CAJ | 학술논문

目的：探讨康复训练计划表在人工全髋关节置换（ THA）术后功能锻炼中的应用效果，为THA术后护理提供指导。方法选择2013年6月至2014年6月出院的人工THA术后90例患者，入院后随机分为对照组和观察组各45例，两组均进行常规健康宣教，观察组在此基础上按康复训练计划表进行锻炼。比较两组患者出院时、术后3、6个月Harris髋关节评分、Barthel指数及出院时并发症情况。结果出院时两组患者Harris髋关节评分差异无统计学意义（ P＞0.05），术后3、6个月时，患者Harris髋关节评分观察组高于对照组（ P＜0.05）。出院时两组患者Barthel指数差异无统计学意义（P＞0.05），术后3、6个月时，患者Barthel指数评分均显著高于对照组，差异有统计学意义（ P＜0.05）；出院时对照组有10例发生并发症，占22.22％，观察组有3例发生并发症，占6.66％；两组比较有统计学差异（ P＜0.05）。结论康复训练计划表的应用，使锻炼内容具体化，操作规范化，又能根据患者情况不同行个体化。起到术后延续指导和督促训练的作用，提高功能锻炼效果，促进关节功能康复。
목적：탐토강복훈련계화표재인공전관관절치환（ THA）술후공능단련중적응용효과，위THA술후호리제공지도。방법선택2013년6월지2014년6월출원적인공THA술후90례환자，입원후수궤분위대조조화관찰조각45례，량조균진행상규건강선교，관찰조재차기출상안강복훈련계화표진행단련。비교량조환자출원시、술후3、6개월Harris관관절평분、Barthel지수급출원시병발증정황。결과출원시량조환자Harris관관절평분차이무통계학의의（ P＞0.05），술후3、6개월시，환자Harris관관절평분관찰조고우대조조（ P＜0.05）。출원시량조환자Barthel지수차이무통계학의의（P＞0.05），술후3、6개월시，환자Barthel지수평분균현저고우대조조，차이유통계학의의（ P＜0.05）；출원시대조조유10례발생병발증，점22.22％，관찰조유3례발생병발증，점6.66％；량조비교유통계학차이（ P＜0.05）。결론강복훈련계화표적응용，사단련내용구체화，조작규범화，우능근거환자정황불동행개체화。기도술후연속지도화독촉훈련적작용，제고공능단련효과，촉진관절공능강복。
Objective To discuss the effects of rehabilitation schedule on the functional training exercises after total hip arthoplasty ( THA ) , and provide guidance for postoperative nursing of THA. Methods Ninety patients who underwent THA between June 2013 and June 2014 were selected and randomized into the control group and the observation group (45 patients each) .In addition to the regular health education for both of the two groups, the rehabilitation schedule was adopted in the observation group to guide the exercises.The comparisons of the two groups were performed in the complications, Barthel index and Harris hip scores at the time of hospital discharge, three and six months after the surgery. Results The differences in Harris hip scores and Barthel index between the two groups were not significant at the time of hospital discharge (P>0.05), while the Harris score and Barthel index of the observation group were both higher than those of the control group three and six months after the surgery ( P<0.05 ) . At the time of hospital discharge, complications were found in 10 cases of the control group and three cases of the observation group; the incidences were 22.22% and 6.66% respectively, which was significant different (P<0.05).Conclusion The application of rehabilitation schedule can solidify, normalize and individualize the functional exercises according to different patients, provide guidance and supervision for the postoperative training, so as to improve the joint function.