老年膝骨关节炎患者应用赋能理论指导居家康复锻炼方案对其膝关节功能改善效果

【】目的:分析老年膝骨关节炎患者予以赋能理论指导下的居家康复锻炼方案的干预效果及对其膝关节功能的改善作用。方法:采取便利抽样的方法选取2019年12月-2021年12月本院骨科收治的100例老年膝骨关节炎患者,按数字随机表法分作两组,对照组50例予以常规康复训练,观察组50例予以赋能理论指导下的居家康复锻炼方案,12周后比较两组患者的干预效果、康复自我效能、下肢肌力水平及膝关节功能。结果:护理后,观察组患者的西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分是(16.70±3.56)分,低于对照组的(19.24±3.86)分(P＜0.05)；观察组患者的康复自我效能量表(SER)评分是(82.04±10.45)分,高于对照组的(73.73±10.22)分(P＜0.05)；观察组患者双下肢的肌力水平均高于对照组(P＜0.05)；观察组患者的美国特种外科医院膝关节功能(HSS)分数是(82.70±7.12)分,Lysholm膝关节分数是(74.68±6.20)分,分别高于对照组的(73.65±6.55)分与(63.37±5.15)分(P＜0.05)。结论:老年膝骨关节炎患者予以赋能理论指导下的居家康复锻炼方案可取得显著效果,不仅能增强其康复自我效能,还能促进患者下肢肌力水平提高,并且改善膝关节功能。

Study on improvement effect of home rehabilitation exercise program guided by enabling theory on knee function in elderly patients with knee osteoarthritis

Objective: To analyze the intervention effect of home rehabilitation exercise program under the guidance of empowerment theory in elderly patients with knee osteoarthritis and its improvement effect on knee function. Methods: 100 cases of elderly patients with knee osteoarthritis were admitted to the Department of Osteology of our Hospital from December 2019 to December 2021 were selected by convenience sampling method and divided into two groups according to the numerical random table method. 50 cases in the control group were given routine rehabilitation training, and 50 cases in the observation group were given home rehabilitation exercise program under the guidance of empowerment theory. The intervention effect, rehabilitation self-efficacy, lower limb muscle strength and knee function were compared between the two groups after 12 weeks. Results: After nursing, in the observation group, the WOMAC score was (16.70±3.56) points, which was lower than (19.24±3.86) points that of the control group (P<0.05). In the observation group, the SER score was (82.04±10.45) points, which was higher than (73.73±10.22)points that of the control group (P<0.05). In the observation group, the muscle strength of lower limbs were higher than the control group (P<0.05). In the observation group, the HSS score was (82.70±7.12) points, whe Lysholm knee joint score was (74.68±6.20) points, which were higher than (73.65±6.55) pointsand (63.37±5.15) points those of the control group, respectively (P<0.05). Conclusion: Elderly patients with knee osteoarthritis under the guidance of the empowerment theory home rehabilitation exercise program can achieve significant results, not only can enhance their rehabilitation self-efficacy, but also can promote the improvement of lower limb muscle strength level of patients, as well as improve the function of knee joint.