CAJ | 학술논문

目的了解全髋关节置换术(THA)患者住院期间的功能锻炼的状况.方法采用自行设计的THA患者功能锻炼结构观察提纲,观察并收集71例(91个髋关节)接受THA患者的相关的资料.结果术后前3 d,22.5%的患者没有进行锻炼;术后14 d内做持续性被动运动(CPM),进行髋关节练习的患者分别占71.8%和81.7%,做肌肉静力性收缩、直腿抬高的患者分别占40.8%和81.7%,以上4项锻炼开始时间较晚,锻炼的方法也不规范,坚持时间较短;[单髋置换与双髋置换患者下地行走路练习的开始时间分别为术后(6.51±2.90)d和(10.30±3.21)d,在功能锻炼功程中,CPM由护士协助进行,其他锻炼主要由患者家属及护工协助进行].结论 THA患者住院期间实际进行锻炼的人数、次数、时间与方法不尽相同,护理人员应该进一步探讨如何保证患者进行切切实实有效的康复锻炼,以进一步提高患者的康复锻炼效果.
목적 료해전관관절치환술(THA)환자주원기간적공능단련적상황.방법 채용자행설계적THA환자공능단련결구관찰제강,관찰병수집71례(91개관관절)접수THA환자적상관적자료.결과 술후전3 d,22.5%적환자몰유진행단련;술후14 d내주지속성피동운동(CPM),진행관관절연습적환자분별점71.8%화81.7%,주기육정력성수축、직퇴태고적환자분별점40.8%화81.7%,이상4항단련개시시간교만,단련적방법야불규범,견지시간교단;[단관치환여쌍관치환환자하지행주로연습적개시시간분별위술후(6.51±2.90)d화(10.30±3.21)d,재공능단련공정중,CPM유호사협조진행,기타단련주요유환자가속급호공협조진행].결론 THA환자주원기간실제진행단련적인수、차수、시간여방법불진상동,호리인원응해진일보탐토여하보증환자진행절절실실유효적강복단련,이진일보제고환자적강복단련효과.
Objective To understand the functional exercise situation of the total hip arthroplasty(THA)patients in hospital. Methods Using self-designed functional exercise in patients with TKA outline the structure of observation, observation and collection of Orthopedic Surgery,71 cases (91 hips)received THA in patients with relevant information. Results After the former 3d,22.5% of patients did not exercise;After 14 d continuous passive motion (CPM) ,hip joint exercises were separately accounted for 71.8% and 81.7% ,and static muscle contraction,straight leg raising were accounted for 40.8 percent and 81.7 percent. The four exercise started lately, training methods were not standardized the patients, insisted on a shorter time;single-and double-hip replacement hip replacement in patients with Shimoji routing practice started time respectively, after (6.51 ± 2.90 ) d and ( 10.30 ± 3.21 ) d. In the functional exercise process,CPM was assisted by nurse,in other exercises was assisted by retaining workers and patients families. Conclusion THA patients hospitalized during the actual exercise of the number,frequency,timing and methods vary, nursing staff should be further explored how to ensure that patients really effective rehabilitation exercise to further enhance the effect of patients with rehabilitation exercises.