CPM锻炼联合5E康复护理对老年下肢骨折患者术后关节功能、肌力水平及生活能力的影响

Effect of CPM Exercise Combined with 5E Rehabilitation Nursing on Joint Function,Muscle Strength and Living Ability of Elderly Patients with Lower Limb Fracture after Surgery

目的:探讨持续被动运动器(CPM)锻炼联合5E康复护理在老年下肢骨折患者术后干预中的实施效果及对其关节功能、肌力水平及生活能力的影响。方法:选择2022年2—12月在厦门大学附属第一医院接受手术治疗的100例老年下肢骨折患者作为研究对象,应用随机数表法分为对照组和观察组,各50例。对照组给予CPM锻炼进行干预,观察组给予CPM锻炼联合5E康复护理。比较两组干预前后的健康行为、关节功能、肌力水平及生活能力。结果:干预前,两组健康行为量表(HPL)评分比较,差异无统计学意义(P>0.05);干预14 d后,两组HPL评分高于干预前,观察组HPL评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组Fugl-Meyer量表(FMA)下肢运动功能评分比较,差异无统计学意义(P>0.05);干预3个月后,两组FMA下肢运动功能评分高于干预前,观察组FMA下肢运动功能评分高于对照组,差异有统计学意义(P<0.05)。干预前、干预1个月后,两组肌力分级比较,差异无统计学意义(P>0.05),干预3个月后,观察组肌力分级高于对照组,差异有统计学意义(P<0.05)。干预前,两组Barthel指数各项评分及总分比较,差异无统计学意义(P>0.05);干预3个月后,观察组Barthel指数各项评分及总分均高于对照组,差异有统计学意义(P<0.05)。结论:CPM锻炼联合5E康复护理可有效促进老年下肢骨折患者术后健康行为的改善,从而使得其下肢关节功能、肌力水平及生活能力进一步改善。

Objective:To investigate the effect of continuous passive motor(CPM)exercise combined with 5E rehabilitation nursing in postoperative intervention of elderly patients with lower limb fracture and its influence on joint function,muscle strength and living ability.Method:A total of 100 elderly patients with lower limb fracture who received surgical treatment in the First Affiliated Hospital of Xiamen University from February to December 2022 were selected as the study objects,and they were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was given CPM exercise for intervention,and the observation group was given CPM exercise combined with 5E rehabilitation nursing.The health behaviors,joint function,muscle strength and living ability of the two groups were compared before and after intervention.Result:Before intervention,there was no significant difference in health behavior inventory(HPL)score between the two groups(P>0.05).After 14 d of intervention,HPL scores in both groups were higher than those before intervention,the HPL score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in lower limb motor function score on Fugl-Meyer assessment scale(FMA)between the two groups(P>0.05).After 3 months of intervention,FMA lower limb motor function scores in both groups were higher than before intervention,the FMA lower limb motor function score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).Before intervention and 1 month after intervention,there were no statistical significances in muscle strength grading between the two groups(P>0.05).After 3 months of intervention,the muscle strength grading of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in the scores of Barthel index and total scores between two groups(P>0.05).After 3 months of intervention,the Barthel index scores and total scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:CPM exercise combined with 5E rehabilitation nursing can effectively promote the improvement of postoperative health behavior in elderly patients with lower limb fracture,so as to further improve their lower limb joint function,muscle strength and living ability.