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基于赋能理论的居家康复方案在老年膝骨关节炎患者膝关节功能锻炼中的应用

吴欣育 彭玮 王雪松 陈静

上海护理2024,Vol.24Issue(5):6-10,5.
上海护理2024,Vol.24Issue(5):6-10,5.DOI:10.3969/j.issn.1009-8399.2024.05.002

基于赋能理论的居家康复方案在老年膝骨关节炎患者膝关节功能锻炼中的应用

Application of a Home-based Rehabilitation Program Based on Empowerment Theory in Knee Joint Functional Exercise for Elderly Patients with Knee Osteoarthritis

吴欣育 1彭玮 1王雪松 1陈静1

作者信息

  • 1. 江南大学附属医院,江苏 无锡 214122
  • 折叠

摘要

Abstract

Objective To explore the effect of a home-based rehabilitation exercise program based on empowerment theory on improving knee joint function in elderly patients with knee osteoarthritis.Methods A total of 100 elderly patients with knee osteoarthritis were selected by convenience sampling who were admitted to the Orthopedics Department of the Affiliated Hospital of Jiangnan University from June 2020 to June 2022.These patients were divided into the control group(n=50,in ward 1)and the observation group(n= 50,in ward 2)by order of admission.The control group was given a routine rehabilitation exercise program after discharge;the observation group was given a home-based rehabilitation exercise program under the guidance of empowerment theory after discharge.After 12 weeks of intervention,the patients were scored using the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Self-Efficacy for Rehabilitation Outcome Scale(SER),Hospital for Special Surgery(HSS)Knee-Rating Scale and Lysholm Knee Scoring Scale,and evaluated for the lower extremity muscle strength.Then,the results were compared between groups.Results The WOMAC scores of the observation group were lower than those of the control group,and the SER,HSS and Lysholm knee scores were higher than those of patients in the control group(P<0.05).Besides,the lower extremity muscle strength in the observation group was higher than that in the control group(P<0.05).Conclusion The home-based rehabilitation exercise program under the guidance of empowerment theory has been shown to yield significant benefits to elderly patients with knee osteoarthritis.This program can not only enhance their rehabilitation self-efficacy,but also improve their lower extremity muscle strength and knee joint function.

关键词

老年膝骨关节炎/赋能理论/居家康复锻炼/下肢肌力/膝关节功能

Key words

Knee osteoarthritis in the elderly/Empowerment theory/Home-based rehabilitation exercise/Lower extremity muscle strength/Knee joint function

分类

医药卫生

引用本文复制引用

吴欣育,彭玮,王雪松,陈静..基于赋能理论的居家康复方案在老年膝骨关节炎患者膝关节功能锻炼中的应用[J].上海护理,2024,24(5):6-10,5.

基金项目

无锡转化医学研究专项项目(2020ZHYB05). (2020ZHYB05)

上海护理

1009-8399

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