups of patients were evaluated.Results:Before the intervention,there was no significant difference between the two groups in terms of knee joint symptoms,function and motor function,self-efficacy,fall efficacy and recovery product(P>0.05).Afer intervention,Patients in the control group had a higher WOMAC score than those in the test group..HSS score and Fugl-Meyel score were lower than those in the control group,indicating that the knee joint function and motor function of patients in the test group were better than those in the control group,and the difference between the two groups was statistically significant(P<0.05);In addition,the scores of self-efficacy,fall efficacy,extreme recovery scores and nursing satisfaction of patients in the test group were higher than those in the control group,indicating that the indicators of patients in the test group were better than those in the control group after intervention,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Comparison with conventional nursing intervention models,the nursing effect of the intervention model of health empowerment theory combined with Otago exercise is significantly better than that of the conventional nursing group.On the one hand,it can improve the knee joint function and the self-efficacy of patients,on the other hand,it can also improve the treatment enthusiasm and satisfaction of patients,which has significant clinical application value.