赋能理念指导的量化康复训练对骨质疏松性髋部骨折患者术后康复的影响

黄莉; 李敏; 黄觅; 张晨

doi:10.16766/j.cnki.issn.1674-4152.004125

赋能理念指导的量化康复训练对骨质疏松性髋部骨折患者术后康复的影响

doi: 10.16766/j.cnki.issn.1674-4152.004125

武汉市第一医院骨科，湖北武汉 430030

基金项目:

湖北省自然科学基金项目 2023AFD141

详细信息

通讯作者:
张晨，E-mail：18995531566@189.cn

中图分类号: R681 R687.4
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- 文章访问数: 9
- HTML全文浏览量: 5
- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2025-02-18
- 网络出版日期: 2025-10-31

The effect of quantitative rehabilitation training guided by the concept of empowerment on postoperative rehabilitation in patients with osteoporotic hip fracture

Department of Orthopaedics, Wuhan First Hospital, Wuhan, Hubei 430030, China

摘要

摘要: 目的探讨赋能理念指导的量化康复训练对骨质疏松性髋部骨折患者术后康复的影响，旨在为患者术后快速康复提供借鉴。方法收集2022年6月—2024年6月在武汉市第一医院进行全髋置换术治疗的120例骨质疏松性髋部骨折患者相关资料，按干预方法不同进行分组，其中对照组(57例)行量化康复训练，研究组(63例)在此基础上给予基于赋能理念的康复训练指导。比较2组恐惧回避信念、自我效能、髋关节功能及生活质量。结果干预后研究组体力活动、工作恐惧回避信念评分分别为(11.07±3.12)分、(20.88±4.82)分，均低于对照组的(17.21±3.64)分、(31.84±5.39)分(F=787.801、931.311，P＜0.001)；应对、身体锻炼自我效能评分分别为(44.62±4.39)分、(42.83±3.05)分，均高于对照组的(36.17±6.01)分、(35.11±3.81)分(F=701.077、974.633，P＜0.001)；髋关节功能各维度评分高于对照组(P＜0.05)；生活质量各维度评分高于对照组(P＜0.05)。结论赋能理念指导的量化康复训练可明显降低骨质疏松性髋部骨折患者全髋置换术后恐惧回避信念，促进关节功能康复。
- 髋部骨折 /
- 骨质疏松 /
- 全髋置换术 /
- 赋能 /
- 康复训练
Abstract: Objective To explore the effects of quantitative rehabilitation training guided by the concept of empowerment on the postoperative rehabilitation of patients with osteoporotic hip fracture, in order to provide reference for patients with rapid postoperative rehabilitation. Methods The relevant data of 120 patients with osteoporotic hip fracture who underwent total hip arthroplosty in Wuhan First hospital from June 2022 to June 2024 were collected and divided into the control group (n=57, quantitative rehabilitation training) and the study group (n=63, quantitative rehabilitation training + rehabilitation training guidance based on the concept of empowerment) according to different intervention method. Fear-avoidance belief, self-efficacy, hip function, and quality of life were compared between the two groups. Results After intervention, the study group had lower scores of physical activity and work-fear avoidance belief than the other group [(11.07±3.12) points and (20.88±4.82) points vs. (17.21±3.64) points and (31.84±5.39) points, F=787.801, 931.311, P<0.001], while higher scores of coping and physical exercise self-efficacy [(44.62±4.39) points and (42.83±3.05) points vs. (36.17±6.01) points and (35.11±3.81) points, F=701.077, 974.633, P<0.001]; The scores of hip joint function in the study group were higher, and the scores of quality of life were also higher (P<0.05). Conclusion Quantitative rehabilitation training guided by the concept of empowerment can significantly reduce the fear avoidance belief of patients with osteoporotic hip fracture after total hip arthroplosty, and promote the rehabilitation of joint function.
- Hip fracture /
- Osteoporosis /
- Total hip replacement /
- Empowerment /
- Rehabilitation training

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表 1 2组骨质疏松性髋部骨折患者基线资料比较

Table 1. Comparison of baseline data between two groups of patients with osteoporotic hip fractures

组别	例数	性别 (男性/女性，例)	年龄 (x±s，岁)	骨折类型(股骨颈骨折/股骨转子间骨折，例)	患侧 (左/右，例)	学历(高中及以下/中专及以上，例)
研究组	63	36/27	71.69±2.85	38/25	34/29	44/19
对照组	57	31/26	72.14±3.01	37/20	32/25	43/14
统计量		0.092^a	0.841^b	0.270^a	0.057^a	0.470^a
P值		0.761	0.402	0.604	0.811	0.493
注：^a为χ²值，^b为t值。

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表 2 2组骨质疏松性髋部骨折患者恐惧回避信念比较(x±s，分)

Table 2. Comparison of fear avoidance beliefs between two groups of patients with osteoporotic hip fractures(x±s, points)

组别	例数	体力活动恐惧回避		t值	P值	工作恐惧回避信念		t值	P值
组别	例数	干预前	干预后	t值	P值	干预前	干预后	t值	P值
研究组	63	23.86±2.71	11.07±3.12	34.826	＜0.001	47.15±5.41	20.88±4.82	40.765	＜0.001
对照组	57	24.19±2.51	17.21±3.64	17.138	＜0.001	46.79±6.17	31.84±5.39	19.528	＜0.001
统计量		0.682^a	787.801^b			0.337^a	931.311^b
P值		0.493	＜0.001			0.735	＜0.001
注：^a为t值，^b为F值。

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表 3 2组骨质疏松性髋部骨折患者自我效能比较(x±s，分)

Table 3. Comparison of self-efficacy between two groups of patients with osteoporotic hip fractures(x±s, points)

组别	例数	应对自我效能		t值	P值	身体锻炼自我效能		t值	P值
组别	例数	干预前	干预后	t值	P值	干预前	干预后	t值	P值
研究组	63	31.06±7.18	44.62±4.39	-18.605	＜0.001	20.14±5.21	42.83±3.05	-43.607	＜0.001
对照组	57	30.85±7.69	36.17±6.01	-5.864	＜0.001	20.73±4.98	35.11±3.81	-24.702	＜0.001
统计量		0.153^a	701.077^b			0.626^a	974.633^b
P值		0.878	＜0.001			0.529	＜0.001
注：^a为t值，^b为F值。

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表 4 2组骨质疏松性髋部骨折患者髋关节功能比较(x±s，分)

Table 4. Comparison of hip joint function between two groups of patients with osteoporotic hip fractures(x±s, points)

组别	例数	畸形		t值	P值	活动范围		t值	P值	关节功能		t值	P值	疼痛		t值	P值
组别	例数	干预前	干预后	t值	P值	干预前	干预后	t值	P值	干预前	干预后	t值	P值	干预前	干预后	t值	P值
研究组	63	1.71±0.42	3.32±0.60	-25.057	＜0.001	2.29±0.56	4.06±0.38	-29.891	＜0.001	9.18±2.36	38.04±4.13	-70.591	＜0.001	12.59±3.28	40.46±1.77	-87.608	＜0.001
对照组	57	1.68±0.44	2.81±0.71	-14.837	＜0.001	2.31±0.55	3.61±0.47	-19.245	＜0.001	9.27±2.29	32.25±5.11	-46.891	＜0.001	13.01±3.05	36.88±2.25	-68.005	＜0.001
统计量		0.378^a	337.629^b			0.195^a	458.646^b			0.210^a	542.836^b			0.716^a	770.852^b
P值		0.704	＜0.001			0.845	＜0.001			0.834	＜0.001			0.471	＜0.001
注：^a为t值，^b为F值。

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表 5 2组骨质疏松性髋部骨折患者生活质量比较(x±s，分)

Table 5. Comparison of the quality of life between two groups of patients with osteoporotic hip fractures(x±s, points)

组别	例数	物质生活状态		t值	P值	躯体功能		t值	P值	心理功能		t值	P值	社会功能		t值	P值
组别	例数	干预前	干预后	t值	P值	干预前	干预后	t值	P值	干预前	干预后	t值	P值	干预前	干预后	t值	P值
研究组	63	46.31±5.19	68.35±6.42	-30.136	＜0.001	45.94±6.41	65.89±8.62	-21.071	＜0.001	42.31±5.82	68.38±8.21	-29.497	＜0.001	44.42±5.88	67.41±7.61	-27.054	＜0.001
对照组	57	46.99±5.04	63.66±5.68	-23.481	＜0.001	46.55±6.69	59.83±9.05	-12.740	＜0.001	41.84±6.03	62.34±7.09	-23.593	＜0.001	44.96±5.60	61.38±6.11	-21.173	＜0.001
统计量		0.719^a	334.223^b			0.504^a	297.475^b			0.429^a	339.926^b			0.508^a	376.516^b
P值		0.470	＜0.001			0.612	＜0.001			0.666	＜0.001			0.609	＜0.001
注：^a为t值，^b为F值。

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